Mental Health Services: Single Point of Access (SPOA)

New Application Process

As of June 4, 2018, all Single Point of Access (SPOA) referrals must be completed using NYCMED. Once you create a NYCMED account, you can access the web-based application process, Maven, by going to the list of “Applications,” then the list of “Provider Services" and choosing “Mental Health Maven System,”


The Single Point of Access (SPOA) program helps providers connect people with serious mental illness to mental health services that can accommodate them. Through these services, people with serious mental illness can connect to treatment, communicate with providers and get help finding benefits.

Connection to Services

The program reviews eligibility and makes referrals to the following services:

  • Non-Medicaid Care Coordination (NMCC): This service is available only for people with a serious mental illness.
  • Assertive Community Treatment (ACT): This treatment is for people with a serious mental illness who have high service needs that are not being met in traditional settings. People with serious mental illness who are otherwise unable to connect to community treatment can receive clinical support from an interdisciplinary team. Learn more about the state guidelines for Assertive Community Treatment.
  • Forensic Assertive Community Treatment (FACT): This is available to people with serious mental illness who are eligible for Assertive Community Treatment and have current forensic involvement.
  • Shelter Assertive Community Treatment (SHACT): Referrals for this service are managed by the Center for Urban Community Services.
  • Intensive Mobile Treatment (IMT): This treatment is intended for people with serious mental illness who have been difficult to engage, including those who are transient and have high service needs.

Apply for Referrals

If you want to refer a person with serious mental illness to one of the services described above, you must complete the online application by logging into NYCMED. If you do not have a NYCMED account, you must create one.

Your application must include a recent psychiatric evaluation, a recent psychosocial evaluation and a client consent form.

If you have any questions on how to apply, email SPOA@health.nyc.gov.

For SPOA Housing

The Center for Urban Community Services currently oversees the housing referral process.

More Information