Documents & Resources
The following FAQ are specific to the implementation of the new SUD contract occurring fall 2018. If you have any other questions, please contact Provider Relations at 208-947-4377.
Q: Will any changes be made to the audit process as part of the new contract?
A: New audit tools are being developed and will be shared with providers as soon as they are finalized.
Q: Will RSS providers now be participating in withholds?
A: Yes. Starting in October all RSS Providers will Participate in the withhold metric for all encounter notes to be entered into WITS within 5 buisiness days of delivering a service. Will continue to have 30 days to release to billing.
Q: How will the new requirement for the Enhanced Background Check be handled?
A: There is an exception to policy to allow current providers until January 31st, 2019 to be incompliance with the new rule.
Q: How does the enhanced background check apply to contracted/3rd party staff?
A: Providers who sub-contract certain functions of their practice must have a Business Associate Agreement with the sub-contractor. This will suffice in lieu of the enhanced background check and applies to agreements with MAT providers. If you have administrative functions (ex. billing) that are outside the State of Idaho, they must have a background check in the State in which they reside.
Q: Will the State help to absorb the costs associated with the new background checks?
A: No, unfortunately this is a cost to the Provider. BPA Health has made an exception to policy which spreads the time frame to comply into the new year. This should ease the time to comply burden, and allow Providers to budget into the next year.
Q: What changes for CARF certified agencies?
A: At this point, no changes are planned.
This form describes BPA Health’s exception to the SUD Enhanced Background Check policy. Please click the download box to view the document.
IROC Program FAQs document that was sent to the SUD Provider network on 5/18/2018.
Please click here for the updated IDHW Rate Matrix dated 04-01-2019. Or click the download button.
SUBJECT: MAT population treatment benefits
The Idaho Department of Health & Welfare and BPA Health are excited to announce an increase in MAT service benefits through an existing IROC grant from SAMHSA (Substance Abuse and Mental Health Services Administration) called STR. This increased funding is live as of January 8, 2019.
The additional benefits mean that as of January 8, 2019, new MAT clients can receive up to six months of 100 % paid MAT services and then up to six months of 50% cost share MAT services. (Previously, new MAT clients were eligible for up to three months of 100% paid MAT services and then up to three months of 50% cost share services).
The increased benefits also mean that as of January 8, 2019, existing MAT clients can receive up to three additional months of 100% paid MAT services, no matter where they are in their treatment. Note that these existing MAT clients will not receive additional months of cost share MAT services (beyond the three months of 50% cost share service benefits they already were entitled to.)
Care Managers have begun adding the additional benefits to WITS for existing MAT clients. The rate matrix has been updated.
If you have any questions, please contact BPA Health Care Management Operations Supervisor, Jenny Brown, at (800) 922-3406.
Effective immediately, IDOC will be reimbursing for Recovery Coach Services.
Communication about outpatient treatment provided offsite from the Idaho Department of Health & Welfare on behalf of the Idaho Department of Health & Welfare, Idaho Department of Correction, Idaho Department of Juvenile Corrections and Idaho Supreme Court.
Follow-up Survey information is important to drive our state forward towards a better system for Idahoans. This notification: sent to SUD Network treatment providers on February 21, 2018; provides key information on Follow-up Surveys.
This notification was sent to the the SUD Provider Network on 4/3/2018. It outlines the requirements of different types of staff who provide services to state funded SUD clients.
IDHW Memo sent to IROC MAT Prescribers. Includes a form that outlines the process for prescribers when working with funded clients
Informational card on opioid overdose resuscitation.
Summary of services that can be billed to IDHW for tele-behavioral health.
Developed by Mountain States Group, Inc. in partnership with the HIV, STD and Hepatitis Programs of the Idaho Department of Health and Welfare and the Idaho Advisory Council on HIV and AIDS.
Please see the attached memorandum from the Idaho Department of Health Welfare. Coordinating treatment services for the parent with prevention services for the child has many benefits for the child and the parent. This informative memorandum outlines services, some of the many benefits, and who to contact for more information.
As of July 1, 2018, amended language to the Waiver of Criminal History and Background Check Denial sections of DBH IDAPA rules has been implemented.
Memo outlining the process for IROC eligible clients to access MAT Prescriber services prior to completion of the GAIN. This process is effective 2/15/18.
BPA Health is offering a one day workshop focused on the editing and interpretation of the GAIN Recommendations and Referral Summary. This free workshop takes place in Boise on March 6, 2018.
Frequently Asked Questions (FAQ) document for the recently launched IROC program.
**Please note that an updated version of this document has been posted on 5/18/2018
In 2016, IDHW will be allowing providers with approved policies to begin utilizing Tele-Behavioral Health (TBH) as a method of delivering Substance Use Disorder treatment and recovery support services. All IDHW populations over the age of 18 can access services via TBH if it is in the best interest of the participant and they choose to receive services in this manner.
The Idaho Department of Correction has recently approved a policy to allow Probation Officers the ability to approve time away from a Safe and Sober Housing (SSH) facility for appropriate absences and allow the agency to bill for those dates.
Communication on the usage and availability of the GAIN-I-Lite for all non 19-2524 clients.
Communication on IDHW’s Follow-up of the implementation of the GAIN-I-Lite Assessment.
Information about IDAPA requirements for a provider when an adolescent reaches the age of 18 and is engaged in outpatient treatment.
Guidelines for Pre-Treatment Services funded by the Idaho Department of Correction.
Information from IDOC on providing services at Community Reentry Centers.
Communication on the implementation of Follow-up Surveys for IDHW and IDJC clients and trainings on conducting Follow-up Surveys.
Idaho Department of Health & Welfare (IDHW) has chosen to reimburse for some of the basic housing essentials in some defined circumstances.
Clarification on the documents that IDAPA requires safe and sober housing providers to maintain for each client either in hard copy or electronic version.
Clarification on the documents that IDAPA requires drug testing providers to maintain for each client either in hard copy or electronic version.
Link to the Substance Abuse and Mental Health Services Administration’s (SAMHSA) Treatment Improvement Protocols (TIPS).
Communication on the IDAPA 16.07.17 rule on transportation of adolescents.
IDHW SFY 19 Funding Memo. Please click the download button to view the document.
BPA Health’s Continuous Quality Improvement Program Plan
BPA Health will be offering a free one (1) hour webinar on Substance Abuse Treatment for Persons with Co-occurring Disorders. The training focus is on effective tips and techniques for working with persons in substance abuse treatment that also have a co-occurring mental health disorder. This course has been approved by BPA Health, as a NAADAC Approved Education Provider, for 1 CE