Adult MHCR Training Registration Register for the Adult Mental Health Crisis Response (MHCR) Workforce Development Training here. "*" indicates required fields Username*Password* Enter Password Confirm Password First Name*Last Name*Email* PhoneWhich best describes your employment?* Contractor Full-Time Employee Part-Time Employee LSUHSC-NO/LDH-OBH Consultant/Trainer Are you Licensed?* Yes No Select your type of license from the dropdown:*Please select your license from the dropdown belowPLMFTPLPCLCSWLCSW-BACSLMFTLMSWLPCLPC-SPh.D.Psy.D.RNRSWOtherPlease specify your license type:Do you work for a Medicaid Managed Care Organization (MCO) or ViaLink?*(i.e. you work at Aetna, AmeriHealth, Healthy Blue, Humana, Louisiana Health Care Connections, Magellan, ViaLink, Carelon or United Healthcare Optum) Yes No Which of the following MCO agencies do you work for?* Aetna AmeriHealth Healthy Blue Carelon Humana Louisiana Health Care Connections Magellan UHC Optum ViaLink Which of the following Provider agencies do you work for?*Choices CCS staff should select JPHSA. Council on Alcoholism and Drug Abuse (CADA) of NWLA Jefferson Parish Human Services Authority (JPHSA) Recovery Innovations International (RII) Resources for Human Development (RHD) Start Corporation The Ness Center-Northlake BH Pathways Substance Abuse dba Red River Healthcare Louisiana Association on Compulsive Gambling Brentwood Hospital Metropolitan Human Services District (MHSD) Bright Minds of Louisiana Will you be providing direct care?* Yes No Select the option that best describes your role:* Licensed Mental Health Professional Nurse Peer Support Select the option that best describes your role:* Support Staff (Billing, Front Desk, Admin., etc.) Medical Director Agency Leadership Do you supervise others in a clinical setting?* Yes No What region(s) do you serve? Select all that apply.* Region 1: Metropolitan Region 2: Capital Area Region 3: South Central Louisiana Region 4: Acadiana Area Region 5: Imperial Calcasieu Region 6: Central Louisiana Region 7: Northwest Louisiana Region 8: Northeast Delta Region 9: Florida Parishes Region 10: Jefferson Parish Select AllCAPTCHA Adult MHCR Training Registration Register for the Adult Mental Health Crisis Response (MHCR) Workforce Development Training here. "*" indicates required fields Username*Password* Enter Password Confirm Password First Name*Last Name*Email* PhoneWhich best describes your employment?* Contractor Full-Time Employee Part-Time Employee LSUHSC-NO/LDH-OBH Consultant/Trainer Are you Licensed?* Yes No Select your type of license from the dropdown:*Please select your license from the dropdown belowPLMFTPLPCLCSWLCSW-BACSLMFTLMSWLPCLPC-SPh.D.Psy.D.RNRSWOtherPlease specify your license type:Do you work for a Medicaid Managed Care Organization (MCO) or ViaLink?*(i.e. you work at Aetna, AmeriHealth, Healthy Blue, Humana, Louisiana Health Care Connections, Magellan, ViaLink, Carelon or United Healthcare Optum) Yes No Which of the following MCO agencies do you work for?* Aetna AmeriHealth Healthy Blue Carelon Humana Louisiana Health Care Connections Magellan UHC Optum ViaLink Which of the following Provider agencies do you work for?*Choices CCS staff should select JPHSA. Council on Alcoholism and Drug Abuse (CADA) of NWLA Jefferson Parish Human Services Authority (JPHSA) Recovery Innovations International (RII) Resources for Human Development (RHD) Start Corporation The Ness Center-Northlake BH Pathways Substance Abuse dba Red River Healthcare Louisiana Association on Compulsive Gambling Brentwood Hospital Metropolitan Human Services District (MHSD) Bright Minds of Louisiana Will you be providing direct care?* Yes No Select the option that best describes your role:* Licensed Mental Health Professional Nurse Peer Support Select the option that best describes your role:* Support Staff (Billing, Front Desk, Admin., etc.) Medical Director Agency Leadership Do you supervise others in a clinical setting?* Yes No What region(s) do you serve? Select all that apply.* Region 1: Metropolitan Region 2: Capital Area Region 3: South Central Louisiana Region 4: Acadiana Area Region 5: Imperial Calcasieu Region 6: Central Louisiana Region 7: Northwest Louisiana Region 8: Northeast Delta Region 9: Florida Parishes Region 10: Jefferson Parish Select AllCAPTCHA
