Healthyblue.companionbenefitalternatives.com

Outpatient Mental Health Treatment Healthy Blue

WEBUse these forms to request certification for outpatient mental health treatment services (e.g. individual or group therapy). Do not use these forms for services related to substance …

Actived: 5 days ago

URL: https://healthyblue.companionbenefitalternatives.com/OutpatientMentalHealthTreatment/

Facility-Based Treatment Healthy Blue

WEBFacility-Based Treatment Form. Use this form to request certification for both mental health and substance use disorder treatment for inpatient, residential treatment (RTC), partial …

Category: Health Go Health

SC Department Of Mental Health Treatment Healthy Blue

WEBChoose a Form. SC Department Of Mental Health Initial Outpatient Treatment Request. Use this form to request certification of initial outpatient mental health services (e.g. …

Category: Health Go Health

Outpatient Substance Use Disorder Treatment Healthy Blue

WEBChoose a Form. Outpatient Substance Use Disorder Treatment Request. Use this form to request certification for outpatient substance use disorder (SUD) treatment services (e.g. …

Category: Health Go Health

Facility Based Treatment Form Healthy Blue

WEBInstructions. Please indicate whether you are requesting certification for initial or continued stay treatment. Fields marked with an asterisk are required. The certification is not valid …

Category: Health Go Health

Discharge Form Healthy Blue

WEBTherapist's Information: AA/NA: No Information Available: PHP: IOP: Medications Max characters: 255. Miscellaneous Information Max characters: 200. Last date of full …

Category: Health Go Health

Psychological/Neuropsychological Testing Preauthorization …

WEBInstructions. Only licensed psychologists or medical doctors can use this form. Fields marked with an asterisk are required. The certification is not valid until a certification …

Category: Medical Go Health