TX HHS Form 1203. Texas Certified Community Behavioral Health Clinic (CCBHC) Application

The Texas Certified Community Behavioral Health Clinic (CCBHC) Application Form 1203 is a crucial document for organizations seeking certification as a community behavioral health clinic in the state of Texas. This form helps solve the problem of ensuring that eligible clinics meet the necessary requirements to provide high-quality mental health and substance abuse services to their communities.

This application form is typically used by local mental health authorities, non-profit organizations, and government entities seeking certification as a CCBHC. The form requires administrators to provide detailed information about their organization's administrative structure, service area, population served, and payment methods. Key features of the form include the required information on organizational history, service types provided, and forms of payment received.

As the main point of contact for CCBHC certification, the executive director or CEO is responsible for all correspondence with Texas Health and Human Services (HHS). The organization must indicate its readiness to submit a full certification application within three months. Key points to note include:

• The form requires organizations to provide detailed administrative information.
• Organizations must specify the population and service types they provide.
• The executive director or CEO serves as the main point of contact for certification purposes.