Documents & Resources
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].
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.
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.
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.
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.
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].
To access the current IDHW SUD Rate Matrix please click here.
To access the current IDHW SUD Rate Matrix please click here.
Approved Mental Health Court referral sources. Submit this form to BPA Health to request funding.
To access the current IDOC SUD Rate Matrix please click here.
This form is for use by SUD Network providers when submitting an appeal.
To access the current IDHW SUD Rate Matrix please click here.
To file a complaint, please fill in the form linked below.
This is a sample template for a standard release of information form.
Here is the link to the SUD Treatment and Case Management File Review tool.
Communication from the Idaho Department of Health and Welfare regarding changes to the SUD Contract can be found here.
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
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.
Tips and guidelines for successful implementation of MAT services.
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:
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.
Call 1-800-662-HELP (4357).
To access the current IDJC JJ SUD Rate Matrix please click here.
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.
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. List of updates can be found here.
Link to the Idaho Department of Health and Welfare’s IDAPA rule 16.07.17 for Substance Use Disorders Services
FAQ regarding changes in funding and processes for IDOC clients post Medicaid expansion. The FAQ document can be found here.
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.
Thank you for your interest in the Housing Assistance Program. This program is currently at capacity and closed to first time participants. Please continue to check our website for additional updates regarding the Housing Assistance Program. If you have already been approved for the program by BPA Health, you can continue to submit the continued requests for assistance.
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 QuestionsThis document includes instructions on how to submit an appeal to BPA Health. SUD Network providers, please see the associated SUD Appeals Submission Form.
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.
List of Evidence Based Programs used by providers in BPA Health’s SUD Network.
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.
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.
Autorizacion para el uso o revelacion de informacion a la agencia/entidad aprobada.
Spanish Release of Information form.
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
IDHW Memo sent to IROC MAT Prescribers. Includes a form that outlines the process for prescribers when working with funded clients
All Safe and Sober Housing Providers are required to adhere to this Code of Ethics:
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.
Informational card on opioid overdose resuscitation.
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.
The Americans with Disabilities Act (ADA) guideline overview and resources for SUD Providers.
Resource information can be found ADA_Overview_final2017
If you would like to be removed from the EAP or SUD Networks, please complete this brief form.
https://www.cognitoforms.com/BPAHealth/bpahealthprovidernetworkoptoutrequest
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.
The PWWC Checklist must be completed for all State funded PWWC clients. Checklist can be accessed here.
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.
Please see the attached documents concerning the Waiver of Criminal History and Background Check Denials.
REQUEST FOR TRANSFER OF CRIMINAL HISTORY/BACKGROUND CHECK WAIVER
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.
20161104_Updated-IDHW-General-Release-Form
Release of information form for all State of Idaho funded substance use disorder treatment and recovery support services.
The BPA Health Provider Manual, published in October, 2022.
This document includes instructions on how to submit an appeal related to Provider Network and Credentialing Committee Decisions to BPA Health. These include suspension or termination decisions.
SAMHSA’s tips for survivors coping with grief after a disaster or traumatic event. Access here.
BPA Health’s Notice of Privacy Practices can be found Here
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.
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!
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.
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.
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
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.
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.
To view this information, click here.
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.
________________________________________________________________________________________________________
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]
English
Afrikaans
Arabic
Bengali
Bosnian
Chinese (Simplified)
Croatian
Dutch
French
German
Italian
Kurdish (Kurmanji)
Nepali
Portuguese
Russian
Slovak
Slovenian
Spanish
Swahili