Substance Abuse Prevention and Control
Guidance Documents, Invoice, and Forms
The following is an at-a-glance review of all guidance documents, invoice, and forms prepared by the SAPC team to support the provider network in Year 3 (FY 2025-26) Value-Based Incentives.Package: Invoice:
Program-Specific Documents for Provider Agency Use:
Finance and Business Operations Workforce Development- Employee Benefits Package How to Guide (2-A)
- Employee Benefits Package Resource Document (2-A)
- Employee Benefits Package Provider Agency Checklist (2-A)
- SUD Registered Counselor Minimum Wage Submission Form (New Providers Only) (2-B)
- Bilingual Bonus Submission Guide (2-C)
- Bilingual Bonus Submission Form (2-C)
- Bilingual Bonus Differential Supplemental Form (2-C)
- Instructions for MAT Prescribing Clinician Start-Up Cost Sharing (2-E)
- MAT Prescribing Clinician Start-Up Cost Sharing Implementation Plan (Non-OTP) (2-E)
- MAT Prescribing Clinician Start-Up Cost Sharing Implementation Plan (OTP only) (2-E)
- MAT Prescribing Clinician Start-Up Cost Sharing Addendum (Non-OTP) (2-E)
- MAT Prescribing Clinician Start-Up Cost Sharing Addendum (OTP only) (2-E)
- R95 Champion Guide (3-F)
- R95 Policies and Client-Facing Agreements Guide (3-G) (pdf)
- R95 Admission Agreement for Client Signature Required Language (3-G) (pdf)
- R95 Admission Agreement for Client Signature Required Language (3-G) (word)
- R95 Toxicology Agreement Required Language (3-G) (pdf)
- R95 Toxicology Agreement Required Language (3-G) (word)
- R95 Admission Policy Required Language (3-G) (pdf)
- R95 Admission Policy Required Language (3-G) (word)
- R95 Discharge Policy Required Language (3-G) (pdf)
- R95 Discharge Policy Required Language (3-G) (word)
- R95 Toxicology Policy Required Language (3-G) (pdf)
- R95 Toxicology Policy Required Language (3-G) (word)
- Service Design Follow-up Implementation Plan Change Project Plan (3-H)
