For Providers
The Region 1 For Providers Portal is currently under construction; some links and media may be unavailable.
- Attestation Form
- Complaints Appeals Critical Incidents (CACI) Reporting Form
- DBH Age Waiver
- DBH Alt Compliance v10 Distributed
- Incident Complaint Report
- NBHS Eligibility Worksheet
- Region 1 Financial Sliding Fee Scale
- Sentinel Event Reporting Form
- Systemic Alien Verification for Entitlements (SAVE) Verification Request Form
- CDS Unit Crosswalk
- Sentinel Event Form 2024
- Contact Lisa Simmons, Region 1 Network Manager for Contract Information at lsimmons@region1bhs.net or call (308)635-3173.
