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FOR LEAD AGENCY USE ONLY: To request a Provider Alert, please fill out the Provider Alert template below and submit it to Stanford Kemp Raymond Duran (StanfordRaymond.Kemp1@hsdDuran@hsd.nm.gov), Operations Director of the BHC for review and approval.

View file
nameNMSTAR Provider Alert Request Form Template.docx

The approved Provider Alert should be submitted by either Stanford Kemp or Raymond Duran on behalf of Stanford the BHC to FC Support at support@fallingcolors.com for processing. FC Support will respond to the request once the alert has been scheduled for distribution and posting.

Please see our guide: How to submit a Provider Alert for instructions and requirements.

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Budgetary Letter of Direction (

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BLOD)

FOR LEAD AGENCY USE ONLY: To request a Budgetary Letter of Direction, please fill out the BLOD Template below and submit it to FC Support at support@fallingcolors.com for review and implementation.

View file
nameBLOD BHC Letterhead Template.docx

Once the BLOD draft is approved for implementation, FC Support will route the BLOD for Signature to Jorie and Nick for review and Signature via SignEasy. The BLOD will be implemented in STAR once the BLOD has been signed by both parties.

Please see our guide: How to Submit a BLOD for instructions and requirements.

FOR LEAD AGENCY USE ONLY: To request a Letter of Direction, please fill out the LOD Template below and submit it to FC Support at support@fallingcolors.com for review and implementation.

View file
nameLOD Template on BHC Letterhead Template.docx

Once the LOD draft is approved for implementation, FC Support will route the LOD for Signature to Jorie and Nick for review and Signature via SignEasy. The LOD will be implemented in STAR once the LOD has been signed by both parties.

Please see our guide: How to Submit a Letter of Direction (LOD) for instructions and requirements.

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