Camila Morales — Aug 11, 2026

Submitted

CN-26313 · Client Visit · Sam Park

Client
Camila Morales
Task Type
Client Visit
Date of Service
Aug 11, 2026
Start / End
09:00 – 10:00
Total Units
1
Service Code
H0043
Program
Housing - TAP
Stage
—
Place / Contact
Community · In-person
Billable
Yes
Billing Unit Calculation
Read-only · from Billing Unit Settings
Program
Housing - TAP
Duration
1 hour
Billing Rule
1 Unit / Service Day
Calculated Units
1
Staff:Sam ParkWLP: VerifiedMedicaid: Not Verified Billing: On Hold
On Hold – Medicaid Not Verified

No claim will be generated and this note is excluded from billing batches. Billing resumes automatically once WLP Status = Verified and Medicaid Eligibility = Verified.

Medicaid eligibility is not verified for this client — billing is stopped and no new claims can be created until eligibility is verified again.
This note is locked after submission

Start Time, End Time, Duration, Note Content, Task Type and Program / Stage can no longer be changed by the Case Manager. Only a Supervisor or Administrator can unlock it.

Session TimeLocked after submission
Duration (auto)1h 0m
DARP Progress Note — 1/5 sections complete20%
Not yet saved

Synced from Scheduling / Client Profile — read-only. Use the Session Time section above to correct times before submission.

Client*
Camila Morales
ProviderOne ID
144502119WA
Title
—

Synced from the Scheduling task title.

Date*
2026-08-11
Start Time
09:00

Use the Session Time function to correct times before submission.

Duration
1h 0m
End Time*
10:00
Provider (Case Manager)*
Sam Park
Task Type*
Client Visit
Program*
Housing - TAP
Stage
—
Service Scope*
Direct Client Service
Contact Type
In-person
Place of Service
Community
Contact Information / Details
Case Manager Digital Signature

Not signed yet — use the Sign Note action to apply your digital signature. The signature always uses the logged-in Case Manager's identity and is recorded in the Activity Log.

Billing Unit Calculation
Read-only · from Billing Unit Settings
Program
Housing - TAP
Duration
1 hour
Billing Rule
1 Unit / Service Day
Calculated Units
1
Goals (Active Treatment Goals)*
No active housing goals available.
Contextual data from the Housing Goals tab. Document the progress observed during this session under A – Assessment → Progress Toward Treatment Goals.
Presenting Concerns / Client Report
Chief Complaint*
Client's Self-Report*
Current Symptoms*
Significant Events Since Last Session
Safety Concerns (if applicable)
Appearance & Demeanor
Appearance
Hygiene / Grooming
Dress
Eye Contact
Behavior / Psychomotor Activity
Mood
Affect
Speech
Thought Process
Thought Content
Orientation
Insight / Judgment
Other Observations
Medical Necessity
Current Symptoms*
Functional Impairments*
Impact on Daily Functioning*
Reason Treatment Remains Medically Necessary*
Interventions Provided — OutcomesSelect all that apply and document supporting evidence.
Clinical Impressions*
Progress Toward Treatment Goals*
Response to Interventions*
Changes in Symptoms or Functioning*
Risk Assessment (if applicable)
Document AttachmentsNo documents attached
Attach supporting documents for this note — they stay linked to the note and client and remain visible during approval.