All CST programs, pursuant to W.S. § 7-13-1611, shall provide directly or through contractual or referral relationships an adequate continuum of care, as defined by W.S. § 7-13-1602(a)(iii), for each participant, including substance abuse treatment, as defined by W.S. § 7-13-1602(a)(xv), a range of treatment modalities and adequate support services and continuing care to meet the varying needs of participants.
(a) The applicant shall be the contracting agent for all its program contracts and memorandums of understandings.
(b) Treatment planning should be coordinated with other agencies and one comprehensive treatment plan should be developed for each participant. Treatment plans are to be determined on the basis of individual needs. Therefore, if appropriate, every CST program must offer or refer a participant to the following treatment modalities and components, if the treatment modality or component is available in their community or region: - (i) Education, including job-related trainings;
- (ii) Drug testing and monitoring that complies with W.S. § 7-13-1612;
- (v) Screening with use of the ASAM (American Society of Addiction Medicine);
- (vi) Assessment using the Addictions Severity Index (ASI) as defined by W.S. § 7-13-1602(a)(xiv);
- (vii) Diagnosis and treatment planning using ASAM;
- (viii) Traditional outpatient treatment;
- (ix) Intensive outpatient treatment;
- (x) Transitional residential treatment services;
- (xi) Residential treatment;
- (xii) Prevention and primary healthcare;
- (xiii) Mental health services for co-occurring disorders;
- (xiv) Specialized treatment for women and women with children;
- (xv) Family treatment and education;
- (xvi) Life skills, coping skills, and social skills training;
- (xvii) Corrective thinking therapy and cognitive skills; and
- (xviii) Relapse planning and handling.
(c) A local CST program may contract with one or more licensed entities and/or certified providers for substance abuse or other necessary CST program services. Those entities and individuals may employ or contract with other certified individuals to provide the services, provided they shall screen, supervise and evaluate the performance of such subcontractors or individuals. All substance abuse contracts shall: - (i) Be awarded, in the case of substance abuse treatment service providers, on a competitive basis, unless the Division finds there is only one qualified provider in the local program area or willing to provide services to that CST program;
- (ii) Not necessarily be awarded to the lowest bidder, but to the bidder that demonstrates the ability to provide effective services in a cost-effective manner;
- (iii) Be for a period of not more than one year and may be extended, one year at a time, for a period of three years without subsequent competitive bidding;
- (iv) Contain the following provisions:
- (A) Minimum professional qualifications of all individuals who will perform substance abuse services under the contract and clear standards for evidencing the individual possession of the qualifications;
- (B) An agreement to provide specified services;
- (C) A requirement that the provider comply with all applicable state, federal and local laws and other legal requirements for the provision of services;
- (D) A clear and unambiguous statement of all compensation to be received by the provider, conditions for payment, and method of computing payments;
- (E) A requirement that the provider maintain detailed, accurate and current records of each participant's treatment, drug testing and other related activities for the purposes of evaluating progress, reports to the CST program, the local CST program team, and the Division, and billing;
- (F) A requirement that in the event a provider should receive direct payment from a participant, the provider shall document and receipt all such payments made by participants as contributions to the cost of treatment and provide records of such to the CST program team;
- (G) A requirement that the provider submit all claims and take all steps necessary to obtain any Medicaid or other insurance or third party payments or reimbursements, and credit all such receipts against compensation to which the provider is otherwise entitled under the contract; and
- (H) Such other provisions as are deemed necessary to assure the provider understands the goals and methods of the CST program and will work cooperatively as a member of the team to achieve those goals, including, but not limited to, a provision assuring the contractor will keep the CST program and CST program team fully informed of all matters relevant to the treatment and program progress of any participant.
(d) Local CST programs receiving state funding shall adopt and enforce written policies designed to avoid conflicts of interest and the appearances of such conflicts related to substance abuse contracts. Copies of these policies shall be submitted together with grant applications.
(e) Local CST programs may contract only with substance abuse treatment providers that are certified by the Division, as required by W.S. § 9-2-2701(c). Providers of other ancillary or specialized services other than substance abuse treatment need not be certified; provided, however, the CST program team shall assure itself that all such providers understand their role in the context of drug court concepts. All treatment providers must demonstrate they have sufficient training and/or experience to provide such services to the criminal justice population using a drug court model. CST programs may provide substance abuse services directly or contract with substance abuse providers only if the CST program or substance abuse contractor meets the following requirements: - (i) Be certified by the Division pursuant to the State of Wyoming, Department of Health, Standards for Substance Abuse and maintain current certification;
- (ii) Have received at least forty (40) hours of drug court specific training or Division approved CST training prior to entering into a contract with the CST program; provided however, this provision shall not apply to treatment providers under contract with a drug court that was fully operational on July 1, 2001, so long as the person or entity has been providing services for that CST program prior to that date. Substance abuse providers may be provisionally certified provided they demonstrate their commitment to complete the forty (40) hours of training within six (6) months of certification;
- (iii) Agree to complete six (6) hours additional annual continuing drug court specific training or Division approved CST training in any subsequent year in order to maintain certification. Training hours in excess of the annual six (6) hours may be carried over for up to one (1) year subject to Division approval; and
- (iv) Training which qualifies to meet the requirements of paragraphs (ii) and (iii) above may include drug court courses and seminars provided by the US Department of Justice, the National Association of Drug Court Professionals, the National Drug Court Institute, any state drug court association recognized by the Division, or the Division. In order to receive credit for training sponsored by any other person or entity, the applicant must first receive the written approval of the Division. To request approval of the course or seminar, the applicant must first submit a written request together with a detailed summary of the training and course outline at least thirty (30) days prior to the training.