Behavioral Health/Intellectual Disabilities

Please review the Medical Necessity Criteria below for the BHID Team prior to completing the application as well as the BHID program description.

Participants referred to CTT BHID Team must meet the eligibility requirements which includes:

* If the applicant is unavailable to sign the electronic referral, please print out this form and have them sign the CTT Application for Services Signature Form.  Upload the completed signature form in the attachments section of the online application.  You can also email additional attachments to cttbhidadmissions@pmhcc.org if needed.  

* CTT Case Management Programs are voluntary.  All referrals must be accompanied with a participant signature.

Interested in referring someone living with serious mental illness and diagnosed with an intellectual disability to the BHID Team?

Steps to a Successful Referral:  

CTT is now accepting referrals into the BHID Program. Click here to apply.

The Seven Steps to a Successful Referral:

  1. Review Medical Necessity Criteria
  2. Fill-out referral form for the CTT Program you feel is most appropriate for your participant
  3. 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:  
    ‍B:  cttBHIDadmission@pmhcc.org
  4. CTT will review the referral and provide a conditional authorization
  5. Submit a program discharge summary / letter to the program you are referring to
  6. Complete closure in Webfocus
  7. 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.

Please review the eligibility requirements for the BHID Team.  

Successful admissions to the BHID team require a minimum age of 21 along with documentation or suspicion of a previous diagnosis of an Intellectual Disability.

Please access the online BHID Service Application here