Mental Health Crisis Help

Community Mental Health offers walk in or call crisis 24 Hours a Day (Walk-in services are for those in immediate crisis and cannot wait for an appointment). Contact Us to get directions to the CMH Building. Crisis services provides crisis intervention, assessment, and screening for voluntary and involuntary psychiatric hospitalization.
Toll Free: 800.372.8460
Local: 517.346.8460
TTY: 517.267.7623
Mental Health Crisis
  • Community Service for Developmentally Disabled
    Community Service for Developmentally Disabled
    The mission of CSDD is to promote and support ongoing choices and opportunities for children and adults and their families to be full and equal citizens in the community.
Downloads > Finance > Provider Manual > Forms

Forms

Documents

Order by : Name | Date | Hits [ Ascendant ]

Provider Agreement Face Sheet Provider Agreement Face Sheet

Date added: 03/22/2024

New Supplier Packet New Supplier Packet

Date added: 03/22/2024

CMHA-CEI Direct Claim Entry User Guide revised 3/2024 CMHA-CEI Direct Claim Entry User Guide revised 3/2024

Date added: 03/21/2024

CMHA-CEI Direct Claims Entry User Guide -revised 3/2024

Direct Claim Entry User Guide 3/2024 Direct Claim Entry User Guide 3/2024

Date added: 03/21/2024

Direct Claim Entry User Guide 3/2024

Direct Claim Entry User Guide 3/2024 Direct Claim Entry User Guide 3/2024

Date added: 03/21/2024

Direct Claim Entry User Guide 3/2024

Rendering Provider Form Rendering Provider Form

Date added: 05/26/2023

Provider W9 Form Provider W9 Form

Date added: 05/25/2021

Provider EFT Form Provider EFT Form

Date added: 05/25/2021

Claim Review Process User Guide Claim Review Process User Guide

Date added: 04/13/2020

External Provider Access Request Form Instructions External Provider Access Request Form Instructions

Date added: 03/02/2020

External Provider Access User Request Form External Provider Access User Request Form

Date added: 03/02/2020

External Provider Access Administrator Request Form External Provider Access Administrator Request Form

Date added: 03/02/2020

CMHA-CEI Direct Claim Entry User Guide Revised 3/2023 CMHA-CEI Direct Claim Entry User Guide Revised 3/2023

Date added: 03/02/2020

Part 4: Payments and Reports Part 4: Payments and Reports

Date added: 03/02/2020

Part 3: Working a Claim Part 3: Working a Claim

Date added: 03/02/2020

Part 2: Entering a Claim Part 2: Entering a Claim

Date added: 03/02/2020

Part 1: Intro and SmartCare Overview Part 1: Intro and SmartCare Overview

Date added: 03/02/2020

Electronic Funds Transfer (EFT) Form Electronic Funds Transfer (EFT) Form

Date added: 08/23/2018

Office of Inspector General Search Monthly Verification Form Office of Inspector General Search Monthly Verification Form

Date added: 05/20/2016

Recipient Rights Complaint Form Recipient Rights Complaint Form

Date added: 05/10/2016

Recipient Rights Poster Recipient Rights Poster

Date added: 05/10/2016

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Contact

Community Mental Health Authority of
Clinton Eaton & Ingham Counties
812 East Jolly Road
Lansing, Michigan 48910
Phone:  517-346-8200
Mental Health Crisis:  517-346-8460
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