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The Department of Alcohol and Drug Programs (ADP) is accepting applications to participate in the CARE program from provider organizations located in Butte, Shasta, and Tehama Counties. Please read the “Application Instructions” document below to find out if you are eligible and how to apply. If you have any questions, please contact Jeanne Smith at 916.324.6526, Beverly Tukes at 916.323.7630, or Barry Scheel at 916.445.0136.

Provider Enrollment Application

Application Instructions (PDF)
Provider Application (PDF)
Application Addendum (PDF)
Payee Data Record (PDF)


Policies and Procedure

Policies & Procedures (PDF)


Provider Forms

Client Handbook (PDF)
Consent to Release Confidential Information (PDF)
Provider Choice Verification (PDF)
Fax Transmission of Confidential Client Information (PDF)
Referral Letter (PDF)
Referral Completion (PDF)
Recovery Support Service Plan (PDF)
Client Services Summary (PDF)
Invoice Cover Sheet (PDF)
Client File Checklist (PDF)
Organization Information Change (PDF)
Health Study Locator (PDF)
Telephone Interview Consent (PDF)
Recovery Support Services Screening and Assessment Tool (PDF)
Customer Satisfaction Survey Consent (PDF)
Services Discharge Summary (PDF)
Client Incentives (PDF)
Literature Request (PDF)
Site Visit Review tools (PDF)


GPRA Forms

GPRA Tool (PDF)
GPRA Addendum (PDF)
GPRA Tool Spanish (PDF)
GPRA Q by Q (PDF)


Other Information

VMS Training Guide (PDF)
Success Story Template (PDF)


 

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