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How to fill out the Division Of Behavioral Health Services: Covered Behavioral Health Services online
This guide provides comprehensive instructions for completing the Division Of Behavioral Health Services: Covered Behavioral Health Services form online. Whether you are familiar with legal documents or not, the following steps will help you navigate the process with ease.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to obtain the form and open it in the appropriate application for editing.
- Carefully read the instructions on the form to ensure you understand the requirements for submission. Take note of any specific information needed, such as your agency details and service offerings.
- Fill out the applicant information section with accurate details, including the name of your agency, contact information, and address.
- Provide the necessary information regarding the services your agency offers, ensuring consistency with any existing licenses or certifications.
- Include any documentation required, such as references for direct service staff, previous certifications, or licenses.
- Review the application for completeness and accuracy, ensuring all necessary attachments are included.
- Submit the completed application to the designated T/RBHA or authority overseeing the certification.
- Once submitted, you will receive confirmation regarding your application status. If approved, you will be notified in writing.
- Maintain a copy of the submitted application for your records and ensure that all certified individuals comply with ongoing requirements.
- You may now save changes, download, print, or share the completed form as needed for your records or further actions.
Complete the Division Of Behavioral Health Services: Covered Behavioral Health Services form online today to ensure your agency meets the necessary certification requirements.
AHCCCS health plans provide the following medical services: Immunizations (shots) Prescriptions (Not covered if you have Medicare) Lab and X-rays. Early and Periodic Screening Diagnosis and Treatment (EPSDT) Services for Medicaid eligible children under age 21.
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