Consolidated Community Reporting Initiative (CCRI ...

10/23/2015. Consolidated Community Reporting Initiative (CCRI). Provider Enrollment Frequently Asked Questions What is the CCRI enrollment process? To ensure continuity, the CCRI county representative will be required to assist providers in the completion of the CCRI Base Enrollment Application with applicable addenda, complete the County CCRI Attestation Form and submit the completed enrollment application(s), documentation and Attestation Form(s) in one complete package. Providers do not have access to the OMHSAS Intranet site; therefore each county mental health program is responsible for providing a CCRI enrollment application and working with their base-funded mental health providers in completing the application. Related Attachments: CCRI Provider Enrollment Tool, CCRI Provider Change/Closure Form, CCRI Provider Enrollment Application Short Form, CCRI Provider Enrollment Base Application (Long Form).

10/23/2015 1 For all other questions, issues or concerns with CCRI Provider Enrollment please contact CCRI_Data_Support@pa.gov Consolidated Community Reporting Initiative (CCRI)

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