BHRP Forms & Resources
Basic Recovery Supports
- SOR-SRHS Application
- BHRP-B Provider Alert: Service Changes (effective 7/1/2023)
- ID Reimbursement Form
- BHRP-B Provider Alert: Utilities
- Change of Site Location Form
- Landlord Verification Form
- SRHS Housing Providers by City
- Fact Sheet - Updated 6/30/2023
- Program Maximums - Updated 6/30/2023
- Treatment Verification Form
- Supported Recovery Housing Forms - Revised July 2021
- Sober Living Homes Diclosure Form
- Sober Living Homes Disclosure Form - Spanish
- Job Readiness Form
- Release of Information
- BHRP Basic First Level Appeal Form
- W-9 2018
Intensive Case Management Supports
- BHRP Case Management Referral ROI Form
- Release Of Information
- Intensive Case Management ICM Services Information
Clinical Recovery Supports
- Patient Rights (English)
- Patient Rights (Spanish)
- BHRP Provider Manual 2013
- 837 Health Care Claim Companion Guide
- Tips for Completing the CMS 1500
- Tips for Completing the UB92
- Reconsideration-Appeal Request Form
- ABH Claims Entry System User Manual
- Error Log Translation
- Authorization Agreement for EFT Form
| 
| 
Share
