Form UNI-05 Appointment for Care Coordination / Targeted Case Management Services - Alaska

What Is Form UNI-05?

This is a legal form that was released by the Alaska Department of Health and Social Services - a government authority operating within Alaska. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the UNI-05 Appointment for Care Coordination/Targeted Case Management Services?
A: The UNI-05 Appointment for Care Coordination/Targeted Case Management Services is a form used in Alaska for scheduling appointments related to care coordination and targeted case management services.

Q: What are care coordination and targeted case management services?
A: Care coordination involves organizing and coordinating the healthcare services and resources for individuals to ensure they receive the appropriate care. Targeted case management services involve assisting individuals with accessing and coordinating needed services and supports.

Q: Who uses the UNI-05 form?
A: The UNI-05 form is used by healthcare providers, care coordinators, and case managers in Alaska.

Q: What information is required on the form?
A: The form typically requires information such as the individual's name, date of birth, contact information, healthcare provider's name, appointment date and time, and reason for the appointment.