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Form 370 Certification of Need for Services: Non-emergency Admission to a Psychiatric Residential Treatment Facility - Alabama
What Is Form 370?
This is a legal form that was released by the Alabama Medicaid Agency - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form 370?
A: Form 370 is the Certification of Need for Services: Non-emergency Admission to a Psychiatric Residential Treatment Facility.
Q: What does Form 370 certify?
A: Form 370 certifies the need for non-emergency admission to a Psychiatric Residential Treatment Facility.
Q: What type of admission does Form 370 cover?
A: Form 370 covers non-emergency admissions to a Psychiatric Residential Treatment Facility.
Q: What is a Psychiatric Residential Treatment Facility?
A: A Psychiatric Residential Treatment Facility is a facility that provides specialized mental health treatment for individuals who require intensive and structured services.
Q: Who needs to complete Form 370?
A: The form needs to be completed by a qualified mental health professional or a licensed physician.
Q: What information is required on Form 370?
A: Form 370 requires information such as the individual's diagnosis, treatment plan, and the reason for non-emergency admission to a Psychiatric Residential Treatment Facility.
Q: Is Form 370 specific to a certain age group?
A: No, Form 370 can be used for individuals of all age groups who require non-emergency admission to a Psychiatric Residential Treatment Facility.
Q: Are there any fees associated with Form 370?
A: There may be fees associated with the admission to a Psychiatric Residential Treatment Facility, but the form itself does not require any fees.
Form Details:
- Released on February 4, 2021;
- The latest edition provided by the Alabama Medicaid Agency;
- 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 Form 370 by clicking the link below or browse more documents and templates provided by the Alabama Medicaid Agency.
