Form DHS-690 Targeted Case Management Contact Monitoring Form - Medicaid - Arkansas

Form DHS-690 Targeted Case Management Contact Monitoring Form - Medicaid - Arkansas

What Is Form DHS-690?

This is a legal form that was released by the Arkansas Department of Human Services - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the DHS-690 form?A: The DHS-690 form is the Targeted Case Management Contact Monitoring Form for Medicaid in Arkansas.

Q: What is targeted case management?A: Targeted case management is a service that helps individuals access healthcare and other support services.

Q: Who uses the DHS-690 form?A: The DHS-690 form is used by Medicaid providers in Arkansas who provide targeted case management services.

Q: What is the purpose of the form?A: The purpose of the form is to track and monitor the contact and services provided to Medicaid beneficiaries receiving targeted case management.

Q: How do providers use the DHS-690 form?A: Providers use the DHS-690 form to document outreach efforts, contacts made, services provided, and goals achieved for Medicaid beneficiaries.

Q: Is the DHS-690 form required for Medicaid providers in Arkansas?A: Yes, Medicaid providers in Arkansas are required to use the DHS-690 form for tracking and reporting purposes.

Q: Are there any specific guidelines for completing the DHS-690 form?A: Yes, providers should follow the guidelines and instructions provided by the Arkansas Department of Human Services when completing the form.

Q: What information is included in the DHS-690 form?A: The DHS-690 form includes information such as beneficiary demographics, contact information, services provided, and outcome measures.

Q: Can the DHS-690 form be submitted electronically?A: Yes, providers have the option to submit the DHS-690 form electronically through the designated Medicaid reporting system in Arkansas.

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Form Details:

  • Released on January 1, 2016;
  • The latest edition provided by the Arkansas Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DHS-690 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Arkansas Department of Human Services.

Download Form DHS-690 Targeted Case Management Contact Monitoring Form - Medicaid - Arkansas

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