Apply to Participate in CCMP


If you are interested in receiving support to implement the collaborative care model (CoCM) at your site, please contact us. If you are already using CoCM to address behavioral health in your practice and would like to apply to receive the Collaborative Care Medicaid Program (CCMP) reimbursement, please send the application packet to

Application Packet

Please include the following in your application packet:

  • A completed application (word doc)
  • A detailed workflow demonstrating how collaborative care is being used in your practice
  • Signed attestation from Clinic Medical Director
  • Letter of support form the Executive Leadership of your organization or health system 

Please note: Only completed applications will be reviewed, so please contact us with any questions.