CMHPSM CRCT EHR Provider Login Request Form Logo
  • CMHPSM CRCT Provider Login Request

    CMHPSM CRCT Provider Login Request

  • This form submits to the CMHPSM and should be used by organizations contracted directly with the CMHPSM (i.e Substance Use Disorder Treatment Service Providers).

    All mental health providers with CRCT login requests should visit their local CMH website or contact the local CMH directly. 

  • Requestor needs to be a supervisor or designated CRCT support person. The requestor needs to be different than the user/employee the request is being made for. Please contact the help desk if you need further assistance.

  • Account Access:

  • If selecting "No User Login Access" please include the individual's NPI number and their name as associated with that NPI number. This individual will be entered in to CRCT as an affiliated provider within your organization in CRCT and you will be able to select them when entering a claim as an individual provider delivering a service from your organization. Individuals with this no user login access designation will not be able to individually login to CRCT.

  • Create new CRCT employee account or edit existing CRCT account access:

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  • Browse Files
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  • Remove the following individual(s) from CRCT on effective date:

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    • CMHPSM Staff Section 
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    • Should be Empty: