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SUD Provider Manual Supplement Updated May 29, 2020
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This is supplemental information to the BPA Health Provider Manual, specific to SUD Providers. The SUD Provider Manual Supplement can be accessed here.

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SUD Provider Network Updated May 29, 2020
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Welcome to BPA Health’s Substance Use Disorder (SUD) Provider Network resource page.  We serve SUD clients funded by the Idaho Department of Health & Welfare, Idaho Department of Correction, Idaho Supreme Court and Idaho Department of Juvenile Corrections,

Below you will find essential links to additional information. Feel free to bookmark this page in your browser, as updated information will be posted here on an ongoing basis.

Questions? Contact BPA Health at 800-922-3406 or email us at [email protected].

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SUD Referral Sources Information Updated October 8, 2015
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To refer clients into substance use disorder treatment services funded by the State of Idaho, please see the documents listed below.

To help clients choose a provider, search for Treatment & Recovery Support Services providers here.

To help clients funded by the Idaho Department of Juvenile Corrections choose a provider, use the IDJC provider search here.

The forms on this page are for the following client populations: ATR-4, IDHW-Child Protection/SUD (CP/SUD), IDHW-Adult Mental Health Court, IDHW-Domestic Violence Court (DV Court), IDHW-Misdemeanant Problem Solving Court (Misdemeanant PSC), IDHW-Supervised Misdemeanant.

Questions? Contact BPA Health at 800-922-3406.

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Prior Provider Trainings Updated February 17, 2021
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Here is a list of some of our prior trainings.

 

BPA Health has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6910. Programs that do not qualify for NBCC credit are clearly identified. BPA Health is solely responsible for all aspects of the programs.

 

 

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SUD Application Guide Updated February 27, 2019
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12-11-19 SUD Assessment Standards Communication Updated December 11, 2019
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SUD Provider Staff Update Form Updated November 21, 2018
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You are now able to add and/or remove SUD Provider Staff via the link below.  Please remember that adding staff requires documentation to include a valid IDHW CHU Enhanced Background Check confirmation. More information is found on the form. Please contact us if you have any questions 1-800-688-4013.

BPA Health SUD Staff Update Form

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SUD Complaints Updated March 11, 2020
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To file a complaint, please fill in the form linked below.

SUD Complaint Submission Form

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SUD Provider Initial Application-Sample Updated September 26, 2018
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This document will allow you to preview the SUD application to assist you in preparing to complete the form.  To view the form, please click the download button.  To fill out the SUD Provider Initial Application, please click here.

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Funding Profile Form Instructions (SUD) Updated May 5, 2017
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Instructions for filling out the Funding Profile Form.

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EAP/BH Provider Network Updated June 10, 2020
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Welcome to BPA Health’s Employee Assistance Program (EAP) and Behavioral Health (BH) Provider Network Resource page.  BPA Health, with our focus on better instead of bigger, is ready to be an active partner with you in your work to improve people’s lives.

Below you will find essential links to additional information. Feel free to bookmark this page in your browser, as updated information will be posted here on an ongoing basis.

Questions? Contact BPA Health at 800-688-4013 or email us at [email protected].

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Funding Profile Form (SUD) Updated May 5, 2017
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Approved referral sources submit this form to BPA Health to request funding. See Funding Profile Instructions for additional information.

Access form here.

Access instructions here.

 

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SUD Appeals Submission Form Updated October 25, 2018
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This form is for use by SUD Network providers when submitting an appeal.

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Protected: SUD Telehealth Training (email [email protected] for password) Updated March 20, 2019
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This content is password protected. To view it please enter your password below:

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BPA Health SUD Provider Initial Application Updated August 23, 2018
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SUD Treatment and Case Management File Review Tool Updated July 31, 2020
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Here is the link to the SUD Treatment and Case Management File Review tool.

SUD Treatment and Case Management File Review Tool

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2-26-2020 BPA Health SUD Contract Provider Communication Updated March 2, 2020
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Communication from the Idaho Department of Health and Welfare regarding changes to the SUD Contract can be found here.

 

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SUD Add/Remove Address, Office Operations, and Specialty Attestation Form Updated November 28, 2018
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This form is used to add or remove an address, update office operations, update specialty attestation, and submit important documents.

 

https://www.cognitoforms.com/BPAHealth/SUDAddRemoveAddressForm

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Release of Information (ROI) Template Updated August 23, 2018
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This is a sample template for a standard release of information form.

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Provider Trainings Updated May 5, 2021
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BPA Health offers regular in person and web-based training for Providers in the BPA Health networks. Upcoming and archived trainings are listed below.

BPA Health has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6910. Programs that do not qualify for NBCC credit are clearly identified. BPA Health is solely responsible for all aspects of the programs.

Please direct concerns about BPA Health training  to the Complaints Department at BPA Health at 208-947-1290 or via fax to 208-344-7430. More information on our complaint policy and procedure can be found HERE.

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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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Inmate SUD Screening Guidelines Updated January 12, 2022
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IDHW-SUD Rate Matrix 8-16-2021 to Current Updated August 31, 2021
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To access the current IDHW SUD Rate Matrix please click here.

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IDOC-SUD Rate Matrix 8-16-2021 to Current Updated August 31, 2021
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To access the current IDOC SUD Rate Matrix please click here.

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IROC Tips Updated July 5, 2019
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Tips and guidelines for successful implementation of MAT services.

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IDOC Status Report Form and Q&A Updated May 20, 2020
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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 Status Report Form

 

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Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline Updated May 1, 2022
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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.

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

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IDJC JJ-SUD Rate Matrix August 2021 Updated August 31, 2021
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To access the current IDJC JJ SUD Rate Matrix please click here.

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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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SUD Housing Assistance Frequently Asked Questions (FAQ) Updated January 12, 2022
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SUD Housing Assistance Frequently Asked Questions (FAQ):

Q: Who is eligible?

A: Idaho residents who are currently taking part in SUD treatment services or have successfully completed SUD treatment within the last 90 days and meet income eligibility requirements.

Q: What does the program cover?

A:This program covers rent or mortgage assistance and utility payments including power, water, sewer, gas, and trash. Eligible participants can access the program for one or all of these services. Reimbursement is provided directly to the landlord/mortgage company, or utility company.

Q: How long does the program last?

A:Eligible participants who continue to meet program requirements can receive up to 6 months or $8,500.00 of assistance, whichever limit is reached first. 

Q: What information is needed to apply?

A: All the information needed is listed in the application. This includes some personally identifiable information. We use an online platform that meets HIPAA and 42 CFR security standards. Rent/mortgage and utility bills will be required, as payments are made directly to rent/mortgage and utilities companies.

Q: How can I apply?

A: Apply by filling out the application found HERE.

Q: Who can I contact for assistance?

A: BPA Health’s team of Specialists are here to assist you. Please call (800) 486-4372 during standard business hours.

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IDAPA 16.07.17 Substance Use Disorders Services Updated May 5, 2020
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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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12-19-2019 IDOC Provider FAQ Updated December 23, 2019
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FAQ regarding changes in funding and processes for IDOC clients post Medicaid expansion. The FAQ document can be found here.

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Idaho SUD Provider Stabilization Grant Program Updated February 7, 2022
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About the Program:

The Provider Stabilization Grant Program (PSGP) is designed to provide financial support to providers of substance use disorder (SUD) and recovery support services (RSS) who have experienced financial hardship due to the COVID-19 pandemic. Applicants must demonstrate lost revenue and incurred specific expenses during the period of March 1, 2020, through December 31, 2021. Calculated payments will be reduced by funds received during the same period through any of the COVID relief programs.  

Who is eligible to apply for this program?

Providers currently providing services funded by the Substance Abuse Treatment Block Grant are eligible for this grant program, which includes all providers currently in the BPA Health SUD network.  Specific eligibility requirements apply as outlined in the application and Terms and Conditions

How do I qualify? 

Potentially eligible providers must submit a complete application including: 

  • 2019-2021 tax returns (or 2019-2020 if 2021 tax return is not yet complete) 
  • 2019-2021 monthly financial statements 
  • Documentation of all supplemental COVID relief funds received 

Eligibility criteria and restrictions are detailed in the Terms and Conditions.  All application information is kept secure and confidential.

What is ‘lost revenue’ and how are payments calculated? 

“Lost revenue” refers to revenue a provider lost due to COVID-19. This may include revenue losses associated with fewer visits, cancelled procedures/services, increased agency costs directly attributed to the COVID-19 pandemic or government-directed shutdowns.  

Lost revenue will be estimated for the impact period (March 1, 2020 through December 31, 2021) by comparing total revenue from all sources in that period to an “average” month from the applicant’s historical baseline. Stabilization payments will be made of up to 33% of historical revenue, and not to exceed estimated revenue lost.  

Grant requests will be individually evaluated against the program criteria.  Grant applications may be partially or fully approved in accordance with program criteria.  Once all applications have been evaluated, a total eligible request amount will be determined.  

Important Dates: 

February 10 – April 8, 2022 – Application period open                                 

May 23 – June 3, 2022 – Funding period  

More information: 

Email us at [email protected].

Join us for a live Q&A session February 16 Noon – 1 PM on Zoom, linked here.

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SUD Housing Assistance Program Updated February 10, 2022
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This program offers financial assistance for housing and utility support to individuals who are participating, or recently completed, Substance Use Disorder (SUD) focused services.

 

The goal of the Substance Use Disorder (SUD) COVID-19 Housing Assistance Program (SUDHAP-19) is to assist SUD households who have experienced financial hardships due to the COVID-19 pandemic. The program provides rent, mortgage, and utility assistance for up to six months or $8,500 for each qualifying household or individual, whichever comes first. Funding is available on a first come first serve basis.

To qualify for this assistance applicants must:

1. submit completed application and copies of rent/mortgage and/or utility statements;

2. have provider verify that the applicant is currently enrolled in and attending substance use disorder treatment OR attest the applicant has successfully completed treatment in the past 90 days;

3. while receiving assistance, the applicant must submit by the 15th of the month statements of housing and/or utility bill(s) requesting payment for; and

4. If applicant is still in treatment the provider must submit the attestation form each month prior to receiving continued SUDHAP-19 funding, if applicant has completed treatment the applicant must check-in with BPA Health by the 15th of each month.

Housing Assistance Application Form

SUD Housing Assistance Program Provider Verification Letter

SUD Housing Assistance Frequently Asked Questions

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Request for Service and Assessment Submission form Updated January 4, 2022
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Request for Service and Assessment Submission Form

This form is to be completed by providers who are submitting substance use disorder assessments (i.e. CDAs) other than GAINs in WITS for review and consideration of authorization of SUD funded services, including those not covered by Medicaid. In-network providers who have completed a GAIN should consent within WITS and NOT use this form.

Please be aware that your client must first call BPA Health at 1(800) 922-3406 and be screened for funding eligibility. Once funding eligibility has been met, please complete and submit this online form.  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.

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Appeal (How to) Updated March 11, 2020
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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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List of Frequently Used EBPs in SUD Network Updated August 19, 2019
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List of Evidence Based Programs used by providers in BPA Health’s SUD Network.

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Print SUD Provider Updated October 7, 2015
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SUD Search Updated October 6, 2015
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08-11-2021 DHW Services While Applying for Medicaid Provider Communication Updated August 11, 2021
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Telehealth Considerations for Working with Those Experiencing Intimate Partner Violence – Webinar Updated May 15, 2020
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This webinar will discuss important considerations and resources for counselors prior to using telehealth with individuals who are experiencing domestic violence.

The Power Point can be found here.

 

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Evidence Based Practice Form (SUD) Updated May 15, 2020
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The purpose of this form is to inform BPA Health about the Evidence-Based Programs/Practices (EBP) you are offering at each of your locations. Make sure to complete for any EBPs you would like to add to your profile as well as those you are no longer offering.

To access the form, click here.

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08-02-2021 Res Rate Increase Memo for Res Providers Updated August 3, 2021
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Up-Front Recovery Support Services Memo Updated October 15, 2020
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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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Authorization for Use and Disclosure Updated April 19, 2022
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Online Authorization for Use and Disclosure form: https://www.cognitoforms.com/BPAHealth/authorizationforuseanddisclosure

Printable Authorization for Use and Disclosure form: Authorization for Use and Disclosure

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ISC Rate Matrix August 2021 Updated August 31, 2021
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To access the current Idaho Supreme Court Rate Matrix please click here.

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Provider Manual Updates Updated April 9, 2021
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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.

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RSS Guide to the Provider Manual Updated May 15, 2020
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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.

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IDHW Memo to IROC MAT Prescribers Updated February 15, 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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Autorizacion para el uso o revelacion Updated August 15, 2017
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Autorizacion para el uso o revelacion de informacion a la agencia/entidad aprobada.

Spanish Release of Information form.

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Leave Our Networks Updated June 7, 2022
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If you would like to be removed from the EAP or SUD Networks, please complete this brief form.

https://www.cognitoforms.com/BPAHealth/bpahealthprovidernetworkoptoutrequest

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Automatic Deposit Sign-up Form Updated June 1, 2022
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If you are an SUD Agency or EAP-BH Provider with BPA Health, we will electronically transfer funds directly into your account if you would like. Signing up for automatic deposits, also ensures a quicker turn-around time for you to receive your funds.

To sign up, please click below or click on the arrow above.

AUTOMATIC DEPOSIT SIGN-UP

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Safe and Sober Housing Code of Ethics Updated January 14, 2021
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All Safe and Sober Housing Providers are required to adhere to this Code of Ethics:
Code of Ethics

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BPA Health Provider Manual Updated May 29, 2020
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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.

 

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PWWC Checklist Updated May 29, 2020
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The PWWC Checklist must be completed for all State funded PWWC clients. Checklist can be accessed here.

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Co-occurring Assessment Form Updated May 15, 2020
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All treatment providers and sites in the BPA Health SUD network must be co-occurring capable. Be prepared to demonstrate these capabilities in a co-occurring assessment form. This form is required to be submitted at time of facility renewal as well as any time a provider believes they may have moved from Capable to Enhanced.

To access the form, click here.

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3-17-2020 COVID-19 Provider Notification Updated March 17, 2020
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10-7-2019 IROC Misdemeanor Probabtion Memo Updated November 11, 2019
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ADA Guidelines and Resources Updated May 5, 2019
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The Americans with Disabilities Act (ADA) guideline overview and resources for SUD Providers.

Resource information can be found here.

 

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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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SAMHSA Treatment Improvement Protocols Series (TIPS) Updated October 30, 2018
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Substance Abuse and Mental Health Services Administration’s (SAMHSA) Treatment Improvement Protocols (TIPS) are best practice guidelines for the treatment of substance use disorders, with manuals for clinicians, administrators and other service providers. The SAMHSA TIP Series can be found on their website.

 

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Waiver of Criminal History and Background Check Denial Updated September 13, 2018
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Please see the attached documents concerning the Waiver of Criminal History and Background Check Denials.

REQUEST FOR TRANSFER OF CRIMINAL HISTORY/BACKGROUND CHECK WAIVER

REQUEST FOR ADMINISTRATIVE REVIEW AND WAIVER

BACKGROUND CHECK WAIVER FREQUENTLY ASKED QUESTIONS

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IROC MAT Prescriber Services Memo Updated February 15, 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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IDHW General Consent for Release of Information Form Updated November 4, 2016
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20161104_Updated-IDHW-General-Release-Form

Release of information form for all State of Idaho funded substance use disorder treatment and recovery support services.

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Opioid Overdose Resuscitation Card Updated October 22, 2013
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Informational card on opioid overdose resuscitation.

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Idaho’s Behavioral Health Standards eManual Updated June 12, 2022
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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!

 

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Legal Disclaimer Updated June 1, 2022
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BPA Health’s Legal Disclaimer.

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Privacy Policy Updated June 1, 2022
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BPA Health’s Privacy Policy.

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YES Practice Manual Updated June 1, 2022
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The YES Practice Manual provides information on how the system of care is used in practice.  It is a guide for youth, families, and providers.

To view the YES Practice Manual, please click HERE.

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YES Principles of Care & Practice Model Updated June 1, 2022
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The Youth Empowerment Services (YES) Principles of Care & Practice Model is a guide for child-serving agencies/providers in the delivery and management of mental health services and supports for Class Members.

To view the YES Principles of Care & Practice Model, click HERE.

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W-9 Form Updated May 31, 2022
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Request for taxpayer identification number (TIN) for reporting on an information return (e.g., 1099-MISC) the amount paid.

Click here for W-9 fillable form

 

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AVISO DE LAS POLÍTICAS DE PRIVACIDAD Updated May 1, 2022
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Haga clic aquí para ver el Aviso de prácticas de privacidad

Notice of Privacy Practices in Spanish

 

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Recovery Support Service Funding Oppotunity Updated September 30, 2020
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Notice of Privacy Practices Updated September 14, 2020
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BPA Health’s Notice of Privacy Practices can be found here.

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Informed Consent Updated August 19, 2020
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Adverse Event Reporting Form Updated July 9, 2020
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All providers are required to report to BPA Health within 24 hours any incident or event that threatens the safe and efficient operations of BPA Health or any contracted provider, involving a client who received authorized services within the last thirty (30) days. Failure to comply with reporting requirements may result in sanctions.

The Adverse Event Reporting form can be accessed here.

A list of reportable events can be found here:

BPA Health may follow-up on adverse events for additional information.

 

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QEC Adolescent Residential Audit Tool Updated May 29, 2020
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The QEC (Quality and Effectiveness of Care) Adolescent Residential Audit tool can be found here.

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SSH Audit & Walk-through Tool Updated May 29, 2020
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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.

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Authorization Approval Guide Updated May 15, 2020
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Tips for authorization approval can be downloaded  here.

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National Institute of Corrections Updated May 5, 2020
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Link to the National Institute of Corrections website for information and best practices for corrections programs and clients.

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Tips for Survivors – Grief Updated May 5, 2020
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SAMHSA’s tips for survivors coping with grief after a disaster or traumatic event. Access here.

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IDOC Funding Information Updated June 27, 2019
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ISC Funding Information Updated June 27, 2019
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To view this information, please use the download button on the right.

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PWWC Funding Information Updated June 27, 2019
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PWWC funding information can be found here..

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IDJC Funding Information Updated June 27, 2019
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To view this information, please use the download button on the right.

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Adverse Action Appeal (How To) Updated June 13, 2019
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This document includes instructions on how to submit an adverse action appeal to BPA Health. Adverse actions include suspension or termination.

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IROC Funding Information Updated April 6, 2019
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To view this information, click here.

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Our Contact Information Updated November 27, 2015
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BPA Health Corporate Headquarters

Address:  8050 W. Rifleman St., Ste. 100, Boise, ID 83704

Corporate Fax: (208) 344-7430


EAP Members & Employers

Contact our Customer Service Department at (800) 726-0003

Student & Family Assistance Program (SFAP)

Contact our Customer Service Department at (833) 935-3816


Customers, Brokers, Consultants & Visitors

Contact our Customer Relations Department at (800) 211-9477 or [email protected].

For an EAP quote, click here.


Providers

Contact our Provider Relations Department at (800) 688-4013 or [email protected].


State of Idaho Substance Use Disorder Treatment Clients

For information about benefits funded by the Idaho Department of Health & Welfare, Idaho Department of Correction, Idaho Department of Juvenile Corrections or the Idaho Supreme Court, Drug Court or Problem Solving Court, call (800) 922-3406.

SUD Fax: (208) 947-4392.


Hearing and Speech Impaired or Interpreter Services

Please note:  For hearing and speech impaired callers can use TTY or dial 711 from your telephone to be automatically connected to a TRS operator. Additional information on 711.  For callers needing interpreter services, you may access it by calling (800) 922-3406. Interpreter services are available for any language. Written information is available in English and Spanish.

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Fraud, Waste or Abuse

Fraud, waste, or abuse may be reported directly to BPA Health by emailing [email protected].  Fraud, waste, or abuse may also be reported to a third-party anonymous and confidential reporting service by calling (855) FRAUD-HL ((855) 372-8345) or online at www.FRAUDHL.com using the company ID: BPAHealth.


General Inquiries

Please note: Our general inbox is not regularly monitored.  If you have a question specific to programs or services provided by BPA Health, please contact us directly using the options listed above.

Phone:  (800) 486-4372
E-mail:  [email protected]

COMPLAINTS