Service Providers

Contract-Related Documents

The Council on Chemical Abuse (COCA) contracts with local organizations for various prevention, intervention and treatment services. This area of the website is for the use of COCA provider agencies. If you have any questions about these documents, please contact us or call (610) 376-8669.  Click on the links below to view and/or download the following information.

COMPLIANCE CERTIFICATION
ACT 33/34 Compliance Certification

BUDGET FORMS

UPDATE – 2019 Fiscal Budget Forms
UPDATE – 2018 Activity Codes
UPDATE – 2019 Fiscal Forms Instructions

BILLING FORMS

Cost Reimbursement:
CCA Form 311 General
CCA-311-Instructions-General
CCA Form 314 Annual Fixed Assets Report
CCA 314 INSTRUCTIONS
CCA Transitional House Occupancy Report

Fee for Service:
CCA-310-General
COCA 310 DTC Consultation
CCA 310 Early Recovery Support Groups
CCA Family Group
CCA Student Assistance Program
CCA Tobacco Enforcement
MCR 19-20

DDAP Operations Manual

Operations Manual: Effective July 1, 2015 – June 30, 2020

DDAP Liability Determination

DDAP Drug and Alcohol Client Liability Determination Form
DDAP IOP-Partial Client Liability Table – Berks – SFY 2019-20 effective 9-19
DDAP Outpatient DF Client Liability Table – Berks – SFY 2019-20 effective 9-19
DDAP Residential Client Liability Table – Berks – SFY 2019-20 effective 9-19

DDAP Prevention Manual

Prevention Manual: Effective July 1, 2015 – June 30, 2020 (Revised June 2019)

DDAP Treatment Manual

Treatment Manual: Effective July 1, 2015 – June 30, 2020

DDAP Fiscal Manual

Fiscal Manual: Effective July 1, 2015 – June 30, 2020

COUNTY CONTRACTED SAP PROVIDERS

Integrated Student Assistance Program (SAP) Assessment: Core Content Areas
PNSAS – Best Practice Guidelines for Drug & Alcohol/Mental Health Liaison Services

BERKS COUNTY SAP SERVICE PROVIDER GUIDELINES

Berks County SAP Service Provider Guidelines details the terms of service between COCA and SAP Service Providers. If you have any questions about this document, please contact COCA at (610) 376-8669.

SAP CONTRACT-RELATED DOCUMENTS

Click on each appendix below to download SAP contract-related documents for Berks County. If you have any questions, please contact COCA at (610) 376-8669. Forms are PDF files unless indicated otherwise. Free Adobe Acrobat Reader is available to read these documents.

Attachment A SAP Reimbursement Rates
Attachment B Best Practice Guidelines 
Attachment C Student Tracking Form
Attachment D SAP Provider Invoice
Attachment E SAP Provider Report Summary
Attachment G SAP Credentialing Worksheet
Attachment H SAP Berks Funding

CCA Student Assistance Program Fee For Service Invoice Rept


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