SAMHS RIDER E Performance Requirement Document Mental Health ServicesMental Health Services • January 29th, 2015
Eligibility. All individuals meeting clinical and programmatic criteria for any Substance Abuse and Mental Health Services (SAMHS) Adult Mental Health funded service are eligible for that service without regard to income, within existing contract resources.
PSYCHOLOGISTS, CSW-PIP, LPC-MH, AND CLINICAL NURSE SPECIALISTS ADDENDUM TO THE PROVIDER AGREEMENTMental Health Services • March 2nd, 2022
This provider agreement allows your participation as a direct medical assistance provider and services are limited to services established in chapter 67:16:41 which meet all the following requirements:
MENTAL HEALTH SERVICES -Mental Health Services • November 29th, 2022
This Agreement made the Twenty-first day of June, 1978 between the Civil Service Association of Western Australia Inc. (hereinafter referred to as the Association) of the one part and the Public Service Board of the other part witnesseth that the parties hereto mutually covenant and agree the one with the other as follows:-
MENTAL HEALTH SERVICESMental Health Services • January 24th, 2023
PSYCHOLOGISTS, CSW-PIP, LPC-MH, AND CLINICAL NURSE SPECIALISTS ADDENDUM TO THE PROVIDER AGREEMENTMental Health Services • September 9th, 2021
This provider agreement allows your participation as a direct medical assistance provider and services are limited to services established in chapter 67:16:41 which meet all the following requirements:
Jacob E. Small, Ph.D.Mental Health Services • September 10th, 2021
This document (the Agreement) contains important information about my professional services and business policies. It also contains summary information about the Health Insurance Portability and Accountability Act (HIPAA), a federal law that stipulates privacy and patient rights with regard to the use and disclosure of your Protected Health Information (PHI) used for the purpose of treatment, payment, and health care operations. HIPAA requires that I provide you with a Notice of Privacy Practices (the Notice) for use and disclosure of PHI for treatment, payment and health care operations. The Notice, which is available at my office and on my website, explains HIPAA and its application to your personal health information in greater detail. The law requires that I obtain your signature acknowledging that I have provided you with this information by the end of this session. Although these documents are long and sometimes complex, it is very important that you read them carefully. We can d
RIDER E Performance Requirment Document Mental Health ServicesMental Health Services • May 29th, 2012
Eligibility. All individuals meeting clinical and programmatic criteria for any Office of Adult Mental Health Services (OAMHS)-funded service are eligible for that service without regard to income, within existing contract resources.
PROPOSED CONTRACT FOR MENTAL HEALTH SERVICESMental Health Services • August 16th, 2021
This agreement is by and between Boardman Local Schools with its principal place of business at 7410 Market Street (herein "BLS") and Alta Care Group, 7620 Market Street, Suite 2, Boardman, Ohio 44512, (herein "Contractor'').
