Deferred Compensation Authority Participation AgreementAuthority Participation Agreement • March 18th, 2009
Please print. Use only blue or black ink. Complete all items except the shaded areas. Sign and date the bottom of the form and return the top two copies to our office for processing.
CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY PARTICIPATION AGREEMENTAuthority Participation Agreement • March 24th, 2022 • California
The Program is the Psychiatric Inpatient Concurrent Review project being administered by CalMHSA on behalf of Participants with the primary purpose of conducting concurrent review and authorization for all psychiatric inpatient hospital and psychiatric health facility services on behalf of participating California County Mental Health Plans (“MHPs”).
CALIFORNIA MENTAL HEALTH SERVICES AUTHORITY PARTICIPATION AGREEMENTAuthority Participation Agreement • May 5th, 2021 • California
IN WITNESS WHEREOF, THE PARTIES HAVE EXECUTED THIS PARTICPATION AGREEMENT TO BE EFFECTIVE UPON EXECUTION BY THE PARTIES THROUGH JULY 31, 2024.
