Behavioral Health Services Provided Section
Does your organization provide outpatient Mental Health treatment?
ACT - Assertive Community Treatment
HCBS - Home and Community Based Services Program
Does your organization provide substance use disorder / addiction treatment?
What other general services does your organization provide?
Substance Use Disorder Counseling
Additional Requirements Section
Does your organization provide any of the following Tele-services?
Does your organization provide any of the following forms of transportation assistance?
Referral Process: Do you need to be referred to receive services?
If Yes, please describe the referral process?
Submission of referral form the site or via email, review of psychiatric documentation/referral information, clinical assessment is the scheduled and completed and consents once screened for services, if member does not meet criteria we will inform referral source or provide the member with more suitable referrals.
Payments: Which form of payments does your organization accept?
Are there additional criteria for clients to receive services?
SMI diagnosis as the primary, multiple psychiatric hospitalizations and/or: frequent use of emergency and crisis services, failed adherence to treatments, forensic referrals, chronic homelessness.
Is there public transportation available with one mile of your company/agency? (Does the city bus route have a stop within walking distance?)
Is there any additional information your agency/company would like to provide?
We cover the entire region 2 when providing ACT/FACT services.