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Home / Our Work / Programs & Initiatives / CCBHC-E National Training and Technical Assistance Center

Request Training/Assistance

CCBHC-E National Training and Technical Assistance Center

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Request Training/Assistance
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In this section:

Receive Assistance From Our Team of Experts!

The CCBHC-E National Training and Technical Assistance Center provides free consultation and technical assistance on CCBHC implementation to expansion grantees. Fill out this form to request assistance today.

CCBHC-E NTTAC Request Form

Name(Required)

First Last

Title

Organization/Company(Required)

City

State(Required)

Email(Required)

Phone(Required)

Referral Source(Required)

Email

Internet Search

SAMHSA Government Project Officer (GPO)

Self-Referred

Social Media

Website

Word of Mouth

Other

CCBHC Status(Required)

Interested in learning more about CCBHC model

Current CCBHC Grantee

Former CCBHC Grantee

CCBHC Partner/Designated Collaborative Organization (DCO)

Participant in Medicaid Demonstration

FQHC

Other

(select all that apply)

If other, please specify.

Please indicate which topics you’re looking for support on:(Required)

CCBHC Criteria and Core Services

Change Management

Community Needs Assessment

Data Management and Data-driven Decision-making

Financing and Sustainability

Population Health Management

Practice Transformation and Organizational Change Management

Sustainability

Workforce and Staffing

Other

If other, please specify.

Describe your specific TA request and the topics you are interested in learning more about.(Required)

Are you a National Council Member?(Required)

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501(c)(3) nonprofit association
(EIN 23-7092671)

1400 K Street NW, Suite 1050
Washington DC, 20005

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