REQUEST FOR PROPOSAL #6194 SUBSTANCE ABUSE TREATMENT SERVICES
|
|
- Roberta Johns
- 2 years ago
- Views:
Transcription
1 BIDDERS COMPANY NAME REQUEST FOR PROPOSAL #6194 SUBSTANCE ABUSE TREATMENT SERVICES Prepared by: Washtenaw County Purchasing Division Administration Building P.O. Box N. Main B-35 Ann Arbor, MI Anne Strieter, C.P.M. Senior Buyer
2 WASHTENAW COUNTY Finance Department- Purchasing Division P.O. Box 8645, 220 N. Main, Ann Arbor, MI Phone (734) , Fax (734) REQUEST FOR PROPOSAL # 6194 July 5, 2005 Washtenaw County Purchasing Division on behalf of the Washtenaw Community Health Organization (WCHO), which is the Livingston-Washtenaw Substance Abuse Coordinating Agency, is requesting proposals from potential applicants for Substance Abuse Treatment Services. The WCHO service area encompasses Washtenaw and Livingston Counties. Sealed Proposals: Any interested parties will deliver one (1) original with original signature(s) and two (2) copies which are clearly marked as such to the following address: Washtenaw County Administration Building Purchasing Division 220 N. Main St. Room B-35 P.O. Box 8645 Ann Arbor, MI Initial due date: Monday, July 11, 2005 at 2:30pm. This is open request for proposal. Requests for proposal to provide services can be submitted at any time. Please follow the steps below. Proposals received after the above cited time will be considered a late bid and are not acceptable unless waived by the Purchasing Manager. Please us the attached self-addressed label or the envelope should be clearly marked SEALED RFP # 6194". Please direct purchasing and procedural questions regarding this Request for Proposal to Anne Strieter at or Please direct specific technical questions regarding services being applied for under this Request for Proposal to WCHO Provider Relations Unit at or at (734)
3 TIMELINE FOR RFP # 6194 RFP to WCHO Board for Review June 21, 2005 Letter notifying potential contractors of bid availability June 29, 2005 Bid advertised in local newspapers July 3, 2005 Bid available to bidders in Washtenaw County Purchasing July 5, 2005 Bid opening July 11, 2005 at 2:30pm Panel Appointments approved by WCHO Board ongoing Introduction The Washtenaw Community Health Organization, which is the Substance Abuse Coordinating Agency for Washtenaw and Livingston Counties, is requesting applications from licensed and accredited substance abuse treatment providers for services to persons with substance use disorders and co-occurring disorders (mental health and substance abuse). Issuing Office This Request for Proposal (RFP) is issued by the WCHO. The WCHO is utilizing Washtenaw County Purchasing Division services to assist in the issuing of this RFP. All questions regarding procedures with applying should be directed to Washtenaw County Purchasing Department and all questions regarding the services being applied for should be directed to the WCHO Provider Relations Unit at or (734) Services Available for Application Services for which applications are sought are listed below. The following services are available to all WCHO clients: Assessment/Evaluation Comprehensive evaluation and assessment using bio-psychosocial and stages of change models to determine current status, personal characteristics, diagnostic information and initial treatment needs. Group Therapy using accepted group treatment modalities focusing on recovery based issues. Individual Outpatient Individual therapy sessions using supportive psychotherapy, cognitive behavioral methods, and/or motivational-based methodologies to confront use and abuse and other barriers to a recovery based lifestyle. Intensive Outpatient Group and didactic sessions offered on a 3-4 day per week, 3.5 hour per day basis to help clients who require more treatment than a standard weekly outpatient treatment plan, but less than a residential treatment program (per ASAM criteria). 1
4 Intensive Outpatient Level II Alcohol and/or drug services; treatment program operates at least 3 hours per day and at least 3 days per week, based on an individualized treatment plan, including assessment, counseling, crisis intervention, & activity therapies or education. Intensive Outpatient with Domicile Alcohol and/or drug services; treatment program operates at least 3 hours per day and at least 3 days per week, based on an individualized treatment plan, including assessment, counseling, crisis intervention, & activity therapies or education. Methadone Alcohol and/or drug services; administration and/or service of the drug by a licensed Methadone program. Opiate-dependent patients may be provided chemotherapy using methadone or Levo-Alpha-Acetyl-Methadone as an adjunct to therapy. Such services must be performed under the care of a physician licensed to practice medicine in the state of Michigan. The physician must be licensed to prescribe controlled substances, as well as licensed to work at a methadone program. The methadone component of the substance abuse treatment program must be licensed as such by the state and be certified by the OPAT/CSAT and licensed by the Drug Enforcement Administration. Detox Residential Alcohol and/or drug services. May be drug-free, social detox or medication-based model. Residential (Short Term) Alcohol and/or drug services; short-term residential less than 30 days in a non-hospital residential treatment program. Residential (Long Term) Alcohol and/or drug services; non-medical, non-acute care in residential treatment program where stay is typically longer than 30 days. Adolescent Residential (Short Term) Therapeutic community model program that helps adolescents with drug and related conduct problems change their behavior to become contributing members of the community. Short term clients tend to stay in the program for up to 30 days. Adolescent Residential (Long Term) Therapeutic community model program that helps adolescents with drug and related conduct problems change their behavior to become contributing members of the community. Long term clients tend to stay in the program for up to 180 days. Credentialing Any agency that is interested in providing services under this RFP must: 1. Be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Commission on Accreditation of Rehabilitation Facilities (CARF), the Council on Accreditation (COA), the American Osteopathic Association (AOA), or the National Council on Quality Assurance (NCQA) for the services for which the agency is applying for credentialing. 2
5 2. Be licensed by the State of Michigan, Department of Consumer and Industry Services as a substance abuse treatment provider for the specific level(s) of care provided. 3. Submit an approved Quality Improvement plan and undergo an on-site evaluation conducted by WCHO. In the event that a site visit is completed, an acceptable score must be achieved, pursuant to the WCHO Organizational Credentialing Policy. Once approved for the provider panel, the agency may be considered for contracts under this RFP. Contracts will be issued by the WCHO. Membership on the WCHO provider panel is in no way a guarantee that a contract will be awarded under this RFP, nor does it ensure that an agency will receive referrals if approved to provide services. Self determination allows consumers to choose their own providers from among the agencies on the provider panel. Consumer choice is honored to every extent possible. For more information on the WCHO organizational credentialing process and policies, visit the Community Mental Health Partnership of Southeast Michigan (CMHPSM) Provider Information website at under Provider Manual. Additional Requirements Related to Staff Qualifications: Staff providing substance abuse treatment services to consumers must meet the WCHO s credentialing of clinical privileges requirements listed below: All direct service staff hired in State funded programs licensed for Screening, Assessment, Referral and Follow-Up (SARF) and all treatment service categories must have successfully passed the Fundamentals of Alcohol and Other Drug Problems (FAODP) examination and possess a Bachelors Degree. A six-month waiver (one-time) may be requested from the Michigan Certification Board for Addiction Professionals to allow time to schedule for an exam. This waiver allows new direct staff to deliver services and prepare for the FAODP exam. The following are exempted from this requirement: current licensure as a physician or psychologist; masters degree in Guidance and Counseling, Social Work, or Clinical Psychology from an accredited college or university; valid Certified Addictions Counselor (CAC) or (CACII) certificate, successful completion of a least 16 college-level semester hours of substance abuse specific course work; or ICRC Certificate or Basic Curriculum in Substance Abuse Course (BCSAC) or Detroit Institute of Addiction, Research and Training (DIART) training course. Counselors working in specialty treatment programs serving adolescents must have a bachelors degree and documented education, work, or volunteer experience with adolescents. Minimum standards are 15 semester hours or the equivalent in adolescent issues, or 2080 hours of paid or volunteer direct service experience with a human services provider, providing services to adolescents. 3
6 Counselors serving older adults must have a bachelor s degree and documented education, work or volunteer experience with older adults. Minimum standards shall be a certificate in geriatrics, 15 semester hours or the equivalent in older adult issues, or 2080 hours of paid or volunteer direct service experience with an older adult human services provider. Counselors serving co-occurring substance abuse and mental health clients must have a bachelors degree and documented education, work, or volunteer experience with mentally impaired clients. Minimum standards shall be 15 semester hours, or the equivalent, in mental health issues, which includes 2080 hours of paid or volunteer direct service experience with a provider. The education or experience, or both, shall include training in psychopathology and psychopharmacology. Proposal Due Date: This is an open panel with an initial due date of July 11, 2005 at 2:30pm. Applicants are able to submit an application under this RFP at any time. An original application with signature and three copies in a sealed envelope must be submitted to Washtenaw County Purchasing Division. DO NOT BIND OR PLACE THE APPLICATION IN A HARD COVER. Applications should be submitted in the format provided. Specifications for attachments are noted in the application. Criteria for Judging Applications The WCHO reserves the right to reject any application, to waive or not waive informalities or irregularities in the application procedures, and to accept any application determined through the review process to represent the best interest of WCHO and its consumers. Notification of the above-mentioned circumstances will be provided by the Washtenaw County Purchasing Division. For information on how the WCHO awards agency contracts, view the Organizational Credentialing Policy at provider_information/pro_homepage.html under Provider Manual. Reporting The WCHO will stipulate any reporting requirements. Applicants must be able to meet these reporting requirements. Exact ongoing requirements will be outlined and made a part of the contract. To obtain a copy of the most recent version of the WCHO contract boilerplate, please contact the Provider Relations Unit at or at (734) Information Management Capabilities The WCHO uses an electronic record for referring individuals, submitting utilization review, reporting performance improvement data, and submitting and tracking authorizations for services. This system is web-based; therefore, a computer and internet connection is required. The WCHO will assign access information (login and password) to users. 4
7 APPLICATION for Agencies Providing Services under RFP #6194, Substance Abuse Treatment Services 1. Today s Date: 2. Agency Name 3. Address, telephone number, and fax number: Address: Phone: Fax: 4. Director s Name and Address: 5. Agency Contact and Address: 6. Agency Accreditation (Please attach copy of the agencies accreditation.) Type of accreditation: JCAHO CARF COA AOA NCQA Other Date of Expiration of Accreditation 7. Do you employ staff fluent in any foreign language(s)? French Spanish German Chinese Japanese ASL Other: 8. Does you agency have experience in the examination, evaluation and treatment of minors and their families? yes no If yes, describe any research based treatment models used by your agency: Total number of years doing so: 5
8 9. Service Area: Please indicate in which county(ies) the agency would be willing to work: Washtenawڤ County Livingstonڤ County 10. Type of Services: Please check the services for which your agency is applying. TREATMENT MODALITY COST PER UNIT UNIT DEFINITION Assessment/Evaluation Group Individual Outpatient Intensive Outpatient Intensive Outpatient Level II Intensive Outpatient w/domicile Methadone Detox Residential Residential (Short Term) Residential (Long Term) Adolescent Residential (Short Term) Adolescent Residential (Long Term) 6
9 11. Attestation Authorization to Disclose Information I hereby certify on behalf of, that all information in this application and the copies of state license(s), certificates of insurance, and accreditation are true and accurate. I fully understand that any significant misstatements in or omissions from this application will void this application and any subsequent agreement on the part of WCHO regarding this agency/group participation in its provider network. Your signature on this application indicates your agency s intent to be granted clinical responsibilities (privileges) in areas in which you are currently competent and able to perform the responsibilities requested and the duties of this position. You are consenting to review by an accrediting agency, state and/or federal inspectors, and the WCHO of relevant records/documents which are pertinent to this application. In addition, you attest that all of the above information you have provided is accurate and complete. Signature Date Title Please Print Name 7
REQUEST FOR PROPOSAL RESIDENTIAL SUBSTANCE ABUSE TREATMENT FOR INDIGENT ADULTS
REQUEST FOR PROPOSAL RESIDENTIAL SUBSTANCE ABUSE TREATMENT FOR INDIGENT ADULTS Offered by: KLAMATH BASIN BEHAVIORAL HEALTH Operations Department 2210 Eldorado Ave., Klamath Falls, OR 97601 Office: (541)
REQUEST FOR INFORMATION #6508 SUBSTANCE ABUSE RECOVERY ORIENTED SYSTEM OF CARE SERVICES
BIDDERS COMPANY NAME REQUEST FOR INFORMATION #6508 SUBSTANCE ABUSE RECOVERY ORIENTED SYSTEM OF CARE SERVICES Prepared by: Washtenaw County Purchasing Division Administration Building 220 N. Main B-35 Ann
HALFWAY HOUSE FACILITY APPLICATION FOR PARTICIPATION IN BCBSM S MENTAL HEALTH AND SUBSTANCE ABUSE MANAGED CARE NETWORK(S) GENERAL INFORMATION
HALFWAY HOUSE FACILITY APPLICATION FOR PARTICIPATION IN BCBSM S MENTAL HEALTH AND SUBSTANCE ABUSE MANAGED CARE NETWORK(S) GENERAL INFORMATION I. BCBSM s Halfway House Facility Program for the State of
Request for Proposal (RFP) Chemical Dependency Outpatient Treatment Services
Request for Proposal (RFP) Chemical Dependency Outpatient Treatment Services 1. Introduction Island County Board of County Commissioners is requesting proposals to provide Outpatient Chemical Dependency
American Society of Addiction Medicine
American Society of Addiction Medicine Public Policy Statement on Treatment for Alcohol and Other Drug Addiction 1 I. General Definitions of Addiction Treatment Addiction Treatment is the use of any planned,
SUBSTANCE ABUSE FACILITY GENERAL INFORMATION
SUBSTANCE ABUSE FACILITY GENERAL INFORMATION I. BCBSM s Substance Abuse Facility Programs Traditional The Traditional BCBSM Substance Abuse Program provides benefits for the treatment of substancerelated
Department of Mental Health and Addiction Services 17a-453a-1 2
17a-453a-1 2 DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES General Assistance Behavioral Health Program The Regulations of Connecticut State Agencies are amended by adding sections 17a-453a-1 to 17a-453a-19,
Substance Abuse Treatment Certification Rule Chapter 8 Alcohol and Drug Abuse Subchapter 4
1.0 Authority Substance Abuse Treatment Certification Rule Chapter 8 Alcohol and Drug Abuse Subchapter 4 1.1 This rule is adopted pursuant to 8 V.S.A 4089b and 18 V.S.A 4806. 2.0 Purpose 2.1 This rule
NEW HAMPSHIRE CODE OF ADMINISTRATIVE RULES. PART He-W 513 SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES
CHAPTER He-W 500 MEDICAL ASSISTANCE PART He-W 513 SUBSTANCE USE DISORDER (SUD) TREATMENT AND RECOVERY SUPPORT SERVICES He-W 513.01 Purpose. The purpose of this part is to establish the procedures and requirements
Facility/Organizational Providers Approval Signatures: Available Upon Request
12/04/2006, 7/2/2007, Page 1 of 20 I. Purpose: A. To ensure facility/organizational provider applicants meet ValueOptions of California (VOC) credentialing criteria. B. This policy replaces ValueOptions,
GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT:
GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT: Page 1 of 7 WRITTEN BY: T. Deeghan, COO TECHNICAL REVIEW BY: T. Deeghan, S. Mason AUTHORIZED
CareLink Network Provider Application
COMPLETION OF THIS APPLICATION DOES NOT GUARANTEE A CONTRACT WITH CARELINK NETWORK Instructions: Please complete one application for each organization and include unique service information for each site
HOW TO APPLY AND PREPARE FOR LICENSURE TO OPERATE A SUBSTANCE ABUSE PROGRAM IN MICHIGAN Authority: P.A. 368 of 1978, as amended
LARA/SUB-501 (5/13) Michigan Department of Licensing and Regulatory Affairs Bureau of Health Care Services Health Facilities Division Substance Abuse Program P.O. Box 30664 Lansing, MI 48909 PHONE: (517)
ARTICLE 4.4. ADDICTION TREATMENT SERVICES PROVIDER CERTIFICATION
ARTICLE 4.4. ADDICTION TREATMENT SERVICES PROVIDER CERTIFICATION Rule 1. Definitions 440 IAC 4.4-1-1 Definitions Affected: IC 12-7-2-11; IC 12-7-2-73 Sec. 1. The following definitions apply throughout
SUBSTANCE ABUSE OUTPATIENT
SUBSTANCE ABUSE OUTPATIENT Service Category Description Substance abuse services - outpatient is the provision of medical or other treatment and/or counseling to address substance abuse problems (i.e.,
IV. CREDENTIALING AND STAFF QUALIFICATION REQUIREMENTS
IV. CREDENTIALING AND STAFF QUALIFICATION REQUIREMENTS Policy Manual Section IV Credentialing Staff Qual Req FY2013 (6.29.12).docx Page 1 of 16 Michigan Department of Community Health Behavioral Health
CAMERON FOUNDATION CHEMICAL DEPENDENCY FELLOWSHIP PROGRAM. Counselor Intern Training Program. Information For Applicants
CAMERON FOUNDATION CHEMICAL DEPENDENCY FELLOWSHIP PROGRAM Counselor Intern Training Program Information For Applicants Memorial Hermann Prevention and Recovery Center 3043 Gessner Houston, Texas 77080
Quality Management. Substance Abuse Outpatient Care Services Service Delivery Model. Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA)
Quality Management Substance Abuse Outpatient Care Services Broward County/Fort Lauderdale Eligible Metropolitan Area (EMA) The creation of this public document is fully funded by a federal Ryan White
VALUE BEHAVIORAL HEALTH OF PENNSYLVANIA (VBH-PA) IN PARTNERSHIP WITH FAYETTE COUNTY BEHAVIORAL HEALTH ADMINISTRATION HAVE ISSUED A
VALUE BEHAVIORAL HEALTH OF PENNSYLVANIA (VBH-PA) IN PARTNERSHIP WITH FAYETTE COUNTY BEHAVIORAL HEALTH ADMINISTRATION HAVE ISSUED A REQUEST FOR PROPOSALS (RFP) FOR SUBSTANCE ABUSE OUTPATIENT SERVICES SERVING
Page 1 of 6 Fresno County Substance Abuse Treatment and Mental Health Services KEY STAFFING STANDARDS
Page 1 of 6 Substance Abuse and Mental Health Services seeks a multidisciplinary team that includes an array of services organized to treat the interaction of mental health and substance use disorders
Certified Apprentice Addiction Professionals, Certified Alcohol and Drug Abuse Counselors, and Licensed Alcohol and Drug Abuse Counselors
SOS initial Administrative Rules for Certified Apprentice Addiction Professionals, Certified Alcohol and Drug Abuse Counselors, and Licensed Alcohol and Drug Abuse Counselors Effective: September 1, 2016?
LEVEL III.5 SA: SHORT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE)
LEVEL III.5 SA: SHT TERM RESIDENTIAL - Adult (DUAL DIAGNOSIS CAPABLE) Definition The following is based on the Adult Criteria of the Patient Placement Criteria for the Treatment of Substance-Related Disorders
SUBSTANCE ABUSE SERVICES APPLICATION
DIVISION OF ALCOHOLISM AND SUBSTANCE ABUSE LICENSING AND CERTIFICATION SUBSTANCE ABUSE SERVICES APPLICATION ALCOHOLISM AND OTHER DRUG DEPENDENCY TREATMENT/INTERVENTION LICENSE OR MEDICAID CERTIFICATION
Frequently Asked Questions (FAQs) from December 2013 Behavioral Health Utilization Management Webinars
Frequently Asked Questions (FAQs) from December 2013 Behavioral Health Utilization Management Webinars 1. In the past we did precertifications for Residential Treatment Centers (RTC). Will this change
COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN Department: Author: Mary Phillips
COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN Department: Author: Mary Phillips Policy and Procedure Employee Competency & Credentialing Policy Local Policy Number (if used) Revision Date
MONTANA PROFESSIONAL ASSISTANCE PROGRAM, INC. POSITION DESCRIPTION:
MONTANA PROFESSIONAL ASSISTANCE PROGRAM, INC. POSITION DESCRIPTION POSITION DESCRIPTION: REPORTS TO: CLINICAL COORDINATOR CLINICAL DIRECTOR SUPERVISES: SUMMARIES OF DUTIES Reports to the Clinical Director.
(a) To qualify as a certified supervised counselor alcohol and drug, an applicant shall: (1) BE OF GOOD MORAL CHARACTER;
2015 -Legislative Proposal 1- BOPCT Statute amendment: 1. Revise the BOPCT Statute to remove barriers Introduce legislation in collaboration with the Board of Professional Counselors and Therapists (BoPCT)
Appendix D. Behavioral Health Partnership. Adolescent/Adult Substance Abuse Guidelines
Appendix D Behavioral Health Partnership Adolescent/Adult Substance Abuse Guidelines Handbook for Providers 92 ASAM CRITERIA The CT BHP utilizes the ASAM PPC-2R criteria for rendering decisions regarding
Professional Counselor Examiners Committee Laws
45:8B-34. Short title 1. This act shall be known and may be cited as the "Professional Counselor Licensing Act." L.1993,c.340,s.1; per s.20 of 1993, c.340, act to expire if 45:8B-35. Determinations 2.
OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE
OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE Brief Coverage Statement Outpatient Substance Use Disorder (SUD) Fee-For-Service (FFS) Treatment Services are available for the treatment of substance
SUBSTANCE ABUSE TREATMENT
315 NORTH 6TH STREET, 2ND FLOOR; P.O. BOX 7007 NEWARK, NJ 07107 PHONE: 973-485-5220 FAX: 973-485-5085 E-MAIL: NEWARKEMA@NEWARKEMA.ORG VISIT US AT WWW.NEWARKEMA.ORG JOIN US ON FACEBOOK AT WWW.FACEBOOK.COM/NEWARKEMA
Supplemental Manual for Substance Abuse Treatment Services(SATS) RULES OF PRACTICE AND PROCEDURE
ARKANSAS DEPARTMENT OF HUMAN SERVICES DIVISION OF BEHAVIORAL HEALTH SERVICES OFFICE OF ALCOHOL AND DRUG ABUSE PREVENTION Supplemental Manual for Substance Abuse Treatment Services(SATS) RULES OF PRACTICE
REQUEST FOR SUBSTANCE ABUSE DRUG-FREE OUTPATIENT AND INTENSIVE OUTPATIENT SERVICES SERVING WASHINGTON COUNTY CHILDREN/ADOLESCENTS
VALUE BEHAVIORAL HEALTH OF PENNSYLVANIA (VBH-PA) IN PARTNERSHIP WITH THE WASHINGTON DRUG AND ALCOHOL COMMISSION, INC. HAVE ISSUED A REQUEST FOR PROPOSAL (RFP) REQUEST FOR SUBSTANCE ABUSE DRUG-FREE OUTPATIENT
PLEASE READ. Applications may NOT be submitted via fax or email. Please send your application and payment to:
PLEASE READ WHAT YOU NEED TO DO PRIOR TO SENDING YOUR APPLICATION: Before you submit any documentation make copies of all your documents. All materials, once received, become the property of the Board
GENERAL INSTRUCTIONS
This section provides definitions and general instructions for the Montana Substance Abuse Management System (SAMS). Subject areas include system overview, program requirements, system components and general
SUBSTANCE ABUSE ENCOUNTER REPORTING: HCPCS and Revenue Codes Overview of Updates for Fiscal Year 2008
SUBSTANCE ABUSE ENCOUNTER REPORTING: HCPCS and Overview of Updates for Fiscal Year 2008 This encounter code and modifier chart, effective 10/1/2007, describes how submitted encounter codes and modifiers
Ch. 1223 DRUG AND ALCOHOL CLINIC 55 CHAPTER 1223. OUTPATIENT DRUG AND ALCOHOL CLINIC SERVICES GENERAL PROVISIONS COVERED AND NONCOVERED SERVICES
Ch. 1223 DRUG AND ALCOHOL CLINIC 55 CHAPTER 1223. OUTPATIENT DRUG AND ALCOHOL CLINIC SERVICES Sec. 1223.1. Policy. 1223.2. Definitions. GENERAL PROVISIONS COVERED AND NONCOVERED SERVICES 1223.11. Types
Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals
Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals The purpose of this document is to clarify who can provide which outpatient services to Iowa Plan Medicaid members.
Provider Selection Criteria for PreferredOne Participating Mental Health Practitioners
Provider Selection Criteria for PreferredOne Participating Mental Health Practitioners General Criteria 1. Practitioner must serve a specialty and/or geographic need for the good of the PreferredOne product
SENIOR MENTAL HEALTH COUNSELOR I/II
SENIOR MENTAL HEALTH COUNSELOR I/II DEFINITION To perform a variety of complex professional duties in the provision of outpatient and crisis mental health services to individuals and groups. DISTINGUISHING
HOUSE BILL No. 2577 page 2
HOUSE BILL No. 2577 AN ACT enacting the addictions counselor licensure act; amending K.S.A. 74-7501 and K.S.A. 2009 Supp. 74-7507 and repealing the existing section; also repealing K.S.A. 65-6601, 65-6602,
Both Outpatient Counseling and Residential Substance Abuse Treatment programs shall comply with the following requirements:
SUBSTANCE ABUSE COUNSELING - OUTPATIENT COUNSELING AND RESIDENTIAL TREATMENT (General HIV/AIDS Population & MAI for Residential Treatment) (YEAR 25 Service Priorities #8 for outpatient; and #10 for Part
LG/LCADC (Licensed Graduate or Licensed Clinical Alcohol and Drug Counselor) Pre-Application Credentials Evaluation Instructions
Maryland Board of Professional Counselors and Therapists 4201 Patterson Avenue Baltimore, MD 21215 410-764-4732 or 410-764-4740 www.dhmh.maryland/bopc/ LG/LCADC (Licensed Graduate or Licensed Clinical
Table of Contents. Title 46 PROFESSIONAL AND OCCUPATIONAL STANDARDS. Part LXXX. Substance Abuse Counselors
Table of Contents Title 46 PROFESSIONAL AND OCCUPATIONAL STANDARDS Part LXXX. Substance Abuse Counselors Chapter 1. General Provisions... 1 Chapter 3. Practice... 2 Chapter 5. ADRA Documents and Payment
CHAPTER 331. C.45:2D-1 Short title. 1. This act shall be known and may be cited as the "Alcohol and Drug Counselor Licensing and Certification Act.
CHAPTER 331 AN ACT to license and certify alcohol and drug counselors, creating an Alcohol and Drug Counselor Committee, revising various parts of the statutory law. BE IT ENACTED by the Senate and General
Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals
IOWA PLAN F BEHAVIAL HEALTH RE: Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals The purpose of this document is to clarify who can provide which outpatient services
PART II. LICENSURE BY CREDENTIALS
State of Alaska P.O. Box 110806, Juneau, Alaska 99811-0806 Telephone: (907) 465-2551 E-mail: license@alaska.gov Website: www.commerce.alaska.gov/occ BACCALAUREATE SOCIAL WORKER LICENSURE APPLICATION READ
CLINICAL SOCIAL WORKER LICENSURE APPLICATION
P.O. Box 110806, Juneau, Alaska 99811-0806 Telephone: (907) 465-2551 E-mail: license@alaska.gov Website: www.commerce.alaska.gov/occ CLINICAL SOCIAL WORKER LICENSURE APPLICATION READ THESE INSTRUCTIONS
Applicant Credentialing Checklist
Community Mental Health Partnership of Southeast Michigan Applicant Credentialing Checklist (This checklist is to assist you in the application process. You do not have to include this checklist in the
MENTAL HEALTH PRACTICE ACT
2013 STATE OF NEBRASKA STATUTES RELATING TO MENTAL HEALTH PRACTICE ACT MARRIAGE AND FAMILY THERAPY PROFESSIONAL COUNSELING SOCIAL WORK Department of Health and Human Services Division of Public Health
EMPLOYMENT/CREDENTIALING APPLICATION
Beacon Specialized Living Services, Inc. EMPLOYMENT/CREDENTIALING APPLICATION We do not discriminate on the basis of race, color, religion, national origin, sex, age or disability. It is our intention
GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Health Professional Licensing Administration (HPLA)
GOVERNMENT OF THE DISTRICT OF COLUMBIA Department of Health Health Professional Licensing Administration (HPLA) Board of Professional Counseling APPLICATION INSTRUCTIONS AND FORMS TO PRACTICE ADDICTION
BREINING INSTITUTE 8894 GREENBACK LANE ORANGEVALE, CALIFORNIA USA 95662-4019 TELEPHONE (916) 987-2007
BREINING INSTITUTE 8894 GREENBACK LANE ORANGEVALE, CALIFORNIA USA 95662-4019 TELEPHONE (916) 987-2007 Advanced Credential for the Addiction Professional Certified Co-occurring Disorders Specialist (CCDS)
Outpatient and Intensive Outpatient Narrative
Los Angeles County Department of Public Health Substance Abuse Prevention and Control (SAPC) will implement an initial benefit package of Substance Use Disorder (SUD) services within the initial twelve
TREATMENT MODALITIES. May, 2013
TREATMENT MODALITIES May, 2013 Treatment Modalities New York State Office of Alcoholism and Substance Abuse Services (NYS OASAS) regulates the addiction treatment modalities offered in New York State.
DIVISION OF BEHAVIORAL HEALTH SERVICES SUBSTANCE ABUSE TREATMENT SERVICES PLAN
DIVISION OF BEHAVIORAL HEALTH SERVICES SUBSTANCE ABUSE TREATMENT SERVICES PLAN NOVEMBER 2009 SUBSTANCE ABUSE TREATMENT SERVICES PLAN November 2009 Salt Lake County Department of Human Services Division
OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE
OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE BRIEF COVERAGE STATEMENT This benefit coverage standard describes outpatient Substance Use Disorder services (known as SUD Fee-For-Service (FFS)
PLEASE READ. The official text of New Jersey Statutes can be found through the home page of the New Jersey Legislature http://www.njleg.state.nj.
PLEASE READ The official text of New Jersey Statutes can be found through the home page of the New Jersey Legislature http://www.njleg.state.nj.us/ New Jersey Statutes Annotated (N.J.S.A.), published by
VALUE BEHAVIORAL HEALTH OF PENNSYLVANIA (VBH-PA) IN PARTNERSHIP WITH WESTMORELAND DRUG AND ALCOHOL COMMISSION REQUEST FOR PROPOSAL (RFP)
VALUE BEHAVIORAL HEALTH OF PENNSYLVANIA (VBH-PA) IN PARTNERSHIP WITH WESTMORELAND DRUG AND ALCOHOL COMMISSION REQUEST FOR PROPOSAL (RFP) FOR FUNDS SUPPORTING DEVELOPMENT OF A SUBSTANCE ABUSE TREATMENT
PERFORMANCE STANDARDS DRUG AND ALCOHOL PARTIAL HOSPITALIZATION PROGRAM. Final Updated 04/17/03
PERFORMANCE STANDARDS DRUG AND ALCOHOL PARTIAL HOSPITALIZATION PROGRAM Final Updated 04/17/03 Community Care is committed to developing performance standards for specific levels of care in an effort to
Organization Profile and Credentialing Application
Organization Profile and Credentialing Application Initial Profile and Application Re-credentialing Application and Profile Review Mark all areas of the application NA for any item not applicable I. Certification,
PLEASE READ. (g) Trainees must notify the Board in writing of any changes in employment and change in address of residence.
PLEASE READ WHAT YOU NEED TO DO PRIOR TO SENDING YOUR APPLICATION: Before you submit any documentation make copies of all your documents. All materials, once received, become the property of the Board
Created by Neevia Document Converter trial version http://www.neevia.com Created by Neevia Document Converter trial version
AN ACT IN THE COUNCIL OF THE DISTRICT OF COLUMBIA Codification District of Columbia Official Code 2001 Edition 2009 Summer Supp. West Group Publisher To amend the District of Columbia Health Occupations
Residential Sub-Acute Detoxification Guidelines
I. Background Information A. Definition of Detoxification Residential Sub-Acute Detoxification Guidelines SAMSA s TIP #45, Detoxification and Substance Abuse Treatment: Treatment Improvement Protocols
TEXAS ~ STATUTE Continued
TEXAS ~ STATUTE STATUTE DATE Enacted 1981 REGULATORY BODY Texas Rev. Civ. Stat., Occupations Code, Chapter 204: Physician Assistant Licensing Act; Occupations Code Chapter 157; Authority of Physician to
Medicine in Osteopathic Family Practice and Manipulative Treatment
0BBasic Standards for Fellowship Training in Addiction Medicine in Osteopathic Family Practice and Manipulative Treatment American Osteopathic Association and the American College of Osteopathic Family
Application Booklet and Instructions for Addiction Counselor Certification
Application Booklet and Instructions for Addiction Counselor Certification Alabama Association of Addiction Counselor Certification Board, Inc. P.O. Box 12472 Birmingham, AL 35202-0472 Alabama Association
COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN/PIHP Department: Author: Approval Date 3/17/14
COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN/PIHP Department: Author: Approval Date 3/17/14 Policy and Procedure Employee Competency & Credentialing Policy Local Policy Number (if used)
SUBOXONE /VIVITROL WEBINAR. Educational Training tool concerning the Non-Methadone Medication Assisted Treatment Policy that is Effective on 1/1/12
SUBOXONE /VIVITROL WEBINAR Educational Training tool concerning the Non-Methadone Medication Assisted Treatment Policy that is Effective on 1/1/12 WEBINAR INTRODUCTIONS Cynthia Parsons- Program Manager
Requirements For Provider Type 11 Mental Health/Substance Abuse Services
Requirements For Provider Type 11 Mental Health/Substance Abuse Services Specialty Code Please choose from the following for specialty and code: 113 - Partial Psychiatric Hospitalization (Children) 114
Subacute Inpatient MH - Adult
Subacute Inpatient MH - Adult Definition Subacute Inpatient hospital psychiatric services are medically necessary short-term psychiatric services provided to a client with a primary psychiatric diagnosis
WCHO PIHP POLICY for the COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN Department: Business Finance Administration Author: S.
WCHO PIHP POLICY for the COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN Department: Business Finance Administration Author: S. Reitmeier Date: Reason: Revision Date 03/07, 10/09 Policy and
4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents)
4.40 STRUCTURED DAY TREATMENT SERVICES 4.401 Substance Use Partial Hospitalization Program (Adults and Adolescents) Description of Services: Substance use partial hospitalization is a nonresidential treatment
Frequently Asked Questions (FAQ) Phoenix House New England
About What is? Phoenix House is a nationally recognized and accredited behavioral healthcare provider, specializing in the treatment and prevention of substance use disorders and co-occurring substance
The Collaborative Models of Mental Health Care for Older Iowans. Model Administration. Collaborative Models of Mental Health Care for Older Iowans 97
6 The Collaborative Models of Mental Health Care for Older Iowans Model Administration Collaborative Models of Mental Health Care for Older Iowans 97 Collaborative Models of Mental Health Care for Older
ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH Date Issued: 07/09 Date Revised: 09/11;03/13;06/14;07/15
ST. CLAIR COUNTY COMMUNITY MENTAL HEALTH Date Issued: 07/09 Date Revised: 09/11;/13;06/14;07/15 WRITTEN BY Jim Johnson Page 1 REVISED BY AUTHORIZED BY Jessica Moeller Debra Johnson I. APPLICATION: THUMB
STRUCTURED OUTPATIENT ADDICTION PROGRAM (SOAP)
STRUCTURED OUTPATIENT ADDICTION PROGRAM (SOAP) Providers contracted for this level of care or service will be expected to comply with all requirements of these service-specific performance specifications.
Nebraska Mental Health Practitioner Licensure Examination Information
Nebraska Mental Health Practitioner Licensure Examination Information Dear Examination Applicant: The following provides information relating to the examination process. If you have further questions,
WRAPAROUND MILWAUKEE Policy & Procedure
WRAPAROUND MILWAUKEE Policy & Procedure Wraparound Wraparound-REACH FISS Project O-Yeah I. POLICY Date Issued: 11/15/07 Effective Date: 1/1/15 Reviewed: 10/20/14 By: WA Last Revision: 10/20/14 Subject:
Financing integrated Healthcare in Washington
Financing integrated Healthcare in Washington as of: April 23. 2012 E & M Codes CPT Code 99201-99205 99211-99215 Est. Pt Diagnostic Code May be used only with physical Federally Qualified Health Centers
STRUCTURED OUTPATIENT ADDICTION PROGRAM (SOAP)
STRUCTURED OUTPATIENT ADDICTION PROGRAM (SOAP) Providers contracted for this level of care or service are expected to comply with all requirements of these service-specific performance specifications.
Behavioral Health and Human Services Licensing Board
Behavioral Health and Human Services Licensing Board SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS, MENTAL HEALTH COUNSELORS, AND ADDICTION COUNSELORS A compilation of the Indiana Code and Indiana Administrative
DEPARTMENT OF COMMUNITY HEALTH MENTAL HEALTH AND SUBSTANCE ABUSE ADMINISTRATION SUBSTANCE USE DISORDERS SERVICE PROGRAM PART 1. GENERAL PROVISIONS
DEPARTMENT OF COMMUNITY HEALTH MENTAL HEALTH AND SUBSTANCE ABUSE ADMINISTRATION SUBSTANCE USE DISORDERS SERVICE PROGRAM (By authority conferred on the director of the department of community health by
Alcohol and Drug Rehabilitation Providers
June 2009 Provider Bulletin Number 942 Alcohol and Drug Rehabilitation Providers New Modifier and s for Substance Abuse Services Effective with dates of service on and after July 1, 2009, eligible substance
New Standards for N.A.D.A.I. Intervention Institute Inc. Credentialing
1 New Standards for N.A.D.A.I. Intervention Institute Inc. Credentialing 3331 Marston Street, Philadelphia, PA 19129 Phone 215-228-8911 www.nadai.us CERTIFIED NATIONAL DRUG & ALCOHOL INTERVENTIONIST >C.N.D.A.I.
Division of Behavioral Health. Requirements for Program Staff
Division of Behavioral Health Requirements for Program Staff Integrated BH Regulations Training 1 Program Staff Program Staff are professionals who render behavioral health services directly to a recipient.
TN No. 07-004 Supersedes Approval Date: 09-24-09 Effective Date: 07-01-09 TN No. 01-006
Page 6c 440.130(d) The covered Community Mental Health Rehabilitative Services will be available to all Medicaid eligibles with mental illness and substance abuse disorders and who are medically determined
Cenpatico Facility/Agency Credentialing Application INSTRUCTIONS
Cenpatico Facility/Agency Credentialing Application INSTRUCTIONS Please complete the application thoroughly in its entirety. The checklist below may not be exhaustive of all materials, but is provided
Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE
Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 21 MENTAL HYGIENE REGULATIONS Chapter 26 Community Mental Health Programs Residential Crisis Services Authority: Health-General Article, 10-901
Alcohol and Drug Counseling Certificate Program
Alcohol and Drug Counseling Certificate Program ALCOHOL AND DRUG COUNSELING CERTIFICATE PROGRAM The Program The Alcohol and Drug Counseling Certificate Program is designed to help individuals acquire the
Klamath Tribal Health & Family Services 3949 South 6 th Street Klamath Falls, OR 97603
Klamath Tribal Health & Family Services 3949 South 6 th Street Klamath Falls, OR 97603 Phone: (541) 882-1487 or 1-800-552-6290 HR Fax: (541) 273-4564 OPEN: 11/19/2014 CLOSE: 12/12/2014 POSITION DESCRIPTION
APPLICATION FOR LICENSURE AS A CLINICAL ADDICTION COUNSELOR (LCAC) State Form 54089 (R3 / 1-13) Approved by State Board of Accounts, 2013 BEHAVIORAL HEALTH AND HUMAN SERVICES LICENSING BOARD PROFESSIONAL
104 CMR: DEPARTMENT OF MENTAL HEALTH 104 CMR 33.00: DESIGNATION AND APPOINTMENT OF QUALIFIED MENTAL HEALTH PROFESSIONALS
104 CMR 33.00: DESIGNATION AND APPOINTMENT OF QUALIFIED MENTAL HEALTH PROFESSIONALS Section 33.01: Legal Authority to Issue 33.02: Authorization to Apply for Hospitalization Pursuant to M.G.L. c. 123,
CHAPTER 1223. OUTPATIENT DRUG AND ALCOHOL CLINIC SERVICES
CHAPTER 1223. OUTPATIENT DRUG AND ALCOHOL CLINIC SERVICES GENERAL PROVISIONS Sec. 1223.1. Policy. 1223.2. Definitions. 1223.11. Types of services covered. 1223.12. Outpatient services. 1223.13. Inpatient
Memphis TGA Ryan White Part A & MAI Substance Abuse-Outpatient Standards of Care
PURPOSE Memphis TGA Ryan White Part A & MAI Substance Abuse-Outpatient The purpose of the Ryan White Part A and MAI Substance Abuse- Outpatient is to ensure that uniformity of service exists in the Memphis
Minimum Qualifications Review for a Public Health Director
Minimum Qualifications Review for a Public Health Director In accordance with the Minimum Qualifications for Public Health Director rule, 6 CCR 1014-6, county or district public health agency directors
OPERATING GUIDELINES FOR CHEMICAL DEPENDENCE SERVICES OPERATED BY THE NEW YORK STATE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION
OPERATING GUIDELINES FOR CHEMICAL DEPENDENCE SERVICES OPERATED BY THE NEW YORK STATE DEPARTMENT OF CORRECTIONS AND COMMUNITY SUPERVISION BACKGROUND INFORMATION The New York State Department of Corrections
Michigan Development Plan for Alcohol and Drug Counselors
Michigan Development Plan for Alcohol and Drug Counselors Authority: If the registrant currently does not meet the qualifications to be certified he or she must complete and submit a Development Plan to
Heartland Human Services Position Description / Performance Evaluation. Job Title: Crisis Counselor Program(s): Outpatient
Heartland Human Services Position Description / Performance Evaluation Job Title: Crisis Counselor Program(s): Outpatient Supervisor: Outpatient Program Director Status: Exempt, Full-time,120hr On-call
Medicaid Substance Abuse Treatment Self-Referral Protocols Substance Abuse Improvement Initiative (SAII) January 1, 2010
Medicaid Substance Abuse Treatment Self-Referral Protocols Substance Abuse Improvement Initiative (SAII) January 1, 2010 The Substance Abuse Improvement Initiative (SAII) allows Medicaid enrollees to select