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.
Are you interested in the 2026 CCBHC TA Initiative?

YesI would like someone from NASHIA to reach out to me to discuss the possibility and provide more information.
Which Tier Level have you selected?

Tier One - group sessions only ($4000 or $3400 for 2025 CCBHC workshop participants)Tier Two - group sessions, work plan development, and individual sessions to obtain technical assistance on work plan goals ($6000 or $5100 for 2025 CCBHC workshop participants)Tier Three - group sessions, work plan development, individual sessions to obtain technical assistance on work plan goals, and NASHIA participation with various state and local prospective partners such as clinic directors, state behavioral health administrators, associations, etc. ($9500 or greater depending on identified TA needs or $8075 for CCBHC workshop participants)I'm not certain which Tier makes the most sense for my state -- would like to discuss with NASHIA representatives
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?

YesNot needed at this time
Should be Empty:

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