Kansas Sentencing Commission
Home MenuSB 123 Forms
Approved Cost Caps
- 2022 Approved Treatment Modalities and Cost Caps Updated August 30, 2022
Forms
- SB 123 SUD Assessment Summary Form Updated January 1, 2023
- SB123 Client Placement Agreement Updated October 2024
- Monthly Progress Report Form Updated January 1, 2023
- Treatment Provider Notification Change Form Updated May 2024
Offender Reimbursement Form
- 2021 SB123 Offender Reimbursement Remittance Form Updated August 20, 2021
SASSI Reimbursement Information
The Kansas Sentencing Commission will reimburse Community Corrections and Court Services agencies up to $5.00 per SASSI assessment when considering offenders for SB 123 substance abuse treatment. If the offender scores low on the SASSI prior to referral to a treatment provider for a full assessment, the offender is disqualified from further assessment or eligibility in the program, making a referral unnecessary.
To be reimbursed, the Invoice for SASSI Reimbursement Form (below) must be filled out completely in addition to the SB 123 SASSI Summary Form (below) for each of the SASSI tests administered. The Forms must be submitted to the Commission for reimbursement when the invoice total is greater than $20.00 SB123payments@ks.gov. Quarterly submission of forms are recommended, not to overlap fiscal years. (FY starts July 1)