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Alabama Department of Mental Health

Alabama Department of Mental Health

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Application

PATH Grant Applications

peggy May 6, 2021 Application, Grant, Mental Illness

2021 PATH Applicaiton for FY22 2020 PATH Application for FY21 2016 PATH Application for FY17

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Autism Client Application

peggy December 4, 2019 Application, Autism

Submit all three to apply: Autism Client Application | Solicitud de servicios para Autismo Autism Services Release of Information | Autorizacion para la revelacion de informiacion-Solicitud estandar Notice of Privacy Form | Formulario de Aviso de Privaeidad

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Autism Provider Applications

peggy September 16, 2019 Application, Autism

*No longer accepting TCM (targeted case management) applications at this time.* Agency Medicaid Application Performing Provider Application  

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SME, SMS, and EAA Application

peggy August 1, 2019 Application, Developmental Disabilities

Prospective Vendor Letter Specialized Medical Equipment (SME), Specialized Medical Supplies (SMS), and Environmental Accessibility Adaptations (EAA) Application

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Medicaid Performing Provider Application

peggy March 1, 2019 Application, Substance Use Disorder

Medicaid Performing Provider Application

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ABALB Member Application and Instructions

peggy October 4, 2018 Application, Behavior Analyst Licensing

ABALB Member Application and Instructions

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Certified Recovery Support Specialist Training Application

peggy September 28, 2018 Application, Substance Use Disorder

Certified Recovery Support Specialist Application

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Certification Application

peggy July 27, 2018 Application, Certification

Certification Application

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ABALB Application for Licensure and Instructions

peggy May 16, 2018 Application, Behavior Analyst Licensing

ABALB Application and Instructions

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Certified Peer Specialist Training Application

peggy May 21, 2015 Application, Mental Illness

Certified Peer Specialist Training Application

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  • 100 North Union Street
    Montgomery, AL 36130
  • Email: alabama.dmh@mh.alabama.gov
  • Phone: 1-800-367-0955 | 334-242-3454
  • Fax: 334-242-0725 (General Information)
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