Chapter 1: Benefit Plans

Benefits Plans

 

Chapter 2: Services Authorization

Access Management Functions

Authorization Matrix

 

Chapter 3: Quality Assurance Guidelines

AA List of Attachments

Communicable Disease Risk Screen

MCCMH SUD Fee Agreement Form Revised 6_2024

MCCMH SUD Fee Agreement Instructions Revised 6_2024

MCCMH SUD Program Level Appeal Forms June 2024

MCOSA QA Audit-Blank

MDHHS standard consent form_English

MDHHS standard consent form_Spanish

QA Guidelines updated 6_2024

FY24 Sliding Fee Scale

 

Chapter 4: FOCUS

Change in Level of Care Form

MCCMH – SUD Standard Release (updated 10.2024) Word doc, PDF

SUD Provider Request to Open Case

 

Chapter 5: Recipient Rights, Grievance and Appeals

2-009 Medicaid and Non-Medicaid Grievances

Know Your Rights booklet updated

Local Appeal Process Medicaid-Policy 9-171

Local Appeals (Medicaid and non Medicaid) Policy 9-170

Medicaid and Non-Medicaid Notice of Adverse Benefit Determination 4-020

SA_Recipient_Rights_Complaint_Form and Instruc_SUB-504_438048_7

 

Chapter 6: Other Consumer Resources

Charitable Choice Model Notice

Help Book 2024

 

Chapter 7: MCCMH SUD Contract Providers

Current Contract Provider List

WSS Providers.FY24

 

Chapter 8: Reports

Client Satisfaction Survey Report

Injecting_Drug_Users_90__Report_2021

Priority_Populations_Waiting_List_Deficiencies_Report_635640_7

Required Reports

 

Chapter 9: Staffing

Directors Verification Form

FOCUS Access Request Form

MCOSA Staff Credentialing Policy

 

Chapter 10: Additional Policy/Procedures

2010 Exec Dir 3 Co-Occurring Treatment

Communicable Disease Training Requirements

GPRA QA guidelines-2023

Incident Report Form MCCMH-SUD 6.2024

Macomb County SDA Eligibility Form

MCOSA Record Retention and Disposal Policy

Physican Communication Form

Revised ADOLESCENT ASAM ASSESSMENT FORM

Revised ADULT ASAM ASSESSMENT 2 FORM

ROD Instructions

ROD Report of Death Form.Rev 4.20.15

Training Grid SUD

Waiting list procedures

 

Chapter 11: QHP Agreements

Qualified Health Plans

 

Chapter 12: Integrated Dual-Diagnosis Treatment

Coord.of Svc. Agreement for Co-occur Conditions

IDDT Exec Directive

 

Chapter 13: DHHS Protocol

DHS Local Offices by City

 

Chapter 14: BHDDA Policies and Technical Advisories

BHDDA Policies and Advisories

Prvn Policy 02 CD Form Enabled-1

TA07-Peer Recovery Support Serv-FY20

TX_Policy_11_FASD_295506_7

Womens Specialty Services Policy.Rev 12-14

 

Chapter 15: Prevention

Prevention Manual

 

Chapter 16: ROSC Services

Continued_Stay_Criteria_Form

MCCMH-SUD Contracted Recovery Home Providers

Individual Recovery Plan

Nightly Sign-In updated

Peer Recovery Coach Referral Form

Recovery Home Authorization

Recovery Home Fee Waiver

Recovery Home Policy and Procedures

Registry Request to Open form

Service_Recovery Plan

VERIFICATION OF TREATMENT ATTENDANCE

 

Chapter 17: Michigan Department Of Corrections

Michigan Department of Corrections Policy

 

Chapter 18: SUD Health Homes

FY25 SUDHH PROVIDERS

SUD Health Homes Policy

MCCMH SUDHH Care Plan Template

SUDHH Consent to treat template

SUDHH MDHHS handbook

Waiver Support Application Gaining Access Guide

 

Chapter 19: Provider Trainings

New Provider Training slide deck 6.21.24

Ongoing ASAM Cont Trainings

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