ACT

The Seven Steps to a Successful Referral:

Interested in referring someone for whom traditional community based treatment has been ineffective to one of our ACT Teams?  

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

  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:  
    ACT:  cttACTadmissions@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

Please be advised that our act program will be OPENING May 9th.

*** 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.