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Hudson River Region Provider Resources

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Hudson River Region Forms

In accordance with the November 6, 2013 guidance memo issued by the State Office of Mental Health (OMH) and the Office of Alcoholism and Substance Abuse Services (OASAS), inpatient detoxification, rehabilitation, and mental health providers are no longer responsible to report fee-for-service admissions to the BHO effective January 1, 2014. If you have questions regarding an admission that occurred prior to January 1, 2014, please contact Community Care directly at 1-855-733-8754.

Note: the following template is a guide for telephonic collection and discussion of clinical information and should not be faxed.

Provider Forms
Discharge Template 258 KB 3 pages PDF



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