Form DHS-690 Targeted Case Management Contact Monitoring Form - Medicaid - Arkansas

What Is Form DHS-690?

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

FAQ

Q: What is the DHS-690 form?
A: The DHS-690 form is the Targeted Case Management Contact Monitoring Form for Medicaid in Arkansas.

Q: What is targeted case management?
A: Targeted case management is a service that helps individuals access healthcare and other support services.

Q: Who uses the DHS-690 form?
A: The DHS-690 form is used by Medicaid providers in Arkansas who provide targeted case management services.

Q: What is the purpose of the form?
A: The purpose of the form is to track and monitor the contact and services provided to Medicaid beneficiaries receiving targeted case management.

Q: How do providers use the DHS-690 form?
A: Providers use the DHS-690 form to document outreach efforts, contacts made, services provided, and goals achieved for Medicaid beneficiaries.

Q: Is the DHS-690 form required for Medicaid providers in Arkansas?
A: Yes, Medicaid providers in Arkansas are required to use the DHS-690 form for tracking and reporting purposes.

Q: Are there any specific guidelines for completing the DHS-690 form?
A: Yes, providers should follow the guidelines and instructions provided by the Arkansas Department of Human Services when completing the form.

Q: What information is included in the DHS-690 form?
A: The DHS-690 form includes information such as beneficiary demographics, contact information, services provided, and outcome measures.

Q: Can the DHS-690 form be submitted electronically?
A: Yes, providers have the option to submit the DHS-690 form electronically through the designated Medicaid reporting system in Arkansas.