Get Beacon Health Options (formerly Valueoptions Orf 2) 2008

Filling out the Beacon Health Options Outpatient Review Form (ORF 2) online is a straightforward process designed to efficiently collect necessary information for authorization of services. This guide will help you navigate each section and field of the form with clarity and support.

Follow the steps to successfully complete the Beacon Health Options ORF 2 online.

1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Enter the requested start date for the authorization in the specified format (MM/DD/YYYY). Make sure to input the date accurately.
3. Review the section on current impairments. For each type of impairment, select or circle one value that best represents the client's condition using the scale provided (0 to 3 or na).
4. Indicate the type of service requested by selecting the relevant options for mood disturbance, anxiety, psychosis, cognition issues, and other specified categories, using the same scale.
5. Complete the weight change section by specifying any gain or loss in pounds over the last three months and recording the current weight and height. This information is crucial for medical assessments.
6. Provide the patient’s personal information, including the name, date of birth, age, gender, address, telephone number, and insurance ID. Ensure accuracy in this section for proper identification.
7. Fill in provider details, such as the provider’s name, license number, program/clinic, and contact information. If known, include the VO provider number.
8. Answer the questions related to the patient’s current treatment and coordination with other providers. Select 'Yes,' 'No,' or 'Not Applicable' as appropriate based on the situation.
9. Document the treatment history by selecting the options that apply concerning previous treatments and outcomes. This will help assess the patient's history effectively.
10. Assess the current risk levels by selecting the values for the patient's risk to self and others, using the same scale as before.
11. Under the treatment plan section, select the primary reason for continued treatment and specify the types of services provided by both you and others, including frequency.
12. Complete the section for current psychotropic medications, listing each medication, dosage, and frequency, ensuring to indicate if the patient is usually adherent.
13. Conclude by signing and dating the form as the treating provider. Ensure all information is filled out correctly before submitting.
14. Finally, save your changes. You can download, print, or share the form as required.

Complete your documents online today for efficient processing.