
NY PAS-23 2017-2025 free printable template
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REPORT OF DEATH
TO THE OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICE S (OASIS) AND THE COMMISSION ON QUALITY OF CARE FOR THE MENTALLY DISABLED (CQC) (FOR USE ONLY BY OASIS LICENSED TREATMENT SERVICE
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How to fill out NY PAS-23

How to fill out NY PAS-23
01
Obtain the NY PAS-23 form from the appropriate New York State agency or website.
02
Fill in your personal information, including your name, address, and contact details.
03
Provide the required financial information, such as income and expenses, in the designated sections.
04
Review any additional requirements or documentation needed to support your application.
05
Sign and date the form at the designated area.
06
Submit the completed form according to the instructions provided, either electronically or by mail.
Who needs NY PAS-23?
01
Individuals seeking financial assistance or benefits from New York State programs.
02
Residents of New York who need to provide financial information for eligibility assessments.
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What is oasas pas 23?
OASAS PAS 23 refers to the New York State Office of Alcoholism and Substance Abuse Services Policy and Administrative Memorandum number 23. PAS 23 outlines the standards and requirements for the accreditation of addiction treatment programs in the state of New York. It provides guidance on the establishment and operation of treatment programs, including rules for program financing, clinical services, staffing, quality improvement, and performance measurement. The aim of PAS 23 is to ensure that addiction treatment programs in New York meet certain standards of quality and effectiveness.
Who is required to file oasas pas 23?
OASAS PAS 23 (Part 820) is a form used by the New York State Office of Alcoholism and Substance Abuse Services (OASAS) to collect information from substance abuse service providers.
The specific entities that are required to file OASAS PAS 23 include:
1. OASAS-certified or OASAS-licensed substance abuse service providers in New York State (e.g., outpatient programs, inpatient programs, detoxification programs, halfway houses, etc.). These providers are required to submit the form on a monthly basis.
2. Programs that receive funding from OASAS for the provision of substance abuse prevention, treatment, and recovery services, regardless of whether they are certified or licensed by OASAS. These programs must file OASAS PAS 23 on an annual basis.
It is important for the relevant organizations to comply with the filing requirements of OASAS PAS 23 in order to ensure accurate reporting of their service delivery and to maintain compliance with state regulations.
How to fill out oasas pas 23?
To properly fill out the OASAS PAS 23 form, follow these steps:
1. Review the form: Familiarize yourself with the structure and sections of the form.
2. Begin with personal details: Fill in your name, address, contact information, and other necessary personal details at the top of the form.
3. Treatment provider information: Provide the name, contact details, and the facility information of the treatment provider.
4. Client information: Enter the name, address, and contact information of the client who is receiving the services.
5. Demographic information: Record the client's age, gender, race, ethnicity, marital status, and other relevant demographic information as required.
6. Insurance and financial information: Specify the type of insurance coverage the client has, details of the policy, and information about any financial assistance or coordination.
7. Reason for service: Outline the primary reason for seeking services, specifying if it is due to alcohol, substance abuse, or mental health issues.
8. Previous treatment history: Provide a summary of any previous treatment history, including dates, types of treatment, and outcomes.
9. Current substance/mental health use: Describe the client's current substance abuse or mental health issues, including the substances used, frequency, dosage, and the impact on daily functioning.
10. Medical information: Record any relevant medical conditions, medications currently taken, and allergies.
11. Risk assessment: Evaluate the client's level of risk such as suicidal ideation, self-harm tendencies, violence, or danger to others.
12. Referral source: Identify how the client was referred to the treatment provider, such as a court, healthcare professional, self-referral, etc.
13. Consent and release of information: Ensure that the client has signed the appropriate consent forms allowing the release of necessary information for treatment purposes.
14. Authorization and attestation: Sign and date the form to certify the accuracy of the information provided.
Remember to review the completed form for accuracy and completeness before submitting it.
What is the purpose of oasas pas 23?
OASAS PAS 23 refers to the New York State Office of Alcoholism and Substance Abuse Services (OASAS) Part 23 regulations. The purpose of OASAS PAS 23 is to establish standards and guidelines for the licensure and operation of residential programs for individuals with substance use disorders in the state of New York.
These regulations outline the requirements for the physical facilities, staffing, treatment planning, clinical services, client rights, and other aspects of residential treatment programs. The goal is to ensure that these programs provide safe and effective care, promote recovery, and protect the rights of individuals seeking treatment for substance abuse.
By establishing clear standards and guidelines, OASAS PAS 23 aims to enhance the quality of residential treatment services and ensure consistency in the delivery of care across different programs in the state.
What information must be reported on oasas pas 23?
OASAS PAS 23 is a guidance document published by the New York State Office of Addiction Services and Supports (OASAS) that provides recommendations on the reporting of data related to substance use disorder services. It outlines the information healthcare providers and organizations must report. Some of the information that must be reported on OASAS PAS 23 includes:
1. Patient demographic information: This includes details about the patient, such as name, address, contact information, date of birth, social security number, gender, race, and ethnicity.
2. Referral source information: Reporting details about the referral source, including name, contact information, and relationship to the patient.
3. Treatment information: Details about the treatment provided, including admission and discharge dates, type of treatment program, level of care, modality of treatment, and primary substance of abuse.
4. Clinical assessment information: This includes information about the patient's assessment and diagnosis, including the presence of co-occurring disorders, medical conditions, and risk factors.
5. Treatment progress and outcomes information: Reporting the progress made by the patient during treatment, including treatment goals, interventions, medications, reductions in substance use or relapse rates, and measures of functioning and improvement.
6. Discharge and follow-up information: Details about the patient's discharge from treatment, including the reason for discharge, plans for aftercare or follow-up services, and discharge status (e.g., successful completion, against medical advice, etc.).
It's important to note that the specific information required on OASAS PAS 23 may vary depending on the exact reporting requirements set by the state or organization. It is advisable to consult the official OASAS PAS 23 guidelines or contact the relevant authorities for the most accurate and up-to-date information.
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What is NY PAS-23?
NY PAS-23 is a form used in New York State for reporting certain tax-related information, specifically related to personal income or business transactions.
Who is required to file NY PAS-23?
Individuals, businesses, or entities that meet specific criteria defined by New York State tax regulations must file NY PAS-23.
How to fill out NY PAS-23?
To fill out NY PAS-23, you need to provide accurate financial and personal information as required, ensuring all sections are completed according to the guidelines provided by the New York State Department of Taxation and Finance.
What is the purpose of NY PAS-23?
The purpose of NY PAS-23 is to collect information for tax assessment, compliance monitoring, and to ensure the proper reporting of income or business activities in New York State.
What information must be reported on NY PAS-23?
NY PAS-23 requires reporting of personal identification details, income or revenue figures, deductions, and any other relevant financial information as instructed in the form.
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