Organizational Providers Application

Dear Provider,

Thank you for your interest in joining Community Mental Health for Central Michigan’s Provider Network. 

The following qualifications must be demonstrated in your application materials in order for us to accept your application:

  • License: A current unrestricted, unconditional license to practice mental health and/or substance use disorder services in the State of Michigan.
  • Certification (if applicable): Current certifications to provide specialized services as required by the State of Michigan.
  • Accreditation (treatment programs only): Current accreditation from a national body approved by the State of Michigan.
  • Insurance: Current malpractice insurance and professional liability insurance in the amount required by MSHN (minimum $1,000,000 per occurrence and $3,000,000 aggregate).
  • Enrollment in CHAMPS system.

The application must be completed in one session, and progress will not be saved. For your convenience, please click HERE and download the checklist before continuing.

If you have any questions related to the criteria identified above, or questions about completing the application and/or attachments, please feel free to contact me at (989) 772-5938.


Thank you,
Katherine Squire
Provider Network Manager
CMH for Central Michigan

"Case management has gotten me through some rough patches I would have struggled with otherwise. She always has lots of ideas & tips too."
-Midland County