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TennCare Preferred Drug List (PDL) ... branded products in the following high‐risk medication classes: Anticonvulsants, Atypical Antipsychotics, HIV antivirals, Immunosuppressants, and Oncology Agents. Unless otherwise noted, all agents listed on the PDL are referencing legend drugs which are prescription‐required agents. ...
[DOC File]Aid Codes Master Chart (aid codes) - Medi-Cal
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SAMPLE GOALS AND OBJECTIVES. SMART TREATMENT PLANNING. Diagnosis: Depressive Disorder (and Bipolar depressed) Goal: Resolution of depressive symptoms. Objectives: Patient will contract for safety with staff at least once per shift. Patient …
[DOC File]SAMPLE GOALS AND OBJECTIVES - DecisionHealth
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Foster Care/Juvenile Justice Action Summary Michigan Department of Health and Human Services Case name Case ID Child name Child person ID Worker name Organization Phone number Email Date completed Type of action (check as many as apply) Effective date Child fatality notification (complete section 1) Caseworker/organization change (complete section 2) Parent contact information change …
[PDF File]I. Analgesics - TennCare Portal
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0 0 0 0. 0 0 0 0. 0 0 0 0. 0 0 0 0. 0 0 0 0. 0 0 0 0. Fannie Mae Form 1038 02/23/16. Rental Income Worksheet Individual Rental Income from Investment Property(s): Monthly …
[DOT File]DHS-0069, Foster Care Juvenile Justice Action Summary
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This is to certify that the information provided on this form is true and correct to the best of my knowledge and recollection, and that the individual named above in Item 2 is or has been a victim of domestic violence, dating violence, sexual assault, or stalking.
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