The Department of Alcohol and Drug Programs (ADP) is accepting applications to participate in the CARE program from provider organizations located in Butte, Shasta, and Tehama Counties. Please read the “Application Instructions” document below to find out if you are eligible and how to apply. If you have any questions, please contact Jeanne Smith at 916.324.6526, Beverly Tukes at 916.323.7630, or Barry Scheel at 916.445.0136.

Provider Enrollment Application

Provider Application (PDF)
Application Addendum (PDF)
Payee Data Record (PDF)

Policies and Procedure

Policies & Procedures - June 2010 Update (PDF)

Provider Forms

Client File Checklist (PDF)
Client Handbook (PDF)
Client Incentives (PDF)
Client Services Summary (PDF)
Confidential Client Information - Consent to Release (PDF)
Confidential Client Information - Fax Transmission (PDF)
Customer Satisfaction Survey Consent (PDF)
Health Study Locator (PDF)
Invoice Cover Sheet (PDF)
Literature Request (PDF)
Organization Information Change (PDF)
Post Intake Notification of Methamphetamine Client (PDF)
Provider Choice Verification (PDF)
Recovery Management Checkup Instructions (PDF)
Recovery Management Checkup Questionnaire (PDF)
Recovery Support Service Plan (PDF)
Recovery Support Services Screening and Assessment Tool (PDF)
Referral Completion (PDF)
Referral Letter (PDF)
Residential Treatment Preauthorization Form (PDF)
Telephone Interview Consent (PDF)
Telephone Monitoring Consent Form (PDF)
TMAC Client Workbook (PDF)
TMAC Clinician Manual (PDF)

GPRA Forms

GPRA Tool (PDF)
GPRA Addendum (PDF)
GPRA Tool Spanish (PDF)
GPRA Q by Q (PDF)

Other Information

VMS User Manual (PDF)
Success Story Template (PDF)