This is supplemental information to the BPA Health Provider Manual, specific to SUD Providers. The SUD Provider Manual Supplement can be accessed here.

To access the current IDHW SUD Rate Matrix please click here.

To access the current IDOC SUD Rate Matrix please click here.

Here is the link to the SUD Treatment and Case Management File Review tool.

SUD Treatment and Case Management File Review Tool

Child Welfare Case Termination Form used to notify BPA Health a clients Child Protection case has been closed and will no longer be eligible to receive services funded through Child Protection Substance Use Disorder (CP/SUD).

To access the current IDJC JJ SUD Rate Matrix please click here.

SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

Call 1-800-662-HELP (4357).

Link to the Idaho Department of Health and Welfare website on substance use disorders.

Request for Service from Out of Network Providers

This form is to be completed by Medicaid providers who are NOT in the BPA Health Substance Use Disorder (SUD) Network and who are requesting SUD services not covered by Medicaid. First, your client must call BPA Health at 1(800) 922-3406 and be screened for financial eligibility. Once financial eligibility has been met, please complete and submit this online form for consideration of authorization of services.  Any forms submitted prior to funding approval will be denied and you will be required to re-submit a new form after the screening has been completed. For client’s seeking Residential treatment, the clinical assessment and/or ASAM update must be completed prior to reviewing for clinical eligibility. By submitting this form you are attesting that this client is currently receiving substance use disorder treatment from you.

Link to the Idaho Department of Health and Welfare’s IDAPA rule 16.07.17 for Substance Use Disorders Services

Communication from the Idaho Department of Health and Welfare regarding changes to the SUD Contract can be found here.

List of Evidence Based Programs used by providers in BPA Health’s SUD Network.

This document includes instructions on how to submit an appeal to BPA Health.  SUD Network providers, please see the associated SUD Appeals Submission Form.

Encuesta de Seguimiento de Consentimiento Informado

Spanish Informed Consent for Follow-up Survey Form

To access the current Idaho Supreme Court Rate Matrix please click here.

BPA Health has received feedback from stand-alone RSS providers asking for help navigating the  Provider Manual. In an effort to deliver information from the Provider Manual that is pertinent only to RSS providers, BPA Health has created the RSS Guide to the BPA Health Provider Manual.

We hope this becomes a valuable resource for RSS providers, when opening a location and preparing for audits. The Guide can be found here.

IDHW Memo sent to IROC MAT Prescribers.  Includes a form that outlines the process for prescribers when working with funded clients

BPA Health reviews the Provider Manual annually, at a minimum, incorporating changes since prior version. This document includes a general description of changes since the last manual update and the date of the change. They will be written into the next manual revision. List of updates can be found here.

All Safe and Sober Housing Providers are required to adhere to this Code of Ethics:

The BPA Health policy detailing the rights and responsibilities of members/clients can be found here.

A copy of the rights and responsibilities can be found here.

The BPA Health Provider Manual can be found here.

There are additional benefit specific supplement manuals to augment the Provider Manual.

The one for EAP Providers that can be found here.

The one for SUD Providers can be found here.

To view the communication from IDOC regarding this form, either please the link below or click the download button to the above right.

IDOC Status Report Communication

To access the IDOC Monthly Status Report Form directly, please click the link below:

IDOC Status Report Form

The Americans with Disabilities Act (ADA) guideline overview and resources for SUD Providers.

Resource information can be found here.

BPA Health conducts its business fairly, impartially, in an ethical and proper manner, and in compliance with all laws and regulations. We are committed to conducting business with integrity underlying all relationships, including those with citizens, customers, suppliers, communities, and employees. We will investigate and address any instance of fraud, waste, or abuse that occurs in relation to our business.

See the attached for reporting fraud, waste and abuse.

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.

Informational card on opioid overdose resuscitation.

The Idaho Behavioral Health Standards eManual can be found on the Idaho Department of Health and Welfare’s website. A link can be found here.

If you you have a question about the Idaho Standards can’t find what you need you there please follow up with IDHW. Their email is [email protected]

Thank you!

Informed Consent Form

The QEC (Quality and Effectiveness of Care) Adolescent Residential Audit tool can be found here.

This is the tool that BPA Health will use to conduct routine Safe and Sober Housing audit and facility walk-throughs. It can be found here.

Tips for authorization approval can be downloaded  here.

Link to the National Institute of Corrections website for information and best practices for corrections programs and clients.

Tips and guidelines for successful implementation of MAT services.

To view this information, please use the download button on the right.

PWWC funding information can be found here..

To view this information, please use the download button on the right.

This document includes instructions on how to submit an adverse action appeal to BPA Health. Adverse actions include suspension or termination.

To view this information, click here.