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Application for Cultivating Outcomes through Equity in Behavioral Telehealth

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Thank you for your interest in applying for Cultivating Outcomes through Equity in Behavioral Telehealth (COE-BT), an 18-month learning collaborative led by the California Institute for Behavioral Health Solutions (CIBHS) with our partner, California Health Care Foundation (CHCF). Please provide the following information to help CIBHS and CHCF select participants for the collaborative. 

First, please designate a lead applicant for your application and provide the requested information for that individual. CIBHS will direct correspondence about selection decisions and any questions about this application to the individual listed here.

*At any time after completing the first page of this application, you can save your progress and resume completing your application later by clicking "Save and Continue Later" in the top right corner of the screen. Please be sure to submit your entire application by 12:00 pm PDT on Friday, April 22. Please contact Jennifer Clancy, CIBHS Director of Strategic Initiatives, at jclancy@cibhs.org if you have questions related to COE-BT or the application process.*
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