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.

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 General application form. Required for all providers
(except certified 1-2 bed adult family homes)
Certified 1‐2 Bed Adult Family Home Application Application form for certified 1-2 bed adult family homes that are not part of a corporate contract
(also known as "traditional" adult family homes)
Service Locations
  • The Provider Application includes space for information about one service location. Submit a copy of this form for each additional location.
  • A service location is defined as each facility-based location where members will be able to go to for services or, for in-home services, each location that will receive referrals for service.

 

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