CHAP - Case Management

NETWORK IS CLOSED TO NEW ORGANIZATIONS AT THIS TIME

Service Definition and Reimbursement

• Aging Statement - SAMPLE **NEW**
• DCF Discretionary Services Fee Schedule
• DCF Invoicing Requirements
• Region Specific Invoice Submission Guidelines
• Credentialed Provider Invoice (Excluding Transportation)
• Quick Reference Directory 2020

Application for Organizations

• Application Directions - Organizations
• Credentialing Application for Organizations

Supervision Contract/Supervisory Agreement Template

• Supervisory Agreement Template

Provider Agreement

• CHAP Case Management  (Open to current CHAP CM Providers only)