CMH

Provider Application

Step 1: To begin the process of becoming an approved network provider, complete the provider application by clicking the below link:

• Provider Application (link will open in a new window/tab)

Step 2: Once the provider application has been completed, download the below four forms, complete them, and email them to This email address is being protected from spambots. You need JavaScript enabled to view it.

• New Supplier Packet
• Provider EFT Form
• Provider W9 Form
• Provider Agreement Face Sheet

Policies / Procedures

 Clinical Procedures

 Administrative and Recipient Rights Procedures

Training for Contracted Residential, CLS, ABA, and Respite Staff

Training Information

 New Approved Training Website!

 Training Links and Registration April to June 2024

If you have any questions, please contact the Training Unit at This email address is being protected from spambots. You need JavaScript enabled to view it. or Quality Advisors at This email address is being protected from spambots. You need JavaScript enabled to view it. .

Training Requirements

Please review the applicable training grid for your agency so you are aware of contractually required trainings for your staff, along with the time frames in which these trainings must be completed.

 Training Requirements for Residential AFCs (A Home)

 Training Requirements for Residential AFCs (B Home)

 Training Requirements for CLS

 Training Requirements for ABA

Required Trainings

Within 30 days of hire:

Classroom Courses:
• Recipient Rights Orientation
• CPR & 1st Aid (Residential)
• 1st Aid only (CLS and Respite)

Paper Based Courses:
• Blood Borne Pathogens and Infection Control Instructions | Test
• HIPAA Privacy & Security Instructions | Test
• Person-Centered Planning Instructions | Test

Within 90 days of hire:

Classroom Courses:
• Basic Health & Medications (Residential only)
• Working with People (Culture of Gentleness) (Residential only)

Paper Based Courses:
• Corporate Compliance Instructions | Test
• Cultural Competency & Diversity Instructions | Test
• De-Escalation Skills Instructions | Test
• Environmental Safety Instructions | Test
• Limited English Proficiency Instructions | Test
• Trauma Informed Care Instructions | Test

Annually (365 days after initial course):

Paper Based Courses:
• Recipient Rights Refresher Instructions | Test
• Blood Borne Pathogens and Infection Control Instructions | Test
• HIPAA Privacy & Security Instructions | Test
• Person-Centered Planning Instructions | Test
• Corporate Compliance Instructions | Test
• Cultural Competency & Diversity Instructions | Test
• Limited English Proficiency Instructions | Test

Two years after initial:

Classroom Courses:
• CPR & 1st Aid (Residential)
• 1st Aid only (CLS and Respite)
• Basic Health & Medications Refresher (Residential)

Courses as recommended/required specific to a Person Centered Plan:

Classroom Courses:
• Working with People (Culture of Gentleness)
• Basic Health & Medications (CLS only)
• Personal Safety Skills
• Sensory Processing Disorders
• Sign Language
• Transfer Techniques