Alliance frequently receives requests from providers for letters of support/good standing for grant proposals, RFPs and special projects. These requests must be submitted to Alliance at least 10 business days in advance to ensure sufficient time for review and processing, must include a description of the proposal with enough detail to enable Alliance to understand and respond to the request and must demonstrate the capacity and ability to offer the proposed service(s) using best or evidence-based practices.
For these inquiries, please email [email protected].
For letters of support for licensure required by DHSR, please use this form: Request for a 24 Hr Letter of Support Form and submit to [email protected].
Following receipt of the information from the prospective residential/facility service provider, a provider network development specialist shall review, identify and verify that the information provided fits within an identified need.
Based on the review, Alliance will either approve or deny the service provider’s request.
For a rule or age waiver letter of support, please use this form Request for a Waiver Letter of Support Form and submit to [email protected].
Please note: Age and rule waiver requests may take 30 days or longer to process due to provider’s ability to schedule site visits timely as well as necessary collaboration with other departments. Alliance will process all requests as quickly as possible.
Please note that the issuance of a letter of support or a letter of good standing is not a guarantee or commitment of funding or a contract with Alliance.
For temporary SUD rule waiver recommendation, the following request is needed:
Complete and sign the waiver request form that you received from DHSR, including specific information for each site that is under contract with Alliance. Note that a separate form is required for each site. Send a pdf version of each completed form to [email protected].
For Hospitals
Alliance requires hospitals requesting letters of support to provide a brief summary that describes their current/ongoing or past efforts to support behavioral healthcare service delivery in the Alliance catchment area and previous relationships with Alliance. For residential requests, please use the Request for a Letter of Support for Residential Services Form and submit your request to [email protected].
The following will serve as criteria for Alliance to agree to provide a letter of support for hospitals going through the certificate of need (CON) process:
- Priority is given to a currently contracted provider with Alliance.
- There is a commitment to serve individuals with Medicaid and the uninsured.
- There is a commitment to collaboration with Alliance around treatment and discharge planning.
- There is a commitment to working with Alliance to establish and report quality metrics, as well as quality improvement initiatives for hospital-based services as indicated.
- Addresses identified program/service needs for Alliance (e.g. services for children, trauma, intellectual and developmental disabilities, traumatic brain injury, substance use disorder, etc.)
- There is clear support from community partners for the request (e.g. county government).
