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Division of Behavioral Health Services

Policy and Procedures Forms & Attachments

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Click on the Policy and Procedures Manual chapter titles below to review the associated forms and attachments.

Chapter 100: Network Provider/Service Delivery Requirements

Chapter 300: Communication and Member Information

Chapter 400: T/RBHA Network Requirements

Chapter 500: Submitting Claims and Encounters

Chapter 700: Third Party Liability and Coordination of Benefits

Chapter 800: Covered Service Requirements

Chapter 900: Coordination of Care

Chapter 1000: Quality Management and Performance Improvement

Chapter 1100: Service Authorization

Chapter 1400: Contract Compliance

Chapter 1600: Demographic and Other Member Data

Chapter 1700: Reporting Requirements

Chapter 1800: Grievance System and Member Rights

Note: Forms and attachments provided in PDF format, unless otherwise indicated.