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HCY SCREENING GUIDE INSTRUCTIONS - …

HCY SCREENING GUIDE INSTRUCTIONS Complete all sections as necessary. For more information on the individual SCREENING sections, procedure codes, and the maximum allowable Medicaid rate for the screens, refer to Sections through of the MO HealthNet manual. High-Risk Behaviors An asterisk (*) next to any check box indicates a high risk behavior. The identification of high risk behaviors may indicate the need for referral for further medical/mental health evaluations. Section I: Interval History/Parent s Concerns This section is for the completion of patient identification and general health components.

HCY SCREENING GUIDE INSTRUCTIONS. Complete all sections as necessary. For more information on the individual screening sections, procedure codes, and the maximum allowable Medicaid rate for the screens,

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