CCBHC Community of Practice 2026 Interest Form

2026 Certified Community Behavior Health Clinic (CCBHC) Community of Practice

INTEREST FORM
NASHIA is accepting applications for the 2026 CCBHC Community of Practice initiative which will run from May to December 2026. Three tiers of technical assistance are available and participants will receive targeted guidance from subject matter expert, Dr. Jane King, NASHIA consultant.

If you have questions please reach out to us:

Maria Crowley: mcrowley@nashia.org

Jill Ferrington: jferrington@nashia.org
Name

First NameLast Name
State
Organization
Role
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you interested in the 2026 CCBHC TA Initiative?
Which Tier Level have you selected?
The cost to join the 2026 CCBHC TA initiative ranges from $3400 to $9500 or more. Do you have a potential source of funding identified to support the registration cost? If not, do you have ideas for how to obtain funding? Would you like to have a conversation with NASHIA about ideas for funding the registration cost?
Should be Empty:

2026 Certified Community Behavior Health Clinic (CCBHC) Community of Practice