MHCR Registration – Center for Evidence to Practice: Learn

Adult MHCR Training Registration

"*" indicates required fields

Username*

Password*

Enter Password Confirm Password

First Name*

Last Name*

Email*

Phone

Do you need to be cross enrolled in Youth MHCR training?

We will cross enroll you, please do not register through the Youth registration form. Only one E2P Learn account per user. Please email [email protected] if you need to be cross enrolled post initial enrollment.

Which best describes your employment?*

Contractor

Full-Time Employee

Part-Time Employee

LSUHSC-NO/LDH-OBH Consultant/Trainer

Are you Licensed?*

Please do not select 'yes' if you have a peer support license.

Yes

Select your type of license from the dropdown:*

Please specify your license type:

Do you work for the Louisiana Crisis Call Hub, a Medicaid Managed Care Organization (MCO) or ViaLink?*

(i.e. you work at Carelon, Aetna, AmeriHealth, Healthy Blue, Humana, Louisiana Health Care Connections, Magellan, or ViaLink)

Yes

Which of the following MCO agencies do you work for?*

Aetna

AmeriHealth

Healthy Blue

Carelon

Humana

Louisiana Health Care Connections

Magellan

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

Pathways Substance Abuse dba Red River Healthcare

Louisiana Association on Compulsive Gambling

Brentwood Hospital

Metropolitan Human Services District (MHSD)

Bright Minds of Louisiana

Morning Star Health Rehab Services

Gulf Coast Teaching Family Services

The Extra Mile

Growing Hope Recovery

Will you be providing direct care?*

Yes

Select the option that best describes your role:*

Even if licensed, please select team supervisor or clinical director if overseeing a team.

Licensed Mental Health Professional

Nurse

Peer Support

Team Supervisor

Clinical Director

Select the option that best describes your role:*

Support Staff (Billing, Front Desk, Admin., etc.)

Agency Medical Director

Agency Leadership

Clinical Director

Do you supervise others in a clinical setting?*

Yes

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

CAPTCHA

In using this form, you will be automatically enrolled in all required Adult MHCR training modules. If you need to be enrolled in Youth MHCR training modules as well, please fill out this form in its entirety and we will cross enroll you.

Adult MHCR Training Registration

"*" indicates required fields

Username*

Password*

Enter Password Confirm Password

First Name*

Last Name*

Email*

Phone

Do you need to be cross enrolled in Youth MHCR training?

Which best describes your employment?*

Contractor

Full-Time Employee

Part-Time Employee

LSUHSC-NO/LDH-OBH Consultant/Trainer

Are you Licensed?*

Please do not select 'yes' if you have a peer support license.

Yes

Select your type of license from the dropdown:*

Please specify your license type:

Do you work for the Louisiana Crisis Call Hub, a Medicaid Managed Care Organization (MCO) or ViaLink?*

(i.e. you work at Carelon, Aetna, AmeriHealth, Healthy Blue, Humana, Louisiana Health Care Connections, Magellan, or ViaLink)

Yes

Which of the following MCO agencies do you work for?*

Aetna

AmeriHealth

Healthy Blue

Carelon

Humana

Louisiana Health Care Connections

Magellan

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

Pathways Substance Abuse dba Red River Healthcare

Louisiana Association on Compulsive Gambling

Brentwood Hospital

Metropolitan Human Services District (MHSD)

Bright Minds of Louisiana

Morning Star Health Rehab Services

Gulf Coast Teaching Family Services

The Extra Mile

Growing Hope Recovery

Will you be providing direct care?*

Yes

Select the option that best describes your role:*

Even if licensed, please select team supervisor or clinical director if overseeing a team.

Licensed Mental Health Professional

Nurse

Peer Support

Team Supervisor

Clinical Director

Select the option that best describes your role:*

Support Staff (Billing, Front Desk, Admin., etc.)

Agency Medical Director

Agency Leadership

Clinical Director

Do you supervise others in a clinical setting?*

Yes

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

CAPTCHA