Mental Health and Substance Abuse Outpatient Reauthorization Form - Delaware

Mental Health and Substance Abuse Outpatient Reauthorization Form - Delaware

Mental Health and Substance Abuse Outpatient Reauthorization Form is a legal document that was released by the Delaware Department of Services for Children, Youth and their Families - a government authority operating within Delaware.

FAQ

Q: What is the Mental Health and Substance Abuse Outpatient Reauthorization Form?A: The Mental Health and Substance Abuse Outpatient Reauthorization Form is a document used in Delaware to request continued outpatient services for mental health and substance abuse treatment.

Q: Who needs to fill out the form?A: The form needs to be filled out by the individual seeking outpatient services for mental health and substance abuse treatment, or their authorized representative.

Q: What information is required on the form?A: The form requires information such as the individual's personal details, treatment provider, diagnosis, current medications, and treatment plan.

Q: When should the form be submitted?A: The form should be submitted at least 10 business days before the current authorization expires to ensure continuity of services.

Q: What happens after the form is submitted?A: After the form is submitted, it will be reviewed by the relevant authorities to determine if further outpatient services are medically necessary.

Q: How long will the authorization last?A: The length of authorization can vary depending on the individual's treatment needs, but typically it is authorized for a specific period, such as 6 months.

Q: What if the form is denied?A: If the form is denied, the individual or their authorized representative may appeal the decision and request a review of the denial.

Q: Are there any fees associated with the form?A: There may be fees associated with outpatient services, but the specific costs and payment options should be discussed with your treatment provider.

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Form Details:

  • The latest edition currently provided by the Delaware Department of Services for Children, Youth and their Families;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Delaware Department of Services for Children, Youth and Their Families.

Download Mental Health and Substance Abuse Outpatient Reauthorization Form - Delaware

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