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.
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.
Form Details:
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.