Department of Public Health & Human Services

Addictive & Mental Disorders Division

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Mental Health Summit May 22, 2013 9:00 AM – 4:00 PM 3580 N Benton Avenue Helena, MT 59601

Seeking Public Comment Projects for Assistance in Transition from Homelessness (PATH) Grant Proposed Funds Use Review For FY2014 Responses ~ Due May 24, 20213

• Contact AMDD
• Co-Occurring Transformation Team
• Suicide Information and Resources

Services

• Network of Care for Behavioral Health
• Adult Mental Health Services
  
• Children's Mental Health Services
  
• Chemical Dependency Services

Facilities

• Montana State Hospital
  
• Montana Chemical Dependency Center
  
• Montana Mental Health Nursing Care Center

More Information

• Commonly Used Acronyms
• Local Advisory Council and Service Area Authority Information
• Mental Health Oversight Advisory Council
• SOAR (SSI/SSDI Outreach, Access, and Recovery) Registration
  
• Online Resources
  
• Prevention Resource Center
  
• Forms & Applications
  
• Plans & Publications

Substance Abuse Management Information System (SAMS) Instruction Manual and Forms

• Instruction Manual
• General Instructions
• Client Information
  • Information Form
• Client Admission
  • Admission Form
• Client Insurance
  • Insurance Form
• Client Eligibility
  • Eligibility Form
• Client Diagnosis
  • Diagnosis Form
• Client Drug Matrix
  • Drug Matrix Form
• Client Placement
  • Placement Form
• Client Treatment
  • Treatment Form
    
• Client Discharge
  • Discharge Form
• Client Follow Up
  • Follow Up Form
• Act Program
  • Act Program Form
• Section 13 - Invoicing
• Appendix A - SAMS Code Tables
• Appendix B - Court Code Tables
• Appendix C - Service Code Tables
• Appendix E – Addiction Severity Index Information
• Appendix F – Facility and Services Form
• Appendix G – DSM-IV Codes

If you have any questions or concerns regarding these instructions or forms, please contact Mary Letang via e-mail or by phone at 406-444-9635.

Page last updated: 02/06/2013