7212 Contract OTP.pdf

PDF 481 KB Posted

Attached to
Opioid Addiction Treatment Program DCC
Contract number
410036-W20-ELB7212-GEN-03
Issued by
Wisconsin

About this file

This is a contract between the Wisconsin Department of Corrections (DOC) and Options Treatment Program, Inc. for DOC Opioid Addiction Treatment Program Services. The contract is designated as number 410036-W20-ELB7212-GEN-03 with reference number ELB7212, and is administered by Michael F. Meulemans, Program and Policy Analyst for the Division of Community Corrections. The contract administrator for the provider is Kimeko Hagen at Options Treatment Program, located at 1000 N. Lynndale Drive, Appleton, WI 54914.

The contract provides opioid addiction treatment program services for offenders under the supervision of the Wisconsin Department of Corrections, Division of Community Corrections. The contract period runs through June 30, 2021, with three possible 1-year renewal options by mutual agreement between the parties. The provider will deliver services at its sites, with specific contract details outlined in Attachment 1. Payment terms include billing any eligible insurance first (Medicaid or private health insurance), with DOC serving as the payer of last resort only when other insurances deny claims or if the patient has no insurance. The fee schedule is contained in Attachment 1, and claims must be submitted within 60 days of service provision or insurance denial.

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Other files

File Type Posted
7212 3 Contr Ann OTP.pdf PDF
7212 Attachment 2 FeesOTP.pdf PDF
7212 Attach 1 Deliverables OTP Deliverables.pdf PDF
7212 BAA OTP (1).pdf PDF

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Text version

DocuSign Envelope ID: 981D5451-CB41-40A6-9E2F-A316153DC67F

DCC R4 Program and Policy Analyst

Michael Meulemans

6/27/2019

7/1/2019

2019-07-01T14:47:29-0700
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File details come from the government source that posted it. Updated .