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BHH Committee Contacts
*
Organization Information
(Required.)
Organization Name
Contact Name
Update your CMA's Committee Contacts
All Committee Contacts-- Please list the name(s) and email address(es) of CMA leadership and/or management to attend All Committee
Quality Committee Contacts-- Please list the name(s) and email address(es) of CMA Data and Quality staff to attend Quality Committee
Supervisor Workgroup Contacts-- Please list the name(s) and email address(es) of CMA supervisors to attend Supervisor Workgroup
Care Manager Workflow Contacts-- Please list the name(s) and email address(es) of CMA Care Managers to attend Care Manager Workflow
Alerts and Referral Contacts-- Please list the name(s) and email address(es) of staff that manage incoming alerts and HH referrals
Capacity Survey Contacts (limited to 2 contacts)-- Please list the name(s) and email address(es) of up to TWO staff to receive and complete the weekly capacity survey
Name & Email
Name & Email
