DSHS Form 13-712 Behavioral Health Personal Care Request for Bho / Mco Funding - Washington

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DSHS Form 13-712 Behavioral Health Personal Care Request for Bho / Mco Funding - Washington

What Is DSHS Form 13-712?

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

FAQ

Q: What is DSHS Form 13-712?
A: DSHS Form 13-712 is a form used to request Behavioral Health Personal Care services in Washington for BHO/MCO funding.

Q: What is BHO?
A: BHO stands for Behavioral Health Organization, which is responsible for coordinating behavioral health services in Washington.

Q: What is MCO?
A: MCO stands for Managed Care Organization, which is responsible for managing and organizing healthcare services in Washington.

Q: What is Behavioral Health Personal Care?
A: Behavioral Health Personal Care refers to services that support individuals with behavioral health needs in their daily activities, such as bathing, dressing, and medication management.

Q: Who can use DSHS Form 13-712?
A: Individuals in Washington who need Behavioral Health Personal Care services and are eligible for BHO/MCO funding can use this form.

Q: How do I fill out DSHS Form 13-712?
A: You need to provide your personal information, health condition details, and the requested Behavioral Health Personal Care services on the form.

Q: Is there a deadline to submit DSHS Form 13-712?
A: There may be specific deadlines for submitting the form, so it's best to check with your BHO/MCO or the DSHS for the most up-to-date information.

Q: Can I appeal if my request for BHO/MCO funding is denied?
A: Yes, you have the right to appeal if your request for BHO/MCO funding is denied. You can contact your BHO/MCO or the DSHS for information on the appeal process.

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Form Details:

  • Released on August 1, 2019;
  • The latest edition provided by the Washington State Department of Social and Health 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 printable version of DSHS Form 13-712 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

Download DSHS Form 13-712 Behavioral Health Personal Care Request for Bho / Mco Funding - Washington

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