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Behavioral Health and Substance Use Disorder Outpatient Treatment Notification Form Child and Adolescent Ages 17 and under Provi

Behavioral Health and Substance Use Disorder Outpatient Treatment Notification Form Child and Adolescent Ages 17 and under Provi

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Adolescent Ages 17 and Under Please note AmeriHealth Caritas DelawareSM provides coverage for 30 visits per calendar year. Visits exceeding 30 are provided through the Department of Services for Children Youth and their Families DSCYF. When the child or adolescent is authorized for their 30th behavioral health or substance use disorder BH/SUD outpatient session a denial and direction to contact DSCYF for subsequent services will be issued. If your member has reached or exceeded 30 visits per...
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