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build your own community mental health center

These instructions and application documents are meant to assist you in your credentialing process.

4 steps to becoming a CMHC

NOTE: RAYO worked with DHS in 2024 to become certified. If you are working with DCFS, the process may look different. Additionally, These instructions and/or application documents may have changed since 2024.

open source documents

These resources and templates are are meant to assist you in your credentialing process, and available for you to use on-demand.

PLEASE NOTE: These forms are in compliance with Medicaid CMHC application procedure for the state of Illinois circa 2024.

Make sure to confirm with your DHS/DCFS contacts, the IDHS website, the current Medicaid Rule 132, and the current Community-Based Behavioral Services Handbook that your application materials are in compliance with current policy and procedure for your state. 

BYO CMHC Resources
CBH Policy Overview Presentation

This presentation provides a high-level overview of Illinois Community Behavioral Health (CBH) policies, including key information on service delivery, provider standards, and billing practices. 

W-9 Tax Form

This template provides a standardized form for collecting and submitting taxpayer identification information, as required by the IRS.

Fire Marshall Application

Use this form to request a fire safety inspection for your Illinois CMHC facility.

Rayo Policies and Procedures Manual

Whether you’re navigating client care, administrative processes, or collective decision-making, this manual provides clear, accessible guidance rooted in our values.

CMHC Letter of Interest

Use this template to draft your Letter of Interest, formally stating your desire to become certified as a Community Mental Health Center (CMHC) provider.

CMHC Application Template

This template is designed to support individuals and organizations in completing the Community Mental Health Center (CMHC) application process.

additional resources

The overview serves as a foundational resource for understanding how Medicaid supports behavioral health care delivery, including standards for service authorization, documentation, and compliance. It is designed to help providers navigate Medicaid regulations and ensure high-quality, accessible care for publicly insured populations.

  • This resource provides access to the current Medicaid reimbursement rates for Community Mental Health Providers (CMHP) in Illinois.

    It outlines how much providers are reimbursed for specific services, helping organizations plan, bill, and forecast revenue accurately.

    Access the Fee Schedule Here

  • Medicaid Rule 140 outlines who is eligible to provide and receive Community Mental Health services in Illinois, what services are covered, and how those services must be delivered.

    The rule also identifies specific services that require prior program approval, listed in Table N.

  • The CBS Provider Handbook is a comprehensive guide to Medicaid billing for Community-Based Behavioral Services in Illinois.

    It includes detailed definitions of covered services, provider qualifications, billing procedures, documentation requirements, and compliance expectations.

    Access the full handbook here

  • This presentation provides a high-level overview of Illinois Community Behavioral Health (CBH) policies, including key information on service delivery, provider standards, and billing practices.

    It includes helpful links to current policy documents, such as Medicaid Rules 132 and 140, to support deeper understanding and compliance.

    Access the CBH Policy Presentation here