Children's Behavioral Health - Forms

Forms and instructions for accessing Children’s Behavioral Health Services:  MaineCare RCS (Rehabilitative and Community Support Services);
MaineCare  HCT(Children’s Home and Community Based Treatment)

Assessments

Application to Become a CBHS Contracted Service Provider

Contracted Provider Critical Incident Reporting

Individual Planning Funding Application

Grievance

Home and Community Based Treatment HCT

Intensive Temporary Residential Treatment

OQMHP-PNMI

Release Information

  • Authorization to Release Information (Word* | also in PDF*)

Rehabilitative and Community Support Services for Children with Cognitive Impairments and Functional Limitations (RCS 28)

Targeted Case Management