South Dakota Medicaid at-Risk Referral Form - South Dakota

South Dakota Medicaid at-Risk Referral Form - South Dakota

South Dakota Medicaid at-Risk Referral Form is a legal document that was released by the South Dakota Department of Social Services - a government authority operating within South Dakota.

FAQ

Q: What is the South Dakota Medicaid at-Risk Referral Form?A: The South Dakota Medicaid at-Risk Referral Form is a document used to refer individuals who may have risk factors for certain health conditions to Medicaid for further evaluation and assistance.

Q: Who can use the South Dakota Medicaid at-Risk Referral Form?A: Healthcare providers, social workers, and other professionals who work with individuals at risk for certain health conditions can use the South Dakota Medicaid at-Risk Referral Form to refer them for further evaluation and assistance.

Q: What are the risk factors for which an individual can be referred using this form?A: The South Dakota Medicaid at-Risk Referral Form can be used to refer individuals at risk for conditions like diabetes, obesity, hypertension, tobacco use, substance abuse, and mental health disorders.

Q: What information is required on the South Dakota Medicaid at-Risk Referral Form?A: The form typically requires information about the individual being referred, their contact details, information about their risk factors, and any additional relevant information that might help with the evaluation.

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Form Details:

  • The latest edition currently provided by the South Dakota Department of Social Services;
  • 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 fillable version of the form by clicking the link below or browse more documents and templates provided by the South Dakota Department of Social Services.

Download South Dakota Medicaid at-Risk Referral Form - South Dakota

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