Substance Abuse Prevention and Control
Manuals, Bulletins, and Forms
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Manuals & Guides
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Subject Date - Companion Guide HIPAA 837P02/01/24
- Companion Guide HIPAA 837I03/06/23
- Provider Manual for Substance Use Disorder Treatment Services06/18/26
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SBAT Training Video: Availability Dashboard 10/26/21
- SBAT Training Slides: Availability Dashboard10/26/21
- SBAT Training: Availability Dashboard Q&A10/26/21
- CENS Standards and Practice
- CENS Standards and Practice08/03/21
- CENS Screening Referral Treatment Follow-up Form08/03/21
- CENS Flyer08/03/21
- CENS Spanish Flyer08/03/21
- CENS ASAM Triage Tool08/03/21
- CENS Youth Screener08/03/21
- CENS Staffing Plan08/03/21
- CENS Monthly Invoice08/03/21
- CENS Performance Measures and Outcomes Report08/03/21
- CENS PCNX Documentation Guide11/06/23
- CENS Standards and Practice
- DUI user manual 12/13/20
- DUI Quick Reference Guide 12/13/20
- TCPX Quick Reference Guide 12/13/20
- Service and Bed Availability Tool (SBAT) User Manual07/06/23
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SBAT Training Video: New Intake Availability Functions11/18/19
- SBAT Survey Webinar 2018/1905/29/18
- Sage Sample LACPRS/CalOMS Data File(Right-click and select "Save target as..." to download the file) 12/06/17
- ASAM Levels of Care and Dimensions: Youth and Adults08/13/15
- Bridging the Gap Between SUD Care Providers and NIMBY Neighbors - A Best Practice Toolkit05/13/26
- Bridging the Gap Between SUD Care Providers and NIMBY Neighbors Two-Page Brief06/02/26
Contract Bulletins
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Bulletins 2026
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Subject Date -
26-12 FY 26-27 Bilingual Bonus Capacity Building Project07/23/26
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Attachment 1: Attestation Form07/23/26
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Attachment 2: FAQ07/23/26
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Attachment 1: Attestation Form
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26-11 Interoperability and Patient Access Final Rule – SAPC
Patient Access System Processes07/01/26
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26-10 Revised: Substance Use Disorder Treatment Services Provider Manual
Version 11.006/18/26
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SAPC IN 26-09 Prevention Reimbursement Changes and Prevention
Incentive Program06/03/26
- 26-08 Rates Matrix
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SAPC IN 26-08 FY 2026-27 Rates06/26/26
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FY 26-27 Rates Matrix and Code Changes05/28/26
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FY 26-27 DMC-ODS Rates Matrix v1.108/11/26
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FY 26-27 JI FFS Rates Matrix07/07/26
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SAPC IN 26-08 FY 2026-27 Rates
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26-07 Homekey+ Permanent Supportive Housing05/19/26
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Attachment I: SAPC HomeKey+ Referral Form05/19/26
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Attachment II: SAPC Homeless Verification Form05/19/26
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Attachment III: Authorization for the Use and Disclosure of
Health and Social Service Information (Adult)05/19/26
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Attachment IV: Companion to the Authorization for the Use and
Disclosure Information (Adult)05/19/26
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Attachment I: SAPC HomeKey+ Referral Form
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26-06 Implementation of Fiscal Reporting Process for All Substance Abuse
Prevention and Control Bureau05/20/26
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26-05 Annual Fiscal Compliance Reviews for Substance Use Prevention,
Harm Reduction, Treatment,
and Related Service Agreements05/05/26 -
26-04 Los Angeles County Systems and Applications – Provider Agency User
Account Administration Form04/08/26
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26-03 The ASAM Criteria 4th Edition Residential Capacity Building
Program02/19/26
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Attachment I: ASAM Criteria 4th Edition Residential Capacity
Building Program Implementation Plan Template02/19/26
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Attachment II: SAPC Definitions for COD Clients02/19/26
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Attachment IIa: COD Clients - Designated ASAM Dimension 3 Items
- Adult and Youth ASAM Assessments02/19/26
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Attachment IIb: COD Clients - Designated ASAM Dimension 3 Items
- Adult ASAM Report02/19/26
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Attachment IIc: COD Clients - Designated ASAM Dimension 3 Items
- Adult ASAM Assessment02/19/26
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Attachment I: ASAM Criteria 4th Edition Residential Capacity
Building Program Implementation Plan Template
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26-02 Coverage for Clients who are Ineligible for Federally Funded
Substance Use Disorder Treatment Services01/29/26
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26-01 Revised: Field-Based Services in Non-Clinical Settings01/12/26
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Bulletins 2025
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Subject Date -
SAPC IN 25-17 RYSE Initiative - Pillar II: Update the Program12/15/25
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Attachment I: Project Approval Form12/15/25
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Attachement II: Start-up Funds Invoice12/15/25
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Attachment I: Project Approval Form
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SAPC IN 25-16 Housing Navigation Services11/26/25
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25-15 Grocery One-Time Support Initiative11/05/25
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25-14 Child-Friendly Environments in the Pregnant and Parenting Women
Treatment Network10/03/25
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25-13 Emergency Preparedness Plan09/10/25
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25-12 Provider Manual 10.008/13/25
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25-11 Requirements for Appointment and Referral Dispositions08/13/25
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25-10 R95 Enhancement Activities07/01/25
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25-09 FY 2025-26 SAPC Rates06/12/25
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25-08 Fiscal Reporting06/10/25
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25-07 Fiscal Compliance Reviews06/05/25
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25-06 RYSE Initiative Pillar I RESET05/19/25
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25-05 CalAIM Post-Release Linkage Process05/07/25
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25-04 Recovery Housing04/16/25
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Attachment I: RH Intake Form04/16/25
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Attachment II: RH Discharge Form04/16/25
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Attachment III: RH Bed Claim Submission Form04/16/25
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Attachment IV: RH Billing Procedure04/16/25
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Attachment I: RH Intake Form
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25-03 Budget Format for Substance Use Services Agreements and Contract01/31/25
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Attachment I: Budget Instructions01/31/25
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Attachment II: Budget Narrative02/26/25
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Attachment III: Budget Revision Worksheet 03/11/25
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Attachment I: Budget Instructions
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25-02 FY 24-25 Rates and Payment Policy Updates01/31/25
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25-01 RBH Services Home Improvement Funds01/31/25
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Bulletins 2024
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Subject Date -
24-10 - Pregnant and Parenting Women Expanded Recovery Bridge Housing
Benefit 12/18/24
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24-09 - COVID-19 and Influenza Vaccination Requirements, Masking
Guidance, And Reporting Responsibilities10/18/24
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24-08 - Revised: Substance Use Disorder Treatment Services Provider
Manual Version 9.010/07/24
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24-07 Recovery Bridge Housing - Home improvement Funds
(Discontinued)02/10/25
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24-06 - Bridge Family Supportive Services Program09/23/24
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24-05 Budget Format For Substance Use Services Agreements and Contracts
(Discontinued)02/10/25
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24-04 Fiscal year 2024-2025 Rates and Payment Policy Updates
(Discontinued)02/10/25
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24-03 - Withdrawal Management Standards in the SAPC Treatment Network07/02/24
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24-02 - Requirements for Ensuring Culturally and Linguistically
Appropriate Service05/16/24
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24-01 - Addiction Medication Access in the SAPC Treatment Network01/05/24
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Attachment A - Patient Information About Addiction Medications01/05/24
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Attachment B - Required Addiction Medications07/16/24
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Attachment C - Patient Eligibility for Addiction Medications01/05/24
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Attachment D - Administration, Storage, and Disposal of
Addiction Medications01/05/24
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Attachment E - Addiction Medication Training Requirements for
Staff01/05/24
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Attachment F - Accessing Addiction Medications in Los Angeles
County01/05/24
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Attachment G - Incidental Medical Services01/05/24
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Optional Policy Template A for Non-Residential Non-OTP Treatment
Sites01/05/24
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Optional Policy Template B for Residential and Inpatient
Treatment Sites01/05/24
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Optional Policy Template C for Opioid Treatment Program Sites01/05/24
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Attachment A - Patient Information About Addiction Medications
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Bulletins 2023
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Subject Date -
23-15 - Revised: Substance Use Disorder Treatment Services Provider
Manual Version 8.012/28/23
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23-14 - Revised: Field-Based Services in Non-Clinical Settings
(Discontinued)12/20/23
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Attachment I - FBS Standards and Practices
(Discontinued)01/07/25
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Attachment II - FBS Application Instructions
(Discontinued)02/22/24
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Attachment III - FBS New Application Form
(Discontinued)12/20/23
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Attachment IV - Field Safety Plan Sample
(Discontinued)12/20/23
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Attachment V - FBS Renewal Form
(Discontinued)12/20/23
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Attachment I - FBS Standards and Practices
(Discontinued)
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23-13 - Client Engagement and Navigation Services (CENS) Providers
to Add Recovery Services Benefit11/30/23
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23-12 - California Advancing and Innovating Medi-Cal Provisions11/03/23
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23-11- COVID-19 and Influenza Vaccination Requirements ,Masking
Guidance, and Reporting Responsibilities
(Discontinued)10/13/23
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23-10 - Implementation of Fiscal Reporting Process for All Substance
Abuse Prevention and Control
Bureau Services Providers10/12/23 -
23-09 - Driving Under the Influence Participant Fees and Financial
Assessments09/15/23
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23-08 - Effective Communications with SAPC Network09/01/23
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SAPC Listserv Update Form09/01/23
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Corporate Information Form09/01/23
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SAPC Listserv Update Form
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23-07 Fiscal Year 2023-2024 Rates and Payment Policy Updates
(Discontinued)06/22/23
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SAPC FY 23-24 Capacity Building Package
(Discontinued)04/16/24
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SAPC FY 23-24 Incentives Package
(Discontinued)04/16/24
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Invoice 1 SAPC FY 23-24 Capacity Building Start-Up Funds
Attestation (Discontinued)03/29/24
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Invoice 2 SAPC FY 23-24 Capacity Building Deliverable-Based
Efforts (Discontinued)05/09/24
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Invoice 3 SAPC FY 23-24 Incentives Verification
(Discontinued)05/09/24
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Rates Standards Matrix FY 23-24 (Discontinued)03/26/24
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SAPC FY 23-24 Capacity Building Package
(Discontinued)
- 23-06
Recovery Incentives Program Pilot: Contingency Management Benefit05/26/23
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Contingency Management Invoice09/13/23
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Contingency Management Invoice
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23-05 Provider Staffing Guidelines05/04/23
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Provider Staffing Guidelines Grid05/04/23
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Provider Staffing Guidelines Grid
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23-04 Certified Peer Support Specialist Program 05/01/23
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23-03 COVID-19 Vaccination Requirements and Responsibilities
(Discontinued)04/06/23
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23-02 Information System Requirements03/23/23
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23-01 30-Day Pending Medi-Cal Enrollment01/30/23
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Bulletins 2022
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Subject Date -
22-19 California Advancing Innovations in Medi-Cal (CalAIM)
Documentation Standards and Requirements12/23/22
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22-18 COVID-19 Vaccination Requirements and Responsibilities
(Discontinued)11/27/22
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22-17 Early Intervention Services for Youth and Young Adults: Updates on
Required ASAM Screener and Training Requirements10/20/22
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22-16 Revised: Substance Use Disorder Treatment Services Provider Manual
Version 7.0 (Discontinued)09/29/22
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22-15 Compliance with Economic Sanctions Imposed in Response to Russia’s
Actions in Ukraine08/08/22
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22-14 Requesting Amendments to Existing Service Contracts and Agreements08/03/22
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Contract Amendment Form08/03/22
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Contract Amendment Form
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22-13 Fiscal Year 2022-2023 Rates and Payment Policy Updates
(Revised - October 2022)08/03/22
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22-12 Integrating Sexual and Reproductive Health Specialists in
Substance Use Disorder Treatment Settings Project 06/30/22
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22-11 COVID-19 Federal Public Health Emergency - Residential Outbreak
Payments (Discontinued)06/16/22
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CROP Request Form (Discontinued)06/07/22
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CROP Request Form (Discontinued)
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22-10 Commitment to Identify, Prevent and Respond to Fraud, Waste and
Abuse 05/26/22
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22-09 Harm Reduction Syringe Services Program Certification 05/09/22
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22-08 COVID-19 Vaccination Requirements and Responsibilities
(Discontinued)04/30/22
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22-07 Revised: Substance Use Disoder Treatment Services Provider Manual
Version 6.0 (Discontinued)03/31/22
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22-06 County of Residence Model10/03/24
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Courtesy Dosing Claim Form10/03/24
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Courtesy Dosing Claim Form
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22-05 Youth Enhancement Services Project03/31/22
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22-04 Medications for Addiction Treatment Access in the SAPC Treatment
Network (Discontinued)01/27/22
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22-03 Requesting Amendments to Existing Service Contracts and Agreements
(Discontinued)01/27/22
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22-02 COVID-19 Vaccination Requirements and Responsibilities
(Discontinued)01/04/22
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22-01 Novel Coronavirus (COVID-19) Response
(Discontinued)01/04/22
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Bulletins 2021
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Subject Date -
21-09 Fiscal Year 2021-2022 Rates and Payment Policy Updates
(revised September 2022)09/26/22
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Perinatal Rates Matrix Fiscal Year 2021-2022
(revised September 2022) 09/26/22
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Standard Rates Matrix Fiscal Year 2021-2022
(revised September 2022) 09/26/22
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Youth Rates Matrix Fiscal Year 2021-2022
(revised September 2022) 09/26/22
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Perinatal Rates Matrix Fiscal Year 2021-2022
(revised September 2022)
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21-08 Novel Coronavirus (COVID-19) Response
(Discontinued)10/07/21
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21-07 COVID-19 Vaccination Requirements and Responsibilities
(Discontinued)09/30/21
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21-06 Novel Coronavirus (COVID-19) Response
(Discontinued)07/01/21
-
21-05 Fiscal Year 2021-2022 Rates and Payment Policy Updates
(Discontinued)08/04/21
-
21-04 Effective Communications with SAPC Network
(Discontinued)04/19/21
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21-03 Credentialing Staff03/25/21
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21-02 Medi-Cal Enrollment Transfer (30-Day) Policy
(Discontinued)01/21/21
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21-01 Novel Coronavirus (COVID-19) Response
(Discontinued)01/12/21
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Bulletins 2020
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Subject Date -
20-13 Charitable Choice Referral and Reporting Process12/29/20
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20-12 Staff Code of Conduct and Description of Duties12/21/20
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20-11 Member Authorization Submission09/30/20
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20-10 Fiscal Year 2020-2021 Rates and Payment Policy Updates 07/08/20
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20-09 Revised: Substance Use Disorder Treatment Services Provider Manual
Version 5.0 (Discontinued)07/02/20
-
20-08 Novel Coronavirus (COVID-19) Response
(Discontinued)07/01/20
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20-07 Claim Denials and Cost Reporting Processes 06/18/20
-
20-06 Novel Coronavirus (COVID-19) Response
(Discontinued)01/12/21
-
20-05 Novel Coronavirus (COVID-19) Response
(Discontinued)04/20/20
-
20-04 Novel Coronavirus (COVID-19) Response
(Discontinued)04/01/20
-
20-03 Novel Coronavirus (COVID-19) Response
(Discontinued)03/19/20
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20-02 Youth Enhancement Services Pilot (Discontinued)03/05/20
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20-01 Mandatory Medicare Enrollment for Opioid Treatment Programs01/10/20
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Bulletins 2019
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Subject Date -
19-08 Transitional Payment Information Notice11/20/19
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Transitional Payment Invoice11/20/19
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Transitional Payment Request Form11/20/19
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Transitional Payment Invoice
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19-07 Provider Staffing Guidelines (Discontinued)11/12/19
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19-06 Field Based Services (Discontinued)11/01/19
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19-05 Notice of Adverse Benefit Determination11/01/19
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19-04 Naloxone Administration and Availability11/01/19
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19-03 Fiscal Year 2019-2020 Rates (Discontinued)08/08/19
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19-02 Provider Staffing Guidelines (Discontinued)04/01/19
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19-01 Hepatitis A, B, and C Virus Program11/17/19
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Bulletins 2018
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Subject Date -
18-13 Residential Treatment Programs12/20/18
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18-12 Revised START-ODS Service Reimbursement Rates12/20/18
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18-11 Pregnant and Parenting Women Services09/20/18
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18-10 New Contract Requirements08/15/18
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18-09 Fiscal Audits (Discontinued)08/15/18
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18-08 Electronic Payments for All County Contractors07/30/18
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18-07 Member Authorizations07/05/18
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18-06 Provider Incentive Pilot Program06/05/18
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18-05 Residential Programs05/29/18
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18-04 Out-of-County Facilities05/29/18
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18-03 Culturally and Linguistically Appropriate Service Requirements
(Discontinued)06/19/18
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18-02 Provider Staffing Guidelines (Discontinued)04/26/18
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18-01 Recovery Bridge Housing 03/28/18
- RBH
Inquiry Guide05/17/19
- RBH
Inquiry Guide
-
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Bulletins 2017
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Subject Date -
17-14 County of Residence Model10/03/24
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Excel attachment (Discontinued)02/26/18
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Excel attachment (Discontinued)
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17-12 Billing for Youth Treatment and Prevention Services03/05/18
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17-11 Sage Outage Procedure11/21/17
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17-10 START-ODS Perinatal Services11/15/17
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17-09 Service Cost Reconciliation Settlement 10/10/17
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17-08 Revised Specific Services to be Provided 07/05/17
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17-07 Service Reimbursement Rates (Discontinued)03/20/18
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17-06 Medical Necessity Determination07/05/17
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17-05 Service and Bed Availability Tool 07/05/17
-
17-04 Substance Use Disorder Treatment Services Provider Manual
(Discontinued)03/15/18
-
17-03 Field-Based Services (Discontinued)07/05/17
- 17-02 Sage
- Managed Care Information System (Discontinued)06/29/17
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17-01 DMC Client Transitions Plan - New System of Care05/16/17
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Release of Information (ROI) Forms & Supporting Documents
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Subject Date - SAPC ROI Forms
- SAPC Payment and Operations ROI05/21/26
- SAPC Treatment and Care Coordination ROI05/21/26
- SAPC Legal Proceedings ROI05/21/26
- For other languages, click here
-
SAPC Payment and Operations ROI Form
- Spanish08/19/26
- Arabic (العربية)08/19/26
- Armenian (Հայերեն)08/19/26
- Cambodian (ខ្មែរ)08/19/26
- Chinese Simplified (简体中文)08/19/26
- Chinese Traditional (繁體中文)08/19/26
- Farsi (ﻓﺎرﺳﯽ)08/19/26
- Korean (한국어)08/19/26
- Russian (русский)08/19/26
- Tagalog (Filipino)08/19/26
- Vietnamese (Tiếng Việt)08/19/26
SAPC Treatment and Care Coordination ROI Form
- Spanish08/19/26
- Arabic (العربية)08/19/26
- Armenian (Հայերեն)08/19/26
- Cambodian (ខ្មែរ)08/19/26
- Chinese Simplified (简体中文)08/19/26
- Chinese Traditional (繁體中文)08/19/26
- Farsi (ﻓﺎرﺳﯽ)08/19/26
- Korean (한국어)08/19/26
- Russian (русский)08/19/26
- Tagalog (Filipino)08/19/26
- Vietnamese (Tiếng Việt)08/19/26
SAPC Legal Proceedings Form
- Spanish08/19/26
- Arabic (العربية)08/19/26
- Armenian (Հայերեն)08/19/26
- Cambodian (ខ្មែរ)08/19/26
- Chinese Simplified (简体中文)08/19/26
- Chinese Traditional (繁體中文)08/19/26
- Farsi (ﻓﺎرﺳﯽ)08/19/26
- Korean (한국어)08/19/26
- Russian (русский)08/19/26
- Tagalog (Filipino)08/19/26
- Vietnamese (Tiếng Việt)08/19/26
- Spanish
- SAPC Payment and Operations ROI
Clinical Forms and Documents - Administrative and Quality Improvement Related
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Subject Date - Progress Note09/11/23
- Checklist of Required Documentation for Utilization Management
- Sage Version 7.305/28/25
- Sage Version 7.3
- ASAM Assessment Requirements10/07/24
- Paper ASAM Criteria Adult07/17/26
- Paper SUD DSM Form07/17/26
- ASAM Screener for Youth and Young Adults01/11/24
- Problem List-Main07/10/23
- Problem List Addendum (Additional Problems)07/26/22
- Eligibility Verification and Member Authorizations12/02/21
- Member Acknowledgement Form05/11/26
For more languages, click here - Assessment Tool - Youth (Paper Version)10/10/19
- ASAM CONTINUUM to SAPC Level of Care Crosswalk09/08/19
- Screening - Adults (Paper Version)11/18/17
- Treatment Plan Addendum09/13/17
- Drug Testing Form01/15/26
- Document Examples within the Specialty Substance Use Disorder (SUD) System09/08/17
- Treatment Plan09/05/17
- Assessment Instructions - Youth08/16/17
- Discharge and Transfer Form - All Levels of Care (Except RBH)08/30/17
- DSM-5 Substance Use Diagnosis07/21/17
- Screening - Parents for Youth (Paper Version)06/29/17
- Special Population forms:
DPSS-CalWORKs:- Supportive Services Enrollment Termination Notice (GN 6007B)07/18/17
- Treatment Services Verification (PA 1923)07/13/17
- Notification of Change from Specialized Supportive Services Provider (GN 6007A)07/06/17
- Treatment Provider Report of Changes07/13/17
- RSC Client Progress Report Form06/22/26
- RSC Referral Form06/22/26
- Supportive Services Enrollment Termination Notice (GN 6007B)
Clinical Forms and Documents - Administrative and Quality Improvement Related
-
Subject Date - Notice of Adverse Benefit Determination Forms
- NOABD Required Attachment: Your Rights07/16/25
- NOABD Required Attachment: Your Rights Audio
09/23/25
- NOABD Required Attachment: Your Rights- Spanish07/16/25
- NOABD Required Attachment: Beneficiary Non-Discrimination Notice07/16/25
- NOABD Timely Access Template07/16/25
- NOABD Termination Template07/16/25
- Notice of Availability07/16/25
- NOABD Training11/22/19
- NOABD FAQ11/22/19
- NOABD Distribution Log11/12/19
- NOABD Required Attachment: Language Taglines11/05/19
- NOABD Sample Language - Termination Reasons11/04/19
- NOABD Required Attachment: Your Rights
- Notice of Appeal Resolution Forms
- NAR Your Rights07/16/25
- NAR Your Rights Audio
09/23/25
- NAR Your Rights- Spanish (Español)07/16/25
- NAR Your Rights
- Adverse Event Reporting Form09/12/17
- Housing Referral Information
Beneficiary
-
Subject Date - Overdose Bag Kit and Instructions Guide Materials
- Patient/Provider Orientation Videos for SUD Treatment System of Care
- Complaint Poster08/03/26
- Patient Access System
- Poster (color, English)04/30/26
- Poster (Spanish)04/30/26
- Postcard04/30/26
- Flyer (color, English)07/24/26
- Flyer (grey, English)07/24/26
- Flyer (color, Spanish)07/24/26
- Flyer (grey, Spanish)07/24/26
- Poster (color, English)
- Member Handbook (English)06/18/26
- Member Handbook (English - Large Print)06/18/26
- Member Handbook (Spanish)06/18/26
- Patient Handbook - Additional languages06/18/26
- Beneficiary Notification Letter (English)06/18/26
- Beneficiary Notification Letter - Additional languages12/01/24
- Notice of Availability (Language Taglines)03/13/26
- Non-Discrimination Notice12/01/24
- Non-Discrimination Notice - Spanish07/16/25
- Appeal Form06/29/26
- Complaint and Grievance Form06/29/26
- Patient Rights and Responsibilities08/19/25
- Complaint and Grievance Form - Spanish07/16/25
- Notice of Privacy Practices (English)03/05/19
- Notice of Privacy Practices (Spanish)03/05/19
- Confidentiality and Consent10/16/17
- Patient Handbook (English - Large Print)02/02/18
- Patient Handbooks (other languages)
Contracts & Compliance
-
Subject Date - Application for Drug Medi-Cal Contracts 5-1-23 05/01/23
- Application for Opioid Treatment Program License 12-1-1912/06/19
- Reportable Incident Reporting Form09/13/17
- SAPC Contractor Corrective Action Plan Form01/21/12
Finance Related Forms and Documents
-
Subject Date - Inter-County Transfer and Other Medi-Cal Eligibility Topics06/26/25
- Inter-County Transfer and Other Medi-Cal Eligibility Topics Recording06/26/25
- Sage Claim Denial Reason and Resolution Crosswalk Version 4.003/08/23
- Sage Guide to Claim Denial Resolution and Crosswalk Version 4.003/08/23
- Documenting Changes in Financial Eligibility Status09/09/22
- Updating Financial Eligibility for Patients Who Obtain Benefits During Treatment
09/09/22
- Updating Financial Eligibility for Patients Whose Benefits Expired During Treatment
09/09/22
- Updating Financial Eligibility Admitted Under Other County Funding or MHLA
09/09/22
- Updating Financial Eligibility for Self-Pay Patients Who Establish Benefits
09/09/22
- Updating Financial Eligibility for Patients Who Obtain Benefits During Treatment
- Reupload File (277, 835, EOB, RA) Request Form11/04/20
- Claiming for SUD Screening Instructions07/28/20
- Quick Guide to Identifying Denials05/08/20
- 17-09 Service Cost Reconciliation Settlement 10/10/17
- ICD-10 & DSM-5 Crosswalk 08/14/17
- ICD-10 & DSM-5 Crosswalk08/14/17
- Contract Financial Handbook 07/30/10
- Audit Assistance Guide 07/30/10
- Provider Reimbursement Manual
- Provider Invoice Automation System (PIAS) Training Video01/04/24
- Provider Invoice Automation System (PIAS) Training Manual08/07/24
- Budget Approval System (BAS) Training Video06/27/24
- Budget Approval System (BAS) User Guide 06/27/24
-
FY 21-22 Drug Medi-Cal Cost Report Training Recording05/06/25
-
FY 21-22 Drug Medi-Cal Cost Report Training PowerPoint05/06/25
- FY 21-22 Drug Medi-Cal Cost Report Templates
-
DMC ODS Cost Report Template05/13/25
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NTP ODS Perinatal Cost Report Template05/06/25
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NTP ODS Non-Perinatal Cost Report Template05/06/25
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FY22-23 Fiscal Reporting Tool Prevention, Harm Reduction & Other Services, NEP, and DUI Recording03/18/26
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FY22-23 Fiscal Reporting Tool Prevention, Harm Reduction & Other Services, NEP, and DUI PowerPoint03/03/26
- FY22-23 Fiscal Reporting Tool Prevention, Harm Reduction & Other Services, NEP, and DUI Templates
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Prevention, Harm Reduction, and Other Services Fiscal Reporting Tool – FY2022-2303/03/26
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Needle Exchange Program (NEP) - Fiscal Reporting Tool- FY2022-23 03/03/26
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DUI Fiscal Reporting Tool- FY2022-2303/03/26
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FY 22-23 Drug Medi-Cal Cost Report Training Recording04/16/26
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FY 22-23 Drug Medi-Cal Cost Report Training PowerPoint04/16/26
- FY 22-23 Drug Medi-Cal Cost Report Templates
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DMC ODS Cost Report Template (COVID)04/16/26
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DMC ODS Cost Report Template (Non-COVID) 04/16/26
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NTP ODS Exhibit Non-Perinatal Template04/16/26
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NTP ODS Exhibit Perinatal Template04/16/26
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FY25-26 Drug Medi-Cal Fiscal Reporting Tool Training PowerPoint07/30/26
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FY25-26 Non-Treatment, Needle Exchange Program (NEP),
and Driving Under the Influence (DUI) Fiscal Reporting Tool Training PowerPoint07/30/26
Culturally and Linguistically Appropriate Services
Centralized resources for culturally and linguistically appropriate services across the SAPC provider network. Select a category below to view its documents.Language Assistance Resources
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Subject Date - Language Interpreter Request Form01/12/22
- Braille and Document Translation Form and Process08/17/26
- Verification of Service Form01/12/22
- Language Assistance Action Plan Template 08/17/26
- Language Assistance Services Guidebook 08/17/26
- Resource List of Language Assistance Vendors10/16/24
- How to Work with Interpreters SAPC Information Sheet 06/25/24
- Member Information and Resources- Vital Documents
FY 26-27 Bilingual Bonus Capacity Building Project
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Subject Date - Bilingual Bonus- Language Access Plan (LAP) Worksheet08/14/26
- Bilingual Bonus Participation Attestation and Agreement07/14/26
- Bilingual-Bonus-Submission-Guide07/14/26
- Bilingual Bonus Submission Form07/14/26
- Bilingual Bonus Differential Supplemental Form FY 26-2707/14/26
- FY 26-27 Bilingual Bonus Capacity Building Project-FAQ07/14/26
- SAPC IN 26-12 Bilingual Bonus Capacity Building07/23/26
CLAS Resources
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Subject Date - Ensuring Affirming and Culturally Responsive Care for Transgender Patients—Toolkit08/17/26
- Creating Accessibility: An ADA Toolkit for SAPC Service Providers
- National CLAS Standards
Indian Health Care Providers (IHCPs) Resources
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Subject Date - List of IHCPs in surrounding counties07/14/26
CLAS Trainings
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Subject Date - Transgender, Gender Expansive, and Intersex (TGI) Cultural Competence
- Laying the Foundation: SAPC Expectations for Culturally Responsive SUD Services
- CLAS ACT Training
- Embracing and Integrating Cultural Strengths and Differences in Substance Use Treatment Services
- Providing Culturally Responsive Care to the LGBT Population
