Inpatient substance abuse services and inpatient mental health

• An emergency services program (ESP) provider calls 888-257-1985 for initial authorization.

Incident reporting

• Submit the Adverse Incident Report Form (PDF)

Release of information

• Your Network Health patients must complete the Consent to Release Information Form (PDF) so you can coordinate care by sharing their health information.
• When your Network Health patients consent to letting primary care and behavioral health providers share information, complete the Combined MCE Behavioral Health Provider/Primary Care Provider Communication Form (PDF)