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

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

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 Links and Registration April to June 2024

 Training Requirements for Residential AFCs (A Home)

 Training Requirements for Residential AFCs (B Home)

 Training Requirements for CLS

 Training Requirements for ABA

Improving MI Practices

 Registration Training

 Register An Agency

 Register An Individual

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. .

Policies / Procedures

 Clinical Procedures

 Administrative and Recipient Rights Procedures