Common use of Documentation of a Behavioral Health Condition Clause in Contracts

Documentation of a Behavioral Health Condition. Grantees must verify and document a behavioral health condition for at least one adult member of the household prior to program entry. Behavioral health conditions are mental health conditions or substance use disorders that impair an individual’s capacity to address normal activities of daily living, and are expected to be of long duration. Acceptable documentation includes one of the following: ✓ Written verification of the behavioral health condition from an approved long- term supports program (see Appendix C for a list of approved long-term supports programs) ✓ Written verification from a licensed medical or behavioral health professional or social worker. ✓ Written verification from the Social Security Administration ✓ Written verification from the Department of Social and Health Services ✓ Disability check receipt (Social Security Disability Insurance check or Veteran Disability Compensation). ✓ Written self-attestation from the individual or statement from immediate family member. This method is to be used only if no other documentation method is available. Case manager must indicate why no other documentation is available. ✓ Other documentation as approved by Commerce.

Appears in 5 contracts

Samples: Contract, Contract, Contract

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