Mental Health Fee-For-Service (Mh Ffs) Contract Non-hospital Based Provider Agency Administrative Information Form - New Jersey

Mental Health Fee-For-Service (Mh Ffs) Contract Non-hospital Based Provider Agency Administrative Information Form - New Jersey

Mental Health Fee-For-Service (Mh Ffs) Contract Non-hospital Based Provider Agency Administrative Information Form is a legal document that was released by the New Jersey Department of Human Services - a government authority operating within New Jersey.

FAQ

Q: What is the Mental Health Fee-For-Service (MH FFS) Contract?
A: It is a contract for mental health services in New Jersey.

Q: What is a non-hospital based provider agency?
A: It is an agency that provides mental health services outside of hospitals.

Q: What is the purpose of the Administrative Information Form?
A: The form collects administrative information about the provider agency.

Q: Is this form specific to New Jersey?
A: Yes, it is specific to New Jersey.

Q: Who is required to fill out this form?
A: Non-hospital based provider agencies who have a Mental Health Fee-For-Service contract.

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Form Details:

  • Released on April 1, 2022;
  • The latest edition currently provided by the New Jersey Department of Human Services;
  • 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 fillable version of the form by clicking the link below or browse more documents and templates provided by the New Jersey Department of Human Services.

Download Mental Health Fee-For-Service (Mh Ffs) Contract Non-hospital Based Provider Agency Administrative Information Form - New Jersey

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