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.
To access the current IDOC Rate Matrix, please click here.
Please click the link below to open a copy of the SUD Provider Manual or click the download button.
This manual was last revised on 11/12/2018.
IROC Program FAQs document that was sent to the SUD Provider network on 5/18/2018.
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).
Link to the Idaho Department of Health and Welfare website on substance use disorders.
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.
Link to the Idaho Department of Health and Welfare’s IDAPA rule 16.07.17 for Substance Use Disorders Services
Please click here for the updated IDHW Rate Matrix dated 10-23-2018. Or click the download button.
Encuesta de Seguimiento de Consentimiento Informado
Spanish Informed Consent for Follow-up Survey Form
This document includes instructions on how to submit an appeal to BPA Health. SUD Network providers, please see the associated SUD Appeals Submission Form.
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.
IDHW Memo sent to IROC MAT Prescribers. Includes a form that outlines the process for prescribers when working with funded clients
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.
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.
The Americans with Disabilities Act (ADA) guideline overview and resources for SUD Providers.
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.
This document includes instructions on how to submit a complaint to BPA Health.
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
Link to National Institute of Corrections website.
Link to the Idaho Department of Health and Welfare’s IDAPA rule 16.07.15 for Behavioral Health Programs.
This webinar outlines the changes to PWWC Services effective January 1, 2018.
Information on Recovery Coach Supervision.
Training materials from 2017 Authorization Approval and ASAM Training Materials.
Training materials from 2017 Authorization Approval and ASAM Training.