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These are the forms and publications most commonly used by AAIR providers. If you need help completing a form, or are having difficulty downloading a form, please Contact Us. One of our staff members will be happy to provide any assistance you may need. To download or view a AAIR form, you need the Adobe Reader.

  Provider Application Forms  
Form# Form Name How Item is Used
c4.a1 AAIR Provider Enrollment Application To apply for enrollment as an AAIR provider
C5.a1 AAIR Traditional Healer/Spiritual Advisor Form To apply for enrollment as a Traditional Healer/Spiritual Advisor
c4.s1.a5 Clinic Provider Application (Part 6)
c5.s6.0 Alcohol Drug Counselor
  Client Application Forms  
Form# Form Name How Item is Used
c10.a2 AAIR Client Enrollment Application To enroll new clients in AAIR and gather consent for treatment and research participation
  AAIR Client Transfer Form To provide clients with the ability to transfer between authorized AAIR provider organizations when necessary.
c2.a2 Tribal Enrollment/Indian Descendant/ Indian Household Verification Form To request verification of tribal enrollment status from a client’s tribe
  Other Forms  
Form# Form Name How Item is Used
c18.a1 GPRA Tool - ATR-2 To collect and report required client GPRA outcome data to AAIR
  6 Month Follow-Up GPRA Incentive Form AAIR 6 month GPRA follow-up voucher incentive program
c22.a1 Report of Suspected Fraud and Abuse To report a suspected act of fraud or abuse against AAIR
c23.a1 Grievance Form To report a grievance regarding the quality of care delivered to a client
c24.a1 Appeals Form To appeal a AAIR decision or determination
  Assessment Forms  
  RSS Screen Assessment Tool Recovery Support Assessment Tool (RSS TOOL)
  AAIR Website Policies
c4.s1.0 Provider Application Policy c4.s5.0 Service Effective Date c22.s4.0 Corrective Action
c4.s1.1 Provider Application Review c4.s6.0 Eligiblity Status c22.s5.0 Prevention and Detection of Fraud and Abuse
c4.s2.0 General Requirements c4.s7.0 Credentialing Information System c22.0 TOC Fraud and Abuse
c4.s3.0 Provider Credential Review c10.s1.0 Client Eligibility Requirements c23.s4.0 Reconsideration of Initial Determination
c4.s4.0 Eligibility Determination and Notification c22.s1.0 Definition of Fraud and Abuse c23.s1.0 Purpose of the Grievance Process
c4.s4.a2 Provider Enrollment Approval Letter c22.s2.0 Reporting Fraud and Abuse c23.0 TOC Grievances
c4.s4.a3 Provider Enrollment Denial Letter c22.s3.0 Investigation of Fraud and Abuse c23.s2.0 Requirements for filing a Grievance
c23.s3.0 Review, Decision and Notification c24.0 TOC Appeals c24.s1.0 Purpose of the Appeals Process
c24.s2.0 Requirements for Filing and Appeal c24.s3.0 Review, Decision and Notification c24.s4.0 Reconsideration of Appeals Determination