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SUD Implementation FAQ Updated September 19, 2018
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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.

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SUD Enhanced Background Check Exception To Policy Updated September 4, 2018
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This form describes BPA Health’s exception to the SUD Enhanced Background Check policy.  Please click the download box to view the document.

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IDJC SUD Rate Matrix 07-01-2018 Updated July 5, 2018
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IDOC SUD Rate Matrix 11/30/2018 Updated July 5, 2018
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To access the current IDOC Rate Matrix, please click here.

 

 

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SUD Provider Manual Updated November 27, 2018
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Please click the link below to open a copy of the SUD Provider Manual or click the download button.

SUD Provider Manual

This manual was last revised on 11/12/2018.

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IROC Program FAQs May 2018 Updated May 18, 2018
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IROC Program FAQs document that was sent to the SUD Provider network on 5/18/2018.

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Child Welfare Case Termination Form Updated August 28, 2017
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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).

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Idaho Department of Health and Welfare SUD Website Updated November 21, 2018
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Link to the Idaho Department of Health and Welfare website on substance use disorders.

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Provider Rate Increase Communication 07-01-2018 Updated July 5, 2018
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Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline Updated March 26, 2018
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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.

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IDAPA 16.07.17 Substance Use Disorders Services Updated November 18, 2018
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Link to the Idaho Department of Health and Welfare’s IDAPA rule 16.07.17 for Substance Use Disorders Services

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SUD Supervision Manual Updated November 5, 2018
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IDHW SUD Rate Matrix 10-23-2018 Updated September 17, 2018
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Please click here for the updated IDHW Rate Matrix dated 10-23-2018.  Or click the download button.

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Encuesta de Seguimiento de Consentimiento Informado Updated November 2, 2018
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Encuesta de Seguimiento de Consentimiento Informado

Spanish Informed Consent for Follow-up Survey Form

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Appeal (How to) Updated January 11, 2018
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This document includes instructions on how to submit an appeal to BPA Health.  SUD Network providers, please see the associated SUD Appeals Submission Form.

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Follow-up Survey Notification February 2018 Updated November 21, 2018
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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.

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IDHW Memo to IROC MAT Prescribers Updated February 6, 2018
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IDHW Memo sent to IROC MAT Prescribers.  Includes a form that outlines the process for prescribers when working with funded clients

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IDOC Monthly Status Report Form and Q&A Updated November 27, 2018
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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 Monthy Status Report Form

 

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Reporting Fraud Waste and Abuse Updated November 2, 2018
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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.

 

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Opioid Overdose Resuscitation Card Updated November 1, 2018
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Informational card on opioid overdose resuscitation.

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IDHW Tele-Behavioral Health Billable Services Updated November 1, 2018
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Summary of services that can be billed to IDHW for tele-behavioral health.

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Idaho HIV/AIDS and Viral Hepatitis Resource Directory Updated November 1, 2018
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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.

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Coordinating Treatment and Prevention Services with Children Updated October 31, 2018
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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. 

 

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ADA Guidelines and Resources Updated October 31, 2018
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The Americans with Disabilities Act (ADA) guideline overview and resources for SUD Providers.

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AMENDED RULE CHANGES IN THE WAIVER OF CRIMINAL HISTORY AND BACKGROUND CHECK DENIAL Updated September 13, 2018
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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.

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ISC Rate Matrix 07-01-2018 Updated July 5, 2018
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IROC MAT Prescriber Services Memo Updated February 6, 2018
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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.

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GAIN Summary Workshop Updated February 2, 2018
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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.

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Complaints (How to) Updated January 11, 2018
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This document includes instructions on how to submit a complaint to BPA Health.

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IROC Program FAQs October 2017 Updated October 25, 2017
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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

 

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New Provider Orientation Presentation Updated November 29, 2018
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Overview of Changes Under New BPA Health Contract Webinar Updated November 29, 2018
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PWWC Checklist Updated November 26, 2018
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National Institute of Corrections Updated November 21, 2018
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Link to National Institute of Corrections website.

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FY 2019 Q2 Withhold Metrics Updated November 21, 2018
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EBPP Audit Tool Updated November 21, 2018
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Supervision Audit Tool Updated November 21, 2018
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QEC Audit Tool Updated November 21, 2018
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IDAPA 16.07.15 Behavioral Health Programs Updated November 21, 2018
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Link to the Idaho Department of Health and Welfare’s IDAPA rule 16.07.15 for Behavioral Health Programs.

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PWWC Services Webinar 2018 Updated November 10, 2018
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This webinar outlines the changes to PWWC Services effective January 1, 2018.

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Recovery Coach Supervision Updated November 2, 2018
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Information on Recovery Coach Supervision.

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Authorization Approval And ASAM Training Materials 2017 Updated October 31, 2018
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Training materials from 2017 Authorization Approval and ASAM Training Materials.

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Authorization Approval Guide Updated October 31, 2018
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Training materials from 2017 Authorization Approval and ASAM Training.

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BPA Health 3-Part ASAM Webinar 2018 Updated August 30, 2018
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