Preferred Practice Guidelines - Draft
subject to revision

Documents and Forms
PPGs with ROSC principles

Treatment MIS Manual, Forms and Codes

Documents and Forms
Provider Contract Training 6/26/17
Performance Improvement Project (PIP)
SFY2019 State Division Directives with Updated MCOT Language
SFY2015 Documentation Requirements
FY19 Treatment Rate Table
SUD UM Submission Form
FY2017 Budget Form
Referral to VBH Forensics for Medication Evaluation
Referral to VOA - Cornerstone for Medication Evaluation
ASAM Assessment Tool
SUD UM Policy
UM Policy Funding Chart
HIPAA/HITECH Training

Financial - Co-Pay Schedule

Documents and Forms
FY19 Treatment Fee Schedule
FY19 Treatment Fee Policy
FY19 DUI Fee Schedule

Notice of Action & Appeal forms

Documents and Forms
Actions That Require a Notice of Action
Notice of Action Template to Decrease or End Services
Appeal Instructions to Action to Decrease or End Services
Notice of Action Template for All Other Actions
Appeal Instructions to Action for All Other Actions
Appeal Request Form