For Contractors and Providers
Authorization Information - Inpatient:
Community Psychiatric Inpatient Authorization - Contacts
Forms:
Final Transportation Authorization (PFID)
Global Appraisal of Individual Needs Short Screener (GAIN SS) -- ENGLISH
Global Appraisal of Individual Needs Short Screener (GAIN SS) -- RUSSIAN
Global Appraisal of Individual Needs Short Screener (GAIN SS) -- SPANISH
Global Appraisal of Individual Needs Short Screener (GAIN) -- License Agreement
Petition for 90 Day LRA for Adult
Petition for 180 Day LRA for Adult
Petition for 180 Day LRA for Minor
Petition for Initial Detention (PFID)
Petition for Initial Detention (PFID) -- Non Emergency
Physician/Mental Health Professional Declaration
Projects for Assistance in Transistion from Homelessness (PATH) -- Application
Provider Certification Application
Provider Licensing Application
Agency Certification
Assessment:
Billing Instructions
- A-19 Billing Forms for Outpatient Services
- Medicaid Outpatient Treatment and Detox Services
- Provider One Payment System
- Residential Billing Instructions
- Services to Chemical-Using Pregnant (CUP) Women
Budget (2013 Supplemental Pending)
Contracts
- 2011-2013 Budget, Accounting and Reporting System (BARS)
- DSHS Contract with County Programs
- Frequently Asked Questions - 2009-2011 Contracts
Implementation
- ABCs of ADATSA
- Federal Poverty Guidelines
- Medicaid requirements for investigating fraud and abuse: Program Integrity
- Urinalysis Testing Requirements
Forms
Planning
Policies
Reporting
- County Treatment Reports: Performance-Based Contracts
- County Treatment Report Schedule
- County Prevention Report Schedule
- Performance-Based Prevention System (PBPS): To schedule a training, contact your DBHR Prevention Manager or Bill Stahl: bill.stahl@dshs.wa.gov. PBPS Users Manual.
- TARGET (Treatment and Assessment Report Generation Tool)
Resource directory for serving DSHS clients
Technical Assistance
- Website for prevention professionals: www.theathenaforum.
