15-Case Management Report .xlsx

XLSX spreadsheet 102 KB Posted Sep 8, 2025

Attached to: Drug & Alcohol Treatment Services
Solicitation number: 25-47
Issued by: Montgomery County, Pennsylvania

About this file

Written by GovTribe AI · Sep 9, 2025

This file is a monthly case management report for Montgomery County, Pennsylvania, covering drug and alcohol treatment services from July through February. The report tracks various metrics related to substance use disorder (SUD) assessments, treatment recommendations, and service access across multiple treatment levels including outpatient, inpatient, and medication-assisted treatment (MAT). Consistent across the monthly reports, the data shows 35 individuals recommended for treatment, with 39 total recommended treatment levels at 0.5 intensity, though actual access to recommended treatments appears limited.

The report aligns with a broader county request for proposal (RFP) for drug and alcohol treatment services targeting adults and adolescents aged 11-21 across four county regions. The services include clinical outpatient services, case management, recovery support services, and specialty services. Funding sources appear diverse, including State Contracted Agency (SCA) funds, Mental Behavioral Health (MBH) funds, private pay, and DUI-related allocations. The funding rationales include uninsured individuals, lack of insurance coverage for drug and alcohol treatment, absence of local providers, and unaffordable insurance copays and deductibles. The reports indicate a focus on tracking treatment access barriers, with provider staffing emerging as a notable impediment to treatment implementation.

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July 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows	0
Total Number Cancelled	0
Total Number Re-scheduled	0
Total Number Re-screened	0
Total Number Recommneded for Treatment	35
Total Number NOT Recommended for Treatment	4
Total Case Coordination Hours for all SCA Clients	36
Total Case Coordinator Hours for Non-SCA funded clients	53

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:		0

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1		0
	Level 1	0	0
	Level 0.5	0	0
	Total	0	0

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug	0		SCA
	Alcohol	0		MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

August 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

September 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

October 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

November 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

December 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

January 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

February 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

March 25-26

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

April 25-26

May 25-26

Montgomery County Monthly Report

Provider:

Prepared by:

Email:

Case Management
Number of Screenings Complete:	Number of Assessments Completed:

Total Number of Individuals Assessed:
	SCA	MBH	Private Pay	DUI	Total
Reason for SCA Funding:
	Uninsured	Private Insurnace doesn't cover D&A	Private Insurance-No Local Providers	Private Insurance-Copays/Deductibles Unaffordable	Other-Please describe in Notes Below	Total
Location of Individuals at Time of Assessment:
	CMO	Inpatient	Community	Home	Jailed	Psychaitric	Hospital	Other	Total
Total of Adolescents Assessed:
	Youth Center	Psychatric	Home	Other	Total
Total Number of Priority Populations Assessed:
	Pregnant WWID	Pregnant SUD	PWID	OD Survivor	Veterans	Multiple-Please describe in Notes Below	Total
Total Number No Shows
Total Number Cancelled
Total Number Re-scheduled
Total Number Re-screened
Total Number Recommneded for Treatment
Total Number NOT Recommended for Treatment
Total Case Coordination Hours for all SCA Clients
Total Case Coordinator Hours for Non-SCA funded clients

Inpatient
Total recommended LOC:		Accessed	Did Not Access
	Level 4WM	0	0
	Level 4	0	0
	Level 3.7WM	0	0
	Level 3.7	0	0
	Level 3.5	0	0
	Level 3.5 (COD)	0	0
	Level 3.1	0	0
	Level 2.5 (residential)	0	0
	Total:

Reasons Treatment NOT Accessed: Level 4WM Level 4 Level 3.7WM Level 3.7 Level 3.5 Level 3.5 (COD) Level 3.1 Level 2.5 (residential)

Client Choice	0	0
Capacity Issues	0	0
Provider Staffing	3	1
Proximity	0	0
Lack of appropriate services	0	0
Denied by Provider	0	0
Legal Issues	0	0
Hospitalized	0	0
Additional Info Needed	0	0
Funding	0	0
Total	0	0

Total Number on IP waitlist
	SCA	MBH	Other

Outpatient
Total Recommended LOC:		Accessed	Did Not Access
	Level 2.5	0	0
	Level 2.1	0	0
	Level 1	0	0
	Level 0.5	2	9
	Total	2	9

Total Recommended MAT:		Accessed	Did Not Access
	MMT	0	0
	Vivitrol	0	0
	Suboxone	0	0
	Sublocade	0	0
	Revia	0	0
	Subutex	0	0
	Total	0	0

Reasons Treatment and MAT NOT Accessed:		Level 2.5	Level 2.1	Level 1	Level 0.5	MMT	Vivitrol	Subuxone	Sublocade	Revia	Subutex
	Client Choice	0	0	0	0	0	0	0	0	0	0
	Capacity Issues	0	0	0	0	0	0	0	0	0	0
	Provider Staffing	0	0	0	0	0	0	0	0	0	0
	Proximity	0	0	0	0	0	0	0	0	0	0
	Lack of appropriate services	0	0	0	0	0	0	0	0	0	0
	Denied by Provider	0	0	0	0	0	0	0	0	0	0
	Legal Issues	0	0	0	0	0	0	0	0	0	0
	Hospitalized	0	0	0	0	0	0	0	0	0	0
	Additional Info Needed	0	0	0	0	0	0	0	0	0	0
	Funding	0	0	0	0	0	0	0	0	0	0
	Total	0	0	0	0	0	0	0	0	0	0

	Outpatient Census
(Montgomery County Only)			Total Number on OP Waitilist
	Drug			SCA
	Alcohol			MBH
	Total	0		Other	0

NOTES (Please use this area to document anything the report does not reflect)

June 25-26

Blank

File details come from the government source that posted it. Updated Sep 9, 2025.