Providers who are interested in consideration for Children’s Behavioral Health Services Fund (CBHSF) identified in Senate Bill 1523, otherwise known as Jake’s Law, must complete and fill out a provider opt in application survey. This application will be used to assess provider interest in the CBHSF and used to identify providers best fit to fill need and receive funding. This application will be used for Mercy Care to get an understanding of your organization’s current services, capacity, capabilities and footprint in the school systems.
CBHSF provides funding for behavioral health services for children who are uninsured or underinsured when behavioral health services are referred through and provided on or off school campuses. Funding under CBHSF is specific to school-based referrals to a behavioral health provider. For more information on this funding and example policies please refer to AHCCCS’s guidance on their website:
The application can be accessed using the survey monkey link below.
Please complete this survey by close of business on March 26, 2021. Please note, this application does not guarantee funds or create an entitlement of funds.
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