DEBS Resources

Resource Documents

New Vendor Enrollment Documents

• Request for Taxpayer Identification Number and Certification
• Automated Direct Deposit Authorization Agreement
• DMHA Electronic Billing System – Designated Agency Agreement

Patient Documents

• Consent for the Release of Information under 42 C.F.R. PART 2

Business Rules & Appendices

• DEBS Business Rules 4.0
• DEBS Appendix A V2.3 (Jail Treatment)
• DEBS Appendix B V2.0 (SUPTRS)
• DEBS Appendix C (Life Skills for New Mothers)
• DEBS Appendix D (Recovery Residences-SOR)
• DEBS Appendix F (GPRA Follow-up Incentive-SOR)

SUPRT A/C Forms (SOR) coming soon

Training Resources

• Adding a New Facility User Checklist
• Adding a New Client Checklist
• Login, Dashboard, and Adding a New Client video
• DEBS Refund Instructions

GPRA Guidance (SOR Only)

• Adding a New GPRA in DEBS Checklist
• Adding a new GPRA video
• GPRA Interview Guidance

SUD Treatment Providers (SOR Only)

• SUD Treatment Claims Checklist
• SUD Treatment Claims Video - Coming soon!

Recovery Residences (SOR Only)

• Recovery Residences Claim Checklist
• Recovery Residence Claims Video - Coming soon!

GPRA Collection Incentives (for Select SOR Providers)

• GPRA Incentive Claims Checklist
• GPRA Incentive Claims Video - Coming soon!