Provider Application and Contracting

Community Link is committed to ensuring that our provider network is adequate to meet the needs of our members. We are equally committed to ensuring that our providers demonstrate competency and quality in the provision of service to our members.

Contracting Requirements and Resources

AFH/CBRF/RCAC Additional Resources

Employment and Day Services Additional Resources

ContinuUs Legacy Contract Addenda
(As of 01/01/2017, new providers will recieve Community Link, Inc. contracts and appendices)

Scopes of Services

Other Addenda

Application to be a Provider

Community Link Provider Relations staff will handle and process all requests to add providers to the Provider Network and all requests for Out of Network Providers. Community Resource Coordinators (CRCs; formerly known as Care Managers) will help members/guardians through the process of requesting a specific provider. Providers are also able to request a contract with Community Link by contacting the Provider Relations staff directly. Upon receiving such request, staff may send a provider application package to the provider requesting a contract.

Provider Application Forms
Form When to Submit
Provider Application and Information Update
  • Required as part of your application to join our network.
  • Providers also use this form to provide updated business and service information.
Provider Authorization and Release
  • Required as part of your application to join our network.
Service Location Information
  • Required as part of your application:
    • For each service location other than the Business/Corporate location on page 1 of the ContinuUs Provider Application and Information Update
    • If the Business/Corporate location is a residential facility
  • Existing providers also use this form to add a location and to provide updated information for locations already in our network.
Practitioner Information
  • You may use this form to provide practitioner information when submitting a Provider Application and Information Update form, in addition to or instead of completing the Practitioner Information section on page 2.
  • This form is required when submitting Service Location Information forms that are not attached to a Provider Application and Information Update form containing all practitioner information for the location. (Upon initial application and when adding or updating a location.)
Supportive Home Care Provider Application Checklist
  • This document contains a list of items that must be submitted by supportive home care agencies as part of an application to join our network.