PDF
Word
Behavioral Health Worker Non-certified Behavior Technician Provider Type 430 Specialty 098 Attestation Template - New Mexico
Behavioral Health Worker Non-certified Behavior Technician Provider Type 430 Specialty 098 Attestation Template is a legal document that was released by the New Mexico Human Services Department - a government authority operating within New Mexico.
FAQ
Q: What is a Behavioral Health Worker (Non-certified Behavior Technician)?
A: A Behavioral Health Worker (Non-certified Behavior Technician) is a provider who assists with the delivery of behavioral health services but does not have certification as a behavior technician.
Q: What is Provider Type 430?
A: Provider Type 430 refers to Behavioral Health Workers (Non-certified Behavior Technicians) in the New Mexico healthcare system.
Q: What is Specialty 098?
A: Specialty 098 is the designation for providers who work as Behavioral Health Workers (Non-certified Behavior Technicians) in New Mexico.
Q: What is an Attestation Template?
A: An Attestation Template is a document that serves as a form of verification or affirmation, typically used to declare compliance with certain requirements or standards.
Q: Is this Attestation Template specific to New Mexico?
A: Yes, this Attestation Template is specific to New Mexico, as it pertains to the behavioral health services provided in the state.
Form Details:
- Released on October 1, 2020;
- The latest edition currently provided by the New Mexico Human Services Department;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Human Services Department.
