7212 Contract Acadia _Appleton_GreenBay_Sheboygan_09012019.pdf

PDF 665 KB Posted

Attached to
Acadia healthcare Opioid Treatment Program
Contract number
410036-W20-ELB7212-GEN-02
Issued by
Wisconsin

About this file

This is a contract between the Wisconsin Department of Corrections and Acadia Healthcare Company, Inc. d.b.a. Green Bay Comprehensive Treatment Center, Appleton Comprehensive Treatment Center, and Sheboygan Comprehensive Treatment Center for DOC Opioid Addiction Treatment Program Services provided to the Department's Division of Community Corrections. The contract has reference number ELB7212 and contract number 410036-W20-ELB7212-GEN-02, with an effective period from the signature date through June 30, 2020, including two possible one-year renewal options through mutual agreement between the provider and the Department.

The contract covers comprehensive opioid addiction treatment services including initial medical assessments with 8-panel drug tests and TB testing, monthly Vivitrol medical treatment with medication administration, AODA treatment sessions with flexible meeting schedules (weekly or monthly group sessions, approximately 3 hours per week for intensive outpatient programs), and various counseling services. The provider will serve clients in Calumet, Waupaca, Outagamie, and Sheboygan counties. Payment is based on a fee-for-service model with rates ranging from $3.78 for lab tests to $1,500 for Vivitrol medication per dose, with detailed pricing outlined in Attachment 2. The provider will bill insurance when available and bill the Department only as a payer of last resort, with claims submitted within 180 days of service provision.

View the file

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

DocuSign Envelope ID: 82A6CAE6-DBDB-4AEF-B1EA-1C0A92B3B178

9/12/2019

Michael Meulemans

DCC R4 Program and Policy Analyst

10/2/2019

2019-10-02T17:45:42-0700
Digitally verifiable PDF exported from www.docusign.com

File details come from the government source that posted it. Updated .