Vermont Medicaid Child/Adolescent Inpatient Admission Notification Form is a legal document that was released by the Department of Vermont Health Access - a government authority operating within Vermont.
Q: What is the Vermont Medicaid Child/Adolescent Inpatient Admission Notification Form?
A: The Vermont Medicaid Child/Adolescent Inpatient Admission Notification Form is a document used to notify Vermont Medicaid of a child or adolescent's inpatient admission.
Q: Who needs to complete the Vermont Medicaid Child/Adolescent Inpatient Admission Notification Form?
A: The form needs to be completed by the facility admitting a child or adolescent for inpatient treatment and submitted to Vermont Medicaid.
Q: What information is required on the form?
A: The form requires information about the patient, including their Medicaid number, demographics, and details of the inpatient admission.
Q: Why is the Vermont Medicaid Child/Adolescent Inpatient Admission Notification Form necessary?
A: The form is necessary to ensure that Medicaid is aware of the child or adolescent's inpatient admission and can coordinate and authorize the necessary coverage and services.
Q: Are there any deadlines for submitting the form?
A: While there are no specific deadlines mentioned, it is recommended to submit the form as soon as possible after the child or adolescent's inpatient admission.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Department of Vermont Health Access.