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1900 Substance Abuse Services

1910 Substance Abuse Prevention and Treatment

1911 Determining Eligibility for Substance Abuse Prevention and Treatment Services

CPS June 2010

Clients who are eligible for services are:

  •  children in open CPS cases, including children in DFPS conservatorship;

  •  children who are being placed for adoption; and

  •  the parents of a child with an open CPS case, not including foster or adoptive parents.

Foster Parents

If a foster parent is suspected of substance abuse, or drinking alcohol to an extent that threatens the child's safety, the caseworker obtains approval from the supervisor to file a complaint with the Residential Child Care Licensing section of DFPS.

The caseworker also conducts a safety assessment, with the supervisor's approval, to determine whether the children in the foster home need to be placed in a different setting.

As part of the safety assessment process, the caseworker involves the foster home's case manager (that is, the child-placing agency or the DFPS case manager).

Payment Resources for Services

Open CPS Cases

If the children or their parents have private insurance, the caseworker refers them to their insurance carrier.

If the children or their parents are without private health insurance, the caseworker refers them to the treatment providers funded by the Department of State Health Services (DSHS) to be assessed for services or referred for treatment.

DFPS Conservatorship

When the parents of children in conservatorship need substance abuse services, the caseworker refers the parents to:

  •  the contact person for outreach, screening, assessment, and referral (OSAR); or

  •  a local substance abuse treatment provider.

For children in DFPS conservatorship, see 11000 Obtaining Medical and Dental Services.

1912 Referring Clients to DSHS-Funded Substance Abuse Treatment

1912.1 Inpatient Treatment of Substance Abuse
1912.11 Referring Clients to Providers of Outreach, Screening, Assessment, and Referral (OSAR) Services

CPS June 2010

DFPS encourages caseworkers to use outreach, screening, assessment, and referral (OSAR) services when seeking inpatient substance abuse treatment for a client. OSAR providers facilitate access to substance abuse treatment services.

When a client has no health insurance or Medicaid, the caseworker informs the client that the OSAR provider must approve the authorization for inpatient substance abuse treatment.

In addition, the caseworker must inform the client that the service plan or treatment recommendation for any inpatient rehabilitation treatment made by a local treatment provider must be approved by the OSAR provider.

1912.12 Direct Referrals to Inpatient Substance Abuse Treatment

CPS June 2010

The caseworker may refer a client directly to a local provider of inpatient substance abuse treatment when:

  •  no provider of outreach, screening, assessment, and referral (OSAR) services is available within 14 days; or

  •  the distance to an OSAR site is excessive and the OSAR provider cannot make arrangements to travel to the client.

1912.13 Required Forms for Inpatient Treatment of Substance Abuse

CPS June 2010

To make either a direct referral for inpatient treatment services or refer a client to a provider of outreach, screening, assessment, and referral (OSAR) services, the caseworker submits:

  •  Form 2062 DFPS Release of Confidential Information to DSHS/Substance Abuse Services; and

  •  Form 2063 DFPS Release of Confidential Information to DSHS/Substance Abuse Services – used to refer a client to a provider of OSAR services.

1912.2 Outpatient Treatment and Detoxification Services for Substance Abuse

CPS June 2010

A caseworker may refer a client directly to a provider of outpatient or detoxification services. The caseworker need not obtain authorization from a provider of outreach, screening, assessment, and referral (OSAR) services. OSAR providers are used primarily for obtaining inpatient substance abuse treatment services.

To make a referral, the caseworker submits:

  •  Form 2062 DFPS Release of Confidential Information to DSHS/Substance Abuse Services; and

  •  Form 2063 DFPS Release of Confidential Information to DSHS/Substance Abuse Services.

The caseworker informs the client that the client must make payment arrangements with the provider. The caseworker may also alert the provider to make payment arrangements with the client.

To refer a client to a provider of substance abuse prevention or treatment services funded by the Department of State Health Services (DSHS), the caseworker uses:

  •  Form 2062 DFPS Release of Confidential Information to DSHS/Substance Abuse Services; and

  •  Form 2063 DFPS Release of Confidential Information to DSHS/Substance Abuse Services.

1913 Purchasing Substance Abuse Treatment Services for Eligible Clients

CPS June 2010

CPS may purchase substance abuse treatment services through existing DFPS contracts, when the necessary treatment services are unavailable through providers that are funded by the Department of State Health Services (DSHS).

CPS clients may find DSHS treatment services unavailable for the following reasons:

  •  The distance to an existing provider presents a travel hardship for the client.

  •  The treatment most needed by the client has a waiting list and the services that are available are insufficient to meet the client's needs

  •  The client does not meet the eligibility requirements of DSHS.

To purchase substance abuse treatment services through existing DFPS contracts, the caseworker completes Form 2054 Service Authorization, located in the IMPACT system.

For a list of available DFPS contracts, the caseworker contacts the regional contract specialist.

1914 Identifying Available Services

CPS June 2010

The substance abuse treatment services that might be available to a client through an existing DFPS contract could include:

  •  substance abuse assessment;

  •  individual substance abuse counseling or therapy, or both;

  •  group substance abuse counseling or therapy, or both;

  •  family substance abuse counseling or therapy, or both;

  •  home-based substance abuse treatment;

  •  substance abuse testing, as part of the treatment program;

  •  consultation with DFPS staff;

  •  appearance in court by a caseworker to provide testimony, when needed; and

  •  recovery support services.

1915 Authorizing Substance Abuse Treatment Services in IMPACT

CPS June 2010

To authorize services, workers must enter the following details in the IMPACT case management system. The services may be provided during the following stages:

  •  Investigation (INV)

  •  Family Preservation (FPR)

  •  Substitute Care (SUB)

  •  Family Substitute Care (FSU)

  •  Family Reunification (FRE)

  •  Adoption (ADO)

Substance Abuse Assessment

Under the Service Authorization tab in IMPACT Field ...

The caseworker enters...

Category

Substance Abuse

Service

83F Sub Abuse Assessment

Unit of Service

Hour

Service Code

83F

Substance Abuse Education

In IMPACT Field

The caseworker enters...

Category

Substance Abuse

Service

97S Sub Abuse Education

Unit of Service

Hour

Service Code

97S

Individual Substance Abuse Counseling/Therapy

In IMPACT Field

The caseworker enters...

Category

Substance Abuse

Service

83G Sub Abuse – Individual Couns/Therapy

Unit of Service

Hour

Service Code

83G

Group Substance Abuse Counseling/Therapy

In IMPACT Field

The caseworker enters...

Category

Substance Abuse

Service

83H Sub Abuse - Group Couns/Therapy

Unit of Service

Hour

Service Code

83H

Family Substance Abuse Counseling/Therapy

In IMPACT Field

The caseworker enters...

Category

Substance Abuse

Service

83J Sub Abuse - Family Couns/Therapy

Unit of Service

Hour

Service Code

83J

Substance Abuse Intervention

In IMPACT Field

The caseworker enters...

Category

Substance Abuse

Service

83E Sub Abuse Intervention 

Unit of Service

Hour

Service Code

83E

Chemical Dependency Recovery Management

In IMPACT Field

The caseworker enters...

Category

Substance Abuse

Service

83A Sub Abuse Recovery Management

Unit of Service

Hour

Service Code

83E

Home-Based Substance Abuse Treatment

In IMPACT Field

The caseworker enters...

Category

Substance Abuse

Service

83D Sub Abuse Hm Based Therapy

Unit of Service

Hour

Service Code

83D

Note: Substance Abuse Testing when required as part of treatment may be included in the service charge.

Diagnostic Consult

In IMPACT Field

The caseworker enters...

Category

Substance Abuse

Service

83k Sub Abuse-Diagnostic Consult

Unit of Service

Hour

Service Code

83k

19161916 Coordinating With a DSHS Provider to Deliver Substance Abuse Services

CPS June 2010

Monitoring a Client's Progress

If a client is receiving substance abuse treatment from a provider funded by the Department of State Health Services (DSHS) and the client has signed a release (Form 2063 DFPS Release of Confidential Information to DSHS/Substance Abuse Services) allowing the provider to share information with CPS, the caseworker communicates with the provider about the status of the client's treatment. Specifically, the caseworker communicates with the provider to:

  •  ensure that the client is receiving adequate and appropriate services to treat the substance abuse; and

  •  determine the client's level of participation and progress.

Changing an Existing Contract

When services are provided through an existing CPS contract, rather than through a new contract with a DSHS-funded provider, the caseworker authorizes additional units of service, or extends or reauthorizes the service, by following the procedures in 8161.1 Active Cases – Authorizing, Extending, or Terminating Direct Services, as referenced in 1922.6 Adding, Extending, Reauthorizing, or Terminating Substance Abuse Services.

See also 1913 Purchasing Substance Abuse Treatment Services for Eligible Clients.

1917 Terminating DSHS Services for Substance Abuse

CPS June 2010

Terminating substance abuse prevention and treatment that is delivered through providers funded by the Department of State Health Services (DSHS) must be handled according to DSHS rules and contracts.

If the service is being terminated before the end date noted on Form 2054 Service Authorization, located in the IMPACT system, the caseworker follows the process explained in 8161.1 Active Cases – Authorizing, Extending, or Terminating Direct Services, as referenced in 1922.6 Adding, Extending, Reauthorizing, or Terminating Substance Abuse Services.

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