Information for Providers
Behavioral Health and Recovery Division
Policies and Procedures
Most policies and procedures for BHRD can be found in the Provider Manual (see below).
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Information management system policies and procedures are not located in the Provider Manual, and can be found by following the links below.
- Attachment A: Summary of Attributes
- Attachment B: Data Dictionary
- Attachment C: HIPAA Trading Partner Agreement
- Attachment D: Provider Trading Partner Agreement 837
ISAC Manual Link:
Note: Link has restricted access.
Financial Management
Forms
- SUD residential treatment authorization request cover sheet
- Consent for substance use disorder client lookup
- Authorization for disclosure and use of substance use disorder protected health information
- Authorization to disclose and redisclose substance use disorder protected health information
(Updated 4/12/2021)