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
- Frequently Asked Questions (FAQs) by Clients
- 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 E (SUD Treatment-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)
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!
