Form MH-A1 Attestation for Compliance With Wavier Requirements to Provide Medications for the Treatment of Substance Use Disorder - New Jersey

Form MH-A1 Attestation for Compliance With Wavier Requirements to Provide Medications for the Treatment of Substance Use Disorder - New Jersey

What Is Form MH-A1?

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

FAQ

Q: What is the MH-A1 Attestation form?
A: The MH-A1 Attestation form is a document used in New Jersey to comply with waiver requirements for providing medications to treat substance use disorder.

Q: Who needs to fill out the MH-A1 Attestation form?
A: Providers who are seeking to provide medications for the treatment of substance use disorder in New Jersey must fill out the MH-A1 Attestation form.

Q: What is the purpose of the MH-A1 Attestation form?
A: The purpose of the MH-A1 Attestation form is to ensure compliance with waiver requirements for providing medications for the treatment of substance use disorder.

Q: What are waiver requirements for providing medications for substance use disorder?
A: Waiver requirements for providing medications for substance use disorder include having proper qualifications, training, and certification, as well as following certain protocols and guidelines.

Q: Are there any fees associated with the MH-A1 Attestation form?
A: No, there are no fees associated with the MH-A1 Attestation form.

Q: How often do I need to fill out the MH-A1 Attestation form?
A: The MH-A1 Attestation form needs to be filled out annually.

Q: What happens if I fail to comply with waiver requirements?
A: Failure to comply with waiver requirements may result in the provider being unable to provide medications for the treatment of substance use disorder in New Jersey.

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Form Details:

  • Released on March 1, 2020;
  • The latest edition provided by the New Jersey Department of Health;
  • 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 MH-A1 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form MH-A1 Attestation for Compliance With Wavier Requirements to Provide Medications for the Treatment of Substance Use Disorder - New Jersey

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