Contracts / Request for Information (RFI) Information

Note - The following contains everything needed to prepare for your monitoring visit.  

Provider Monitoring Tool

  1. Monitoring Tool (PDF)

Note - Stakeholders will be notified when this information is available.   

Request for Information (RFI) & Budget Forms

  1. American Society of Addiction Medicine Level 1 Assessment (PDF)
  2. American Society of Addiction Medicine Level 2.1 Assessment (PDF)
  3. American Society of Addiction Medicine Level 2.5 Assessment (PDF)
  4. Commission Reimbursed Rates 2021 to 2022 (DOCX)
  5. HDA310 Budget Form (XLS)
  6. HDA311 Budget Form (Cost Reimbursed Contracts Only) (XLS)
  7. RFI Form and Instructions (Outpatient Only) 2021-2022 (DOC)