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.
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.
Form Details:
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.