News: Update Your Favorites

We recently received an updated set of criteria for IC3 (Intensive Customized Care Coordination) from DBHDD (Department of Behavioral Health and Developmental Disabilities) , which required us to make some changes to the Pre-Referral Questionnaire for ages 6-21. This new set of criteria not only decreased the complexity of qualification, but it also increased the number of ways a child/youth may qualify for CME services.

It is important that referring parties use the newest form, which can be found at, to prevent youth who do meet criteria from being screened out prematurely and decrease chances a referral will be delayed/denied due to being incomplete. If you have this form saved as a favorite in your browser, please delete the old form and save the new one.