Forms & publications

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Substance Use Disorder Billing Guide (FFS benefits provided outside of the BHO process) (2016-07-01)

Provider billing guide

Substance Use Disorder Billing Guide (FFS benefits provided outside of the BHO process) (2016-10-01)

Provider billing guide

Substance Use Disorder Billing Guide (FFS benefits provided outside of the BHO process) (2017-01-01)

Provider billing guide

Substance Use Disorder Billing Guide (FFS benefits provided outside of the BHO process) (2017-07-01)

Provider billing guide

Substance Use Disorder Billing Guide (FFS benefits provided outside of the BHO process) (2017-10-01)

Provider billing guide

Substance Use Disorder Billing Guide (FFS benefits provided outside of the BHO process) (2018-01-01)

Provider billing guide

Substance Use Disorder Billing Guide (FFS benefits provided outside of the BHO process) (2018-04-01)

Provider billing guide

AI/AN substance use disorder (SUD) FFS rates

Rates

Authorization for ambulance/secure transportation under the Involuntary Treatment Act (ITA)

42-0003

Use this form for mental health transports and for substance use disorder transports.

Form

Consent to coordinate care and treatment form

60-0018

Fillable form for patient substance use disorder information sharing consent

Form

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