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

Accepted trainings include those from any other CMH, Improving MI Practices, or CMHA-CEI classroom and paper based trainings listed below. The link to sign up for Improving MI Practices is below. Provider created trainings need to be vetted and approved by the CMHA-CEI Training Unit Coordinator prior to being used to ensure the training meets all quality standards and guidelines. Please contact the Training Unit at This email address is being protected from spambots. You need JavaScript enabled to view it. for more information on provider created trainings.

 Improving MI Practices Sign Up Information

 Training Links and Registration for October, November and December

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 
• 1st Aid only 

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

Within 90 days of hire:

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

Paper Based Courses:
• Appeals & Grievances Training Material  | Test
• Body Mechanics Training Material  | Test
• Corporate Compliance Training Material  | Test
• Cultural Competency & Diversity Training Material  | Test
• De-Escalation Skills Training Material | Test
• Documentation Training Material  | Test
• Environmental Safety Training Material | Test
• Limited English Proficiency Training Material | Test
• Nutrition Training Material  | Test
• Trauma Informed Care Training Material | Test

Annually (365 days after initial course):

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

Due Every Two Years:

Classroom Courses:
• CPR & 1st Aid 
• 1st Aid only 
• Basic Health & Medications Refresher