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What is involved during the intake process with HPRP?

What is involved during the intake process with HPRP?

INTAKE CHECKLIST: This is a checklist that identifies the steps taken during the intake process

  1. Contact is made between licensee and HPRP
  2. Licensee schedules telephone Intake Appointment with Intake Manager
  3.  Licensee completes Intake telephone appointment (45 minutes – 1 hour)
  4. Intake Manager will provide three (3) paneled provider names for diagnostic evaluation
  5. Intake Manager sends licensee a Welcome Packet which includes Releases of Information (ROI’s), list of safe and unsafe drugs and drug screening laboratory’s (FirstLab) paperwork
  6. Licensee calls (within 72 hours) and schedules evaluation time with one of the providers provided by the HPRP. The evaluation must occur within the 2 weeks following the intake appointment.
  7. Licensee calls Intake Manager and provides the scheduled evaluation time, date and the  provider that was selected by the licensee.
  8. Licensee completes ROI’s (including a witness signature) and sends/faxes, within 5 days of scheduling the evaluation, to the Intake Manager including an ROI for the provider selected to do the evaluation
  9. Licensee completes diagnostic evaluation
  10. Licensee waits for HPRP to receive the evaluation documentation from the provider.  Once received, the Intake Manager will call the licensee and notify of receipt and date of case being presented to the Clinical Monitoring Team
  11. Intake Manager will present licensee’s evaluation in a Team Review to determine licensee eligibility for the program
  12. Intake Manager will call licensee after Team Review (the same day) and notify if licensee is eligible for the HPRP. If eligible and licensee agrees to monitoring, the Intake Manager will review the “Conditions of Monitoring” with the licensee
  13. During review of the “Conditions of Monitoring”, licensee will be given options for each provider type to select from which may include an addictionist, psychiatrist, pain management specialist, and therapist
  14. If employed, licensee will identify a worksite monitor and an alternate monitor at their place of employment and provide HPRP with a ROI for those individuals before returning to work
  15. Intake Manager will call and confirm the identified worksite monitor and complete a Worksite Confirmation form
  16. Intake Manager will create a monitoring agreement and mail it to the licensee
  17. The licensee is required to sign, date and notarize the monitoring agreement and send back to the Intake Manager within 14 days from the date on the cover letter included with the monitoring agreement
  18. Once received, the Intake Manager will sign the monitoring agreement, officially entering the licensee into the terms of the agreement. The date of the Intake Manager’s signature is the licensee’s start date in the program
  19. The Licensee’s case will be transferred to a Case Manager who will contact the licensee within 48 hours to introduce themselves and initiate the monitoring process