Applying
If you are interested in receiving support to implement the Collaborative Care Model (CoCM) at your site, pleaseĀ contact us.
Please read this overview document before starting your application.
If you would like to receive the Collaborative Care Medicaid Program (CCMP) reimbursement for the first time, please complete the full application form. Returning health systems or organizations that are applying for additional practice sites can complete the abbreviated application form.
Application Requirements
The following documents must be uploaded within the application form:
- A detailed workflow demonstrating how Collaborative is being used/will be used in your practice
- Signed attestation from Primary Care Leadership (full application only)
- Signed attestation from Executive Finance Leadership (full application only)
- Private Practitioner Medicaid information (non-Article 28 practices only)
Please contact NYSCollaborativeCare@omh.ny.gov with any questions.