Forms and Applications Addictive & Mental Disorders Division Forms and Applications Medicaid Enrollment Application form for WASP and MHSP Clinical Eligibility Form for WASP and MHSP Applicant Checklist for WASP and MHSP 72-Hr Crisis Stabilization Form Crisis Intervention and Response Form Mental Health Forms: Daily Limit Request Substance Use Disorder (SUD) Forms: Substance Use Disorder (SUD) Prior Authorization Request Form for Residential and Inpatient Services Substance Use Disorder (SUD) Continued Stay Request Form for Residential and Inpatient Services