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Agency Qualified Providers
Existing Qualified Providers Requesting to Add a Clinician
Submit the following documents for each clinician via email to dds.providerapplications@ct.gov

Description Documents
 Add a Clinical Behavioral ConsultantClinical Behavioral Consultant Checklist
 Add a Healthcare Coordination NurseHealthcare Coordination Checklist
Note: For other supports, see detailed service definitions on the Waiver Services page.