Substance Use Services Provider Manual

 

Chapter 1: Covered Services

Benefit Plans

FY24 Sliding Fee Scale

Managed Care Operation (MCO) Functions

Service Authorization Matrix

 

Chapter 2: Quality Assurance

Billing Verification Audit Process

Charitable Choice Model Notice

FY25 Updated GPRA QA Guidelines

QA Audit Recovery Homes

QA Audit Tool SUDHH FY 25

QA Guidelines updated 10.2024

QA Treatment Audit FY 2025

 

Chapter 3: Forms

ASAM Assessment Adolescent

ASAM Assessment Adult

Change in Level of Care Form.2024

Communicable Disease Risk Screen

Directors Verification Form updated 3.1.25

Fee Agreement Form MCCMH-SUD

Fee Agreement Instructions MCCMH-SUD

FOCUS Access Request Form.updated 3.1.25

FOCUS Removal Request Form MCCMH-SUD

Incident Report Form MCCMH-SUD

Incident Report Instructions MCCMH-SUD

MASTER FOCUS Removal Request Form 3.6.25

MDHHS 5515 MCCMH-SUD-Standard-Release.updated-10.2024 (1)

MDHHS-5515-Spanish

NOTICE OF ADVERSE BENEFIT DETERMINATION

Physican communication form

Provider Level Appeal Forms

Report of Death Form 10.22.24

Report of Death Instructions updated 1.25

Request to Open Registry form 12.23.24

Request To Open SUD Treatment Case 12.23.24

Request to Open SUDHH Case 12.23.24

Sample Phone Screening Form 10.24

SDA Eligibility Form MCCMH-SUD

 

Chapter 4: Person Served Rights

Know Your Rights Brochure

Recipient Rights Complaint Form

Cultural and Linguistic Competency; Language Assistance Services

Help When You Need It: MCCMH-Member-Handbook-Version-2.0-Jan-2025-1

Local Appeals Process

Local Appeal Process Medicaid

 

Chapter 5: Priority Populations

Care Coordinator Flyer 2.2025

PP Care Coordinator Referral–Fillable Form

Priority Populations Guidelines MCCMH SUD

Treatment Policy #12: Women’s Treatment Services

Treatment Policy #11: FASD

MDHHS Report Templates: Fiscal Year 2025 SUD (Non-Medicaid) Reporting Instructions and Forms

WSS Providers.FY24

 

Chapter 6: Reports

Annual Women’s Specialty Services Report 2025

Fiscal Year 2025 SUD (Non-Medicaid) Reporting Instructions and Forms

Child Referral Report 2025

Client satisfaction survey Instructions MCCMH-SUD 1.2025

Client Satisfaction Survey Report Template 1.25

Injecting_Drug_Users_90_Report_2021

Priority_Populations_Waiting_List_Deficiencies_Report_635640_7

Required Reports

WSS Monthly Report MCCMH-SUD 6.24

 

Chapter 7: Staffing

Communicable Disease Training Requirements 1.25

Credentialing Requirements MCCMH-SUD 3.2025

Director Verification of Credentials Instructions 2025

Directors Verification Form updated 3.1.25

FOCUS Access Request Form.updated 3.1.25

Training Grid SUD FY 2025

 

Chapter 8: Useful Links

MCO Policies: Policy Manual – MCCMH

MDHHS Office locations in Macomb County

MDHHS Policies and Advisories

MCCMH Provider Directory

LARA SUD Page: Substance Use Disorder Licensure

LARA SUD Administrative Rules

United Way/211: Get Help – United Way for Southeastern Michigan

Community Housing Network

Warming/Cooling Centers

Legal Assistance

Macomb Community Action’s Transportation program

Community Resource Guide: The Right Connection in Macomb County

Community Food Bank of Macomb County

Recovery Community Centers:

Live Rite | Providing Recovery Help and Resources

Recovery United Community Center – CARE of Southeastern Michigan

 

Chapter 9: Prevention

MDHHS Substance Use Prevention

Prevention Manual

 

Chapter 10: Recovery Homes

Nightly Sign in Sheet Recovery Homes MCCMH-SUD

Recovery Home Continued Stay Criteria Form

Recovery Home Fee Agreement MCCMH-SUD 2025

Recovery Home Fee Waiver

Recovery Home Providers MCCMH-SUD 2025

Recovery Plan Recovery Homes MCCMH-SUD

Recovery_Home_Guidelines 2.2025

SUD Recovery Home Flow Chart 2.2025

Verification of Treatment for Person Served MCCMH-SUD

Verification of Treatment Form MCCMH-SUD

 

Chapter 11: Peer Recovery Coaching

CARE Peer Recovery Coach Referral Form

Peer Recovery Care Plan

 

Chapter 12: Health Homes

MCCMH-SUDHH Care Plan Template

MDHHS SUDHH Handbook Link

SUD Health Homes Program Guidelines FY 25

SUDHH Consent to treat template 10.1.24

SUDHH Provider List

WSA Gaining Access Guide

 

Chapter 13: Training

MCCMH Training Department: Training – MCCMH

Improving MI Practices

New Provider Training Slides 6.2024

Ongoing ASAM Cont Trainings

Training Grid SUD FY 2025

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