CBHS General Information
- Hotlines/Crisis Numbers
- CBHS Programs/Services
- CBHS MaineCare Policy/Rules
- CBHS Offices/Staff
- About CBHS
CBHS Information On
- Evidence-Based Practice
- Forms & Instructions
- ITRT page
- Provider meetings
- Staff/Provider training
- Y-OQ®
- APS Healthcare
Children's Behavioral Health Services
Individual Planning Fund
Individual Planning Funds forms
| Name | Word* | PDF* |
|---|---|---|
Individual Planning Fund |
||
| Form | Microsoft Word* | |
| Instructions | Microsoft Word* | Adobe PDF* |
Individual Planning Funds for Outpatient & Medication Management Services |
||
| Form | Microsoft Word* | |
| Policy | Microsoft Word* | Adobe PDF* |
| Request for Taxpayer Identification Number and Certification (W-9) | Adobe PDF* | |
| Individual Planning Fund Contacts and District Guidelines | ||
| York & Cumberland Counties | ||
| Androscoggin, Oxford, Franklin, Lincoln, Knox, Waldo, Sagadahoc, Somerset, Kennebec Counties |
||
| Piscataquis, Penobscot, Washington, Hancock, Aroostook Counties | ||
