Provider Portal

ADAMH Provider Portal

This portal is for ADAMH provider agencies.  Providers may access notices, manuals, links, forms, documentation, and e-newsletters on this page.  For any questions or more information, please email Justin N. Curtis, Director, SHARES Enterprise Services at jcurtis@adamhfranklin.org.

Links

If you do not have an account to access one of these sites, please complete the appropriate account request form from the Forms section on this page to request access.

SHARES

Secure File Transfer

3C Hotline

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Manuals and Documents

SHARES Manuals

Franklin County SHARES Provider manual (complete)Download
SHARES Provider Manual – I. System OverviewDownload
SHARES Provider Manual – II. MembershipDownload
SHARES Provider Manual – III. OutcomesDownload
SHARES Provider Manual – IV. Service RequestsDownload
SHARES Provider Manual – V. ClaimsDownload
SHARES Provider Manual – VI. PreventionDownload
SHARES Prevention Forms Supplemental SheetDownload
SHARES Member Search/Enrollment Quick SheetDownload
SHARES Same Day Incentive Referral Service Request **Recently added Download

3C Hotline

3C Hotline Provider InstructionsDownload
3C Hotline – Viewing and Reopening Closed TicketsDownload
3C Hotline – Complete Instruction ManualDownload

Outcomes

SHARES Outcomes Forms HeadersDownload
SHARES Outcomes Batch Upload File Layout Specifications – Brief Addiction Monitor Download
SHARES Outcomes Batch Upload File Layout Specifications – Ohio Scales for AdultsDownload
SHARES Outcomes Batch Upload File Layout Specifications – Ohio Scales for Youth-ParentDownload
ADAMH Consumer Outcomes Training PresentationDownload

Miscellaneous Documents

SHARES Active Procedure CodesDownload
SHARES Conversion table for services with a 15 minute unit definitionDownload
SHARES – Correcting claims (voiding) processDownload
VOID TemplateDownload
SHARES – Claims reports explainedDownload
SHARES – Prevention Taxonomy DefinitionsDownload
2019 ADAMH Reimbursement ScheduleDownload
2020 ADAMH Reimbursement ScheduleDownload
3C Hotline SLADownload
SHARES – Acceptable Eligibility Verification DocumentsDownload
SHARES – 2020 Public Subsidy ScaleDownload
SHARES 835 Companion GuideDownload
SHARES – Claims Re-adjudication Request Instructions Download
Tips and How-to's - Building

Quick Tips and How-To’s

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Training Videos

SHARES – IntroductionDownload
SHARES – Searching for membersDownload
3CHotline – Submitting and Viewing TicketsDownload
SHARES – Submitting OutcomesDownload
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Forms

Account Request Forms

SHARES Account Request FormDownload
TPA (Third Party Access) FormDownload
Secure File Transfer Account Request FormDownload

Outcomes Forms

ADAMH Outcomes Scale Scoring – Brief Addiction Monitor FormDownload
ADAMH Outcomes Scale Scoring – Ohio Scales for Adults FormDownload
ADAMH Outcomes Scale Scoring – Ohio Scales for Youth-Parent FormDownload
Brief Addiction Monitor FormDownload
Ohio Scales for Adults FormDownload
Ohio Scales for Youth-Parent FormDownload
Ohio Scales for Youth-Parent-Form (Spanish Version)Download

Miscellaneous Forms

SHARES Group Member Request formDownload
ADAMH Public Subsidy Fee Waiver Request FormDownload
RCF-Placement-NotificationDownload
ADAMH Affidavit of Residency Form (2019)Download
SHARES TA Document – Court Records as Proof of ResidencyDownload
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