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.
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.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Delaware Department of Services for Children, Youth and Their Families.