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NameDescriptionDateSize
NameDescriptionDateSize
Forms
Application for Contracting AgenciesTo be considered for a contract, a formal provider application must be completed. CBCCF will maintain the application on file and notify the applicant when service needs are identified, at which the credentialing and contracting process will begin. May 4, 20121.0 MiB
Application for Non-Contracting AgenciesPlease complete this application if you are interested in becoming a CBCCF Informal Network Provider (Service Provider/Purchase of Services)May 4, 2012998.5 KiB
Case ManagementCase ManagementNovember 15, 2011451.8 KiB
CBCCF CPA Monthly Communication FormCBCCF CPA Monthly Communication FormMay 4, 2012154.0 KiB
CBCCF Emergency Fund Invoice TemplateFlex Fund/Emergency Assistance Invoice Template for Case Management AgenciesMay 4, 20121.6 MiB
CBCCF Fixed Cost Invoice TemplateFixed Price Contract Invoice Template for ProvidersMay 4, 2012154.0 KiB
CBCCF Incident Report TemplateIncident Reporting template for all contracted providers. Incident Report should be completed and sent via email only to incidentreports@cbccfl.orgMay 4, 2012852.0 KiB
Civil Rights Compliance ChecklistCivil Rights Compliance Checklist for agencies with 15 or more employeesMay 4, 2012182.0 KiB
Courtesy Supervision TransmittalOctober 26, 2011475.4 KiB
Formal Network Provider ApplicationTo be considered for a contract, a formal provider application must be completed. CBCCF will maintain the application on file and notify the applicant when service needs are identified, at which the credentialing and contracting process will begin. April 25, 2012475.4 KiB
Independent Contracts TemplateTemplate to be used for all Independent ContractsMay 4, 2012111.5 KiB
Performance Measure Report Performance Measure Report template. To be submitted by the 10th of each month for prior month of service by formal contracted providers.May 4, 2012818.5 KiB
Provider Progress NoteSubmit to CBCCF Dependency Case Manager or Supervisor along with all other service documentation, completed evaluation, tutoring assessment and notes, monthly therapy reports, etc., no later than 30 days following rendered service.May 4, 201267.0 KiB
Residential Group Care Invoice Residential Group Care invoice template to be used by all residential providers and rate agreement providers. May 4, 2012812.0 KiB
Service Provider Invoice TemplateService Provider/Purchase of Service invoice template for letter of agreement providersMarch 4, 2012110.0 KiB
General Publications
100 Case Transfer - Early Service Intervention StaffingDecember 20, 2011118.9 KiB
ICWA Designated Tribal AgentsDecember 20, 2011269.2 KiB
Independent Living
CBCCF IL ManualCBCCF IL ManualDecember 20, 20113.4 MiB
IL Age 17 Transition CATT Staffing FormIL Age 17 Transition CATT Staffing FormDecember 20, 20112.8 MiB
IL BudgetIL BudgetDecember 20, 201123.5 KiB
IL Roles and ResponsibilitiesIL Roles and ResponsibilitiesDecember 20, 201172.5 KiB
Memos
Heath Care OversightHeath Care OversightDecember 20, 2011202.3 KiB
Operating Procedures
155-10 Mental Health Services for children in OHCDecember 20, 20111.4 MiB
Protective Investigation ESI
CBCCF Services Planning Conference Checklist Face SheetCBCCF Services Planning Conference Checklist Face SheetDecember 20, 20111.2 MiB
Resources
DV Resource GuideDV Resource GuideDecember 20, 2011619.9 KiB
Provider List for Medical ServicesListing of Community Providers that provide free or reduced medical care for children and adults.May 4, 201259.5 KiB
School and Day Care
Orange County At RiskOrange County At RiskDecember 20, 20112.7 MiB

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CBC of Central Florida Corporate Office | 4001 Pelee Street, Suite #200 | Orlando, FL 32817 | Phone: 321-441-2060

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