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DPHHS is offering one-time incentive payments to recruit employees at Montana’s state-run health care facilities. For more information go to Work4DPHHS.com

Addictive & Mental Disorders Resources

Forms and Applications

Medicaid Enrollment Application form for WASP and MHSP

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Clinical Eligibility Form for WASP and MHSP

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Applicant Checklist for WASP and MHSP

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72-Hr Crisis Stabilization Form

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Crisis Intervention and Response Form

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Substance Use Disorder (SUD) Prior Authorization Request Form for Residential and Inpatient Services
Substance Use Disorder (SUD) Continued Stay Request Form for Residential and Inpatient Services

Individual Specialized Services Program (Goal 189)