California Teleconnect Fund Program Application

September 5, 2008

CTF Application

What we like about the application

• Simplicity, as the form is not complicated and easy to fill out.

• This simplicity encourages more potential participants to apply and benefit from the program.

• The form is easy to track and replace if a participant misplaces it.

CTF Application

Inclusion of California Community Colleges

• Assigned a unique six-digit number starting with 500001. This allows for staff to easily track these participants.

• A Community College or district needs to include its three digit MIS code number on the application.

CTF Application

2-1-1 non-profit Community Based Organizations

• Apply as a CBO and include all the necessary information required for a CBO applicant.

CTF Application

California Telehealth Network participants

• There is no separate category as they are either a community based organization or government-owned hospitals and health clinics. However, they should respond yes/no whether they are/are not CTN participants.

CTF Application

Application review process

• Staff is working to maintain turnaround time to approximately one month from the date the application is received.

CTF Application

Up next: Claims!