When you arrive at the service provider, you will be asked about your income, family size, whether you have medical insurance or whether you are covered by Medicaid or Medicare. If the provider is contracted with ADAMH, you will be asked to sign a billing authorization statement. This form permits the provider to bill ADAMH for public funds to help offset the cost of your treatments. This information will be entered into the billing system operated by ADAMH.
The service provider will also collect specific personal data. This will be kept in the computer system in a confidential file labeled with an anonymous number. Information gathered by the agency will be submitted to ADAMH. Only the minimum information necessary for billing will be stored.