Provider Manual and Forms

Note: Please go the to the Provider Training page for the APS CareConnection® User Manual and APS CareConnection® training options.

Service Grid

Provider Manual

ICD-9/DSM IV TR Crosswalk

ICD-9/DC 0-3 Crosswalk

Other Provider Instructions

DHHS-APS Adult Mental Health Services Contact for Service Notification FAQ 12-3-09

Adult Mental Health PNMI PA Process 12-14-09

Additional Requirements for Community Integration PA 12-14-09

Children’s TCM – Developmental Disabilities CSR Authorization Manual 12-3-09

Long Term Supported Employment Instruction Manual

APS-Maine Targeted Case Management Provider Instructions Revised 10/1/09

Outpatient Substance Abuse Authorization Request Manual (9/1/09)

Treatment Foster Care Level of Care Assessment with APS - Provider Instructions

Targeted Case Management Service Grid Changes and Re-Registration Instructions

Child PNMI Service Grid Changes and Re-Registration Instructions

Oupatient Substance Abuse PA Process (9/1/09) & Outpatient Mental Health Registration Change (8/1/09)

APS-Maine General Hospital Prior Authorization Manual for 7/1/09

Children's PNMI Admission, Prior Authorization APS CareConnection® Requirements
for 7/1/09

Review Forms (in .ZIP format)

• Initial Registration Request Form

• Contact for Service Notification

• Prior Authorization Request Form

• Continued Stay Review Request Form

• Outpatient/Med Mgmt Only Cont. Stay Request Form

• Discharge Review Form

Screening Forms (in .ZIP format)

• AC-OK: Adult Screen for Co-Occurring Disorders

• AC-OK: Adolescent Screen for Co-Occurring Disorders

Instructions and FAQ about the AC-OK are posted on the DHHS-COSII Website at this link: http://www.maine.gov/dhhs/cosii/provider/documents.shtml

Reading .PDF and .ZIP Documents

In order to view the .PDF files, you will need Acrobat Reader.

In order to extract .ZIP files, you will need WinZip.