ACT Referral

Step 01

Review Criteria

Review Medical Necessity Criteria below to confirm participant eligibility prior to applying.

Step 02

Fill Out Referral Form

Fill out referral form for the CTT Program you feel is most appropriate for your participant.

Step 03

Upload Paperwork

Upload all required paperwork at end of form. If unable to upload, email to cttactadmissions@pmhcc.org.

Step 04

Review & Auth

CTT will review the referral submission and provide a conditional authorization.

Step 05

Discharge Summary

Submit a program discharge summary / letter to the program you are referring to.

Step 06

Webfocus Closure

Complete formal program closure in the Webfocus system.

final Step 07

Acceptance & Admission

CTT will send out official acceptance forms along with an assigned admission date for the participant.

The Seven Steps to a Successful Referral:

Please review the Medical Necessity Criteria for an ACT level of care prior to completing the application.

Please access the online ACT Service Application here

Review Medical Necessity Criteria
Fill-out referral form for the CTT Program you feel is most appropriate for your participant
Upload all required paperwork at the end of the referral form
* If you are unable to upload the forms please email them to the program you are referring to:
‍ACT: cttACTadmissions@pmhcc.org
CTT will review the referral and provide a conditional authorization
Submit a program discharge summary / letter to the program you are referring to
Complete closure in Webfocus
CTT will send out acceptance form and admission date

*** n.b CTT Case Management Programs are voluntary. All referrals must be accompanied with a participant signature. You may download the signature form here. The signature form is used in those instances where the participant was unable to sign the original referral.

Steps to a Successful Referral

Follow this step-by-step workflow to ensure fast processing and conditional authorization.

Medical Necessity Criteria

Participants referred to CTT ACT Program(s) must meet the eligibility requirements for Assertive Community Treatment Services.

Submit Your Referral

Select the appropriate submission portal below based on participant eligibility.

CBH Eligible Referrals

All ACT referrals, except for CBH ineligible members, must be submitted online directly through the official CBH Portal.

Submit via CBH Portal

CTT continues to accept referrals for CBH Ineligible members into the ACT Program.

Click here to apply for CBH Ineligible Members

Non-CBH Providers (Smart Link)

Non-CBH providers should send referrals through the Smart Link portal to upload paperwork and application documents.

Submit via Smart Link