Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs / Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio

Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs / Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio

What Is Form ODM03642?

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

FAQ

Q: What is ODM03642 Addendum?
A: ODM03642 Addendum is an additional document to ODM 03623 for Intermediate Care Facilities for the Mentally Retarded (ICFs/MR) in Ohio.

Q: What is the purpose of this addendum?
A: The purpose of this addendum is to provide guidelines for Behavioral Redirection and Medical Monitoring Outlier Services in ICFs/MR.

Q: What is an ICF/MR?
A: ICF/MR stands for Intermediate Care Facility for the Mentally Retarded, which is a residential facility for individuals with intellectual disabilities.

Q: What are Behavioral Redirection services?
A: Behavioral Redirection services are strategies and interventions to manage and redirect challenging behaviors of individuals in ICFs/MR.

Q: What are Medical Monitoring Outlier Services?
A: Medical Monitoring Outlier Services are specialized medical services provided to individuals with complex medical needs in ICFs/MR.

Q: Who is this addendum applicable to?
A: This addendum is applicable to ICFs/MR facilities in Ohio.

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Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Ohio Department of Medicaid;
  • 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 ODM03642 by clicking the link below or browse more documents and templates provided by the Ohio Department of Medicaid.

Download Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs / Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio

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  • Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs/Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio

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  • Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs/Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio, Page 2

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  • Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs/Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio, Page 3

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  • Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs/Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio, Page 4

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  • Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs / Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio, Page 1
  • Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs / Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio, Page 2
  • Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs / Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio, Page 3
  • Form ODM03642 Addendum to Odm 03623 for Intermediate Care Facilities for the Mentally Retarded (Icfs / Mr): Behavioral Redirection and Medical Monitoring Outlier Services - Ohio, Page 4
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