Policies and Procedures

Scroll down for Prevention, Fiscal and Miscellaneous information.

  1. Case Management/Treatment
  2. Prevention
  3. Fiscal
  4. Universal
  1. CMCS 1 Application of the LCDAC Policies and Procedures
  2. CMCS 1A MISC Items for Contracted Providers
  3. CMCS 2 Payor of Last Resort
  4. CMCS 3 Priority Populations rvsd 07102023
  5. CMCS 4 Screening for Emergent Care
  6. CMCS 5 Overview of Interim Services for Pregnant Women, Women who use Substances, and PWID
  7. CMCS 6 Written Procedures by Service Providers Outlining Protocols for the Interim Period Before Admit Into Recommended LoC
  8. CMCS 7 Policy: Interim Services for PREGNANT WOMEN needing a REFERRAL TO PRENATAL CARE
  9. CMCS 8 Policy: Interim Services for PREGNANT WOMEN needing HIV & TB COUNSELING & EDUCATION SERVICES
  10. CMCS 9 Policy: Interim Services for Pregnant Women Who Need EFFECTS OF SUBSTANCE USE ON THE FETUS COUNSELING & EDUCATION SERVICES
  11. CMCS 10 Policy: Interim Services for PWID Needing HIV & TB COUNSELING & EDUCATION SERVICES
  12. CMCS 11 Ancillary Treatment Services for Pregnant Women and Women with Children
  13. CMCS 11a Policy: List of Ancillary Services for Pregnant Women and Women with Children
  14. CMCS 11b Policy: List of Childcare Services and Resources for Women with Children
  15. CMCS 12 Veterans As A Priority Population
  16. CMCS 13 Outreach for PWIDs
  17. CMCS 13a Harm Reduction Policy
  18. CMCS 14 Warm Handoff Responsibilities During ALL Services
  19. CMCS 15 Warm Handoff for Overdoes Survivors
  20. CMCS 16 Case Management Overview
  21. CMCS 16A Case Management Overview For Grant Funded CMs Embedded in the OP LOC rvsd
  22. CMCS 16B Provider Responsibility When Hiring a CM and or Filling a Vacated Position
  23. CMCS 17 Case Management Recordkeeping Requirements rvsd 05192023
  24. CMCS 17A Encounter Notes for Case Management Services
  25. CMCS 17B Recovery Plan Case Management Service Plan
  26. CMCS 18 Coordination of Services
  27. CMCS 19 State of PA Alignment to The ASAM Criteria 2013 rvsd 07102023
  28. CMCS 20 Identified Levels of Care Aligned with the ASAM Criteria 2013
  29. CMCS 21 Withdrawal Management Services
  30. CMCS 22 Assessment and LOC Placement Determination rsvd 07102023
  31. CMCS 22A Communicable Disease Screening and Referral Services rvsd 0710023
  32. CMCS 22B Persons Involved with the Criminal Justice System
  33. CMCS 23 Specific Considerations Prior to Placement
  34. CMCS 24 Funding Authorization Process
  35. CMCS 25 Request for Extension of Funding Authorization
  36. CMCS 26 WITS Requirements and Other Required Client Forms OP, IOP, PHP rvsd 05222023
  37. CMCS 26A WITS Requirements etc 4WDMS and residential LOC placements
  38. CMCS 26B Outcome Measures A Module in WITS
  39. CMCS 27 Prescribed Medications for Substance Use Disorders rvsd 07102023
  40. CMCS 28 Non-Conditional Service Agreement
  41. CMCS 29 Medical Assistance Applications
  42. CMCS 30 LCDAC Funding and or Service Limitation Notification
  43. CMCS 31 Service Provider 90 Percent Capacity Notification
  44. CMCS 32 CLAS Culturally and Linguistically Appropriate Services
  45. CMCS 33 Core Training Requirements rvsd 07102023
  46. CMCS 34 Supervision and Staffing Qualifications rvsd 07102023
  47. CMCS 34a Resume Submission Required for Treatment Clinical Staff
  48. CMCS 35 Grievance and Appeal Process
  49. CMCS 36 Confidentiality
  50. CMCS 36a Confidentiality Statement for Staff Signature
  51. CMCS 36b Elements of a Written Valid Consent Form rvsd 07202023
  52. CMCS 37 Process to File a Complaint with LCDAC
  53. CMCS 37a Complaint Form
  54. CMCS 38 Attestation Related to Medical Marijuana rvsd 08032021
  55. CMCS 39 Charitable Choice
  56. CMCS 40 Training Reimbursement for Outpatient Treatment Providers
  57. CMCS 40a Core Training Invoice rvsd 101323
  58. CMCS 40b Non-Core Training Invoice Rev. 101323
  59. CMCS 41 Transportation Through the Case Management Provider
  60. CMCS 44 LCDAC Provider Meetings
  61. CMCS 46 Unusual Incident Reporting
  62. CMCS 45 LCDAC Provider Monitoring