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 | ||
| 7212 Attachment 2 FeesOTP.pdf | ||
| 7212 Attach 1 Deliverables OTP Deliverables.pdf | ||
| 7212 BAA OTP (1).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 | |
| Digitally verifiable PDF exported from www.docusign.com |
File details come from the government source that posted it. Updated .