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DBT EBP Provider Qualification Questionnaire

  1. New Mexico Evidence Based Practices
  2. Dialectical Behavior Therapy (DBT)
  3. DBT EBP Provider Qualification Questionnaire

Please complete application below and provide all requested information to determine if you meet New Mexico qualification standards for DBT. Please allow up to 30 days for review of your application. Approved providers will be sent necessary documentation for updating your Medicaid profile and MCO contracts. 

For more details on qualification standards please download the New Mexico EBP Training and Qualification Guide.