PROVIDER APPLICATION - Facility Logo

  • Certified Provider Application | Facility

    The application below is intended for facility-based services and is only a request for information, not an offer to contract. Your Application Contact will receive a written response from Scandia Wellness Systems upon receipt of this application within 10 business days.

  • Facility Information

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  • Treatment Program Information

  • Facility's Key Treatment Providers

    Key treatment providers are defined as people who: 1. are employed in a position that requires a state, federal, or professional license; or 2. have direct oversight of anyone meeting the standard delineated in (1); or 3. anyone who has significant input on organization treatment policies.
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  • Policies and Procedures

    Please submit copies of existing written policies and procedures that reference treatment services offered or recommended, and that demonstrate a commitment to best practices, effective recovery, and continuous improvement.
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  •  Such policies should include: 

    *Intake and discharge

    *Admittance criteria

    *Discharge procedures

    *General policies

    *Resident handbook

    *Emergency Procedures

    *Partnerships/ethics

    *Referral policy

    *No kickback policy

    *Grievance policies

    *Resident search policy

    *Best practices and outcomes

    *Relapse policy, prevention and monitoring

    *Drug and dangerous items disposal policy

    *Detoxification staffing and supervision

    *Urine and breath testing policy, including frequency of testing

    *Procedures for collecting outcomes data for continuous improvement

  • Services Offered

  • Substance Abuse/Dual Diagnosis

  • Residential / In-patient

  • Partial Hospitalization

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  • Intensive Outpatient

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  • Outpatient

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  • Medication Assisted Treatment (MAT)

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  • Mental Health Treatment

  • Residential / In-patient

  • Partial Hospitalization

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  • Intensive Outpatient

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  • Outpatient

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  • Specialty Programs

    Please indicate below if your facility currently offers any of the following specialty programs. We would like to understand any special tracks or clinical programs offered for the following populations.
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  • Terms and Disclosures

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  • Scandia Wellness Systems (SWS) was founded to improve community well-being through better healthcare, promote collaboration among providers, control costs, and stay innovative in healthcare advancements.

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