Chemical Dependency coding changes ... defined in the members treatment plan. ed Jan. 31, 2013 ... Template A:
DSHS/DBHR Contract Agreement Template for Snce ... only within the context of a treatment plan. ... Medicaid chemical dependency treatment services for ...
The treatment plan serves as the aization for services as well as the road map for providing services. Progress Notes/Progress-to-date Forms:
For the pe of this plan, we refer to chemical dependency and mental illness, ... in need of chemical dependency treatment received needed services. 25
CHEMICAL DEPENDENCY/SNCE ABUSE INPATIENT REFERRAL FORM ... Monroe Plan Contract N: ... CD TREATMENT HISTORY:
k. Treatment plan: modality, freq, self-help attendance, ... All patients referred for evaln and/or treatment of chemical dependency must
Comprehensive Chemical Dependency State Plan Fiscal Year 1981, July 31, 1980. ... Chemical Dependency Treatment Approaches for Clients with Mental
the aity of The Partnership Plan. ... See Appendix 12.3b for a State DOH template ... All persons reqg inpatient treatment for chemical dependency problems ...
HEIT TEMPLATE.PPT 1 Emerging Practices in Pain and Chemical Dependency: 2010 e on Opioid Therapy ... Confirmation of the agreed upon treatment plan
MONTANA STATE HOSPITAL POLICY AND PROCEDURE TREATMENT PLAN . Effective Date: February 29, 2012 . Policy #: TX-12 . Page 1 of 5
consent to examination and treatment for drug or chemical ... gan stands fully their plan of care, ... chemical addition, dependency or abuse. NO NO YES
Plan prepared by: Ted L. Ely, Mental Health Coordinator CPC ... licensed hospital or chemical dependency treatment provider which will accept the individual with