Chapter 503 Licensed Behavioral Health Centers
Appendix 503 A Licensed Behavioral Health Center Authorization for Services
Appendix 503 B Coordination of Care and Release of Information Form
Appendix 503 C Application for Day Treatment Certification
Appendix 503 D Comprehensive Community Support Services Program Certification Form
Appendix 503 E Application for Assertive Community Treatment (ACT) Team Modification Form
Appendix 503 F Residential Children's Services Effective February 21, 2019
Appendix 503 G Application for Intensive Outpatient Services (IOS) Program
Appendix 503 H Community-Based Mobile Crisis Intervention Services Effective February 1, 2024
Appendix 503 H Application for Mobile Crisis Team ServicesEffective February 1, 2024
Appendix 503I Certified Community Behavioral Health Clinics Revised February 1, 2025
Appendix 503I.1 Certified Community Behavioral Health Clinics Application Revised February 1, 2025
Appendix 503I.2 Certified Community Behavioral Health Clinics Service Codes Effective October 1, 2024
Public Comments and Responses for Appendix 503I Certified Behavioral Health Clinics
Public Comments and Responses for Appendix 503 H Community-Based Mobile Crisis Intervention Services
