Community.solari-inc.org

Eligibility and Care Services

WebSolari follows the State’s guidelines/criteria to determine SMI and SED eligibility: The person has a qualifying diagnosis (mental illness) as described in the AMPM 320-P SMI …

Actived: 9 days ago

URL: https://community.solari-inc.org/eligibility-and-care-services/what-is-smi-determination/

Provider Forms and Checklist

WebThe points below are designed to assist providers in submitting a thorough evaluation so that this commitment can be met. Double-check to ensure that ALL required forms are …

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Eligibility and Care Services

WebA mental illness is a condition that can affect how a person thinks, feels, or acts. Such conditions may affect someone’s ability to take care of themselves, stay safe, or manage …

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AHCCCS MEDICAL POLICY MANUAL AMPM 320 P Serious …

WebName of Person receiving SMI Determination Page 3 AHCCCS Medical Policy Manual 320 - P Last Revised: 06/02/23 Date of Birth 3. Risk of Deterioration:

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Community Support Network

WebOur free and confidential 24-hour phone line and website connect individuals and families in Arizona to 35,000+ local community resources including housing, health, food, …

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community.solari-inc.org

WebSolari 3. 2.1.2. 2.1.3. 2.1.4. serious medical or dental conditions. Refuses treatment for life threatening illnesses because of behavioral health disorder;

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Frequently Asked Questions (Community)

WebUnited Healthcare Community Plan. 1-800-348-4058. Gila River Behavioral Health Services. 1-888-484-8526. Navajo Nation. 1-928-871-6235. White Mountain Apache Behavioral …

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Frequently Asked Questions (Providers)

WebIf you are already receiving services with an AHCCCS provider, you may ask your healthcare provider to submit an application for determination . If you do not have a …

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CONSENT FOR ASSESSMENT

WebCONSENT FOR ASSESSMENT . I authorize to conduct an assessment and provide a referral for services for (Provider Name)

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HMIS Data Collection for Project EXIT

WebPROJECT EXIT FORM revised October 2021 1 HMIS Data Collection for Project EXIT This form can be used by all project types. Some project types are also …

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HMIS Data Collection for Project UPDATE Section I: Update …

WebPROJECT UPDATE FORM Revised October 2023 5 SURVIVOR OF DOMESTIC VIOLENCE - [ALL ADULTS AND HEADS OF HOUSEHOLD] - [ALL PROJECTS] Mark …

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HMIS Data Collection for Project UPDATE Section I: Update …

WebDOMESTIC VIOLENCE - [ALL ADULTS AND HEADS OF HOUSEHOLD] - [ALL PROJECTS] Mark YES if the person has experienced any domestic violence, dating violence, sexual assault, stalking or other dangerous or life-threatening conditions that relate to violence against the individual or a family member, including a child,

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HMIS Data Collection Template for Project START – CoC …

WebHMIS Data Collection for Project START. This form can be used by all project types. Some project types are also required to track other information such as contacts, engagement, or move-in date. See supplemental forms for Outreach, PATH, HOPWA, RHY and SSVF projects. Section I: Client Information.

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