Provider Disclosure

Provider Disclosure

The Provider Disclosure Information Request must be completed for all MCCMH MI Health Link Providers.

Click here to view and print the form.  please return it to your Contract Manager. See your Contract Manager for any questions or assistance, or call the Provider Network Office at 586-469-7007..

Call to Action Statement
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Notice: Calling MCCMH

Call 855-99-MCCMH (855-996-2264) to schedule an appointment; same day appointments are available. For immediate help, call our Crisis Line 24/7 at 586-307-9100.

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