Missouri Department of Social Services
MO HealthNet Division

Psychology Documentation Samples

In an effort to continue to enhance Provider knowledge of documentation requirements, MHD has prepared Sample Documentation for review. MHD has no prescribed format for documentation however, the content is required when providing services to ANY MHD participant regardless of Prior Authorization.

Sample Documents available in PDF format based upon a fictional case are:

Providers are urged to review the Psychology Manual as well as ongoing Provider Bulletins which continually update providers regarding MHD policy changes.

12/12/07

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Missouri Department of Social Services
221 West High Street • P.O. Box 1527
Jefferson City, MO 65102-1527

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