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Current Providers

Forms

Templates

  • Jira ticket creation template - This form is used to guide your creation of JIRA templates. Please ensure you are providing all information along with your request.
  • Recovery Works reimbursement template - This form is used for reimbursement due to overspending and/or improper billing.
  • Agency profile packet - This form is used for any changes the agency makes that affects the referral process, agency services etc. A new Agency Profile Packet must be completed for all agency changes.

Data Assessment Registry Mental Health and Addiction

Prior Authorization

    Billing and WITS/JIRA