Lackawanna Susquehanna

Behavioral Health ~ Intellectual Disabilities ~ Early Intervention (BHIDEI) Program

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Provider Forms

  • Provider Annual Contract Package (Zipped) – FY26-27
  • Provider Annual Contract Package (Zipped) – FY25-26
  • Provider I&E Reporting (Excel)
  • Provider Statistics Reporting Form (Excel)
  • Provider Compliance Fiscal Guide (Zipped)

Lackawanna Susquehanna BHIDEI Program | Phone: 570-346-5741