Table of Contents

 

Chapter 1: Benefit Plans

Benefits Plans

 

Chapter 2: Services Authorization

Access Management Functions

Authorization Matrix

 

Chapter 3: Quality Assurance Guidelines

AA List of Attachments

C-MCOSA Fee Agreement Instructions

Communicable Disease Risk Screen

MCOSA Program Appeal Form

MCOSA QA Audit-Blank

MCOSA_Fee_Agree_Form.Rev_10.15.18

QA Guidelines

SUD_Self_Pay_Sliding_Fee_Schedule_FY_2021

 

Chapter 4: FOCUS

Change in Level of Care Form

FOCUS ASAM 20140908

FOCUS Login Directions- Help

FOCUS Training PP

FOCUS_Authorization_20140912

FOCUS_ReAuthorization_20140912

FOCUS_SUD_SelfPayPolicy_20140908

FOCUS_SUD_TEDS_Admission_20140908

FOCUS_SUD_TEDS_Discharge_20140908

DOCs

AMS Release

Change LOC Release

FOCUS ASAM 20140908

FOCUS Login Directions- Help

FOCUS Training PP

FOCUS_Authorization_20140912

FOCUS_ReAuthorization_20140912

FOCUS_SUD_ChangeInLevelOfCare_20140908

FOCUS_SUD_SelfPayPolicy_20140908

FOCUS_SUD_TEDS_Admission_20140908

FOCUS_SUD_TEDS_Discharge_20140908

FY15 Memo

How to View Stored MPHI Medicaid Eligibility in FOCUS 8-22-14

MCOSA Multi-Party Release.updated 2019.pdf

MCOSA Standard Release.updated 1.15.19

MCOSA Training Outline for Clinicians

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

Dear Cons Letter.10-1-14

Help Book 2019-624

Privacy Practices_2016

 

Chapter 7: MCOSA Contract Providers

Contract Provider List FY21

Women’s Specialty Service Providers FY21

 

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

Director Verification Form_Clinical

Director Verification Form_Prevention

Director Verification of Credentials Instruction

FOCUS FORM INSTRUCTIONS

FOCUS FORM MCOSA RECOVERY SERVICES

FOCUS FORM MCOSA TREATMENT

Treatment Staff Credentialing Policy

 

Chapter 10: Additional Policy/Procedures

2010 Exec Dir 3 Co-Occurring Treatment

Communicable Disease Training Requirements

Incident Report OTHER

Macomb County SDA Eligibility Form

MCOSA Record Retention and Disposal Policy

Revised ADOLESCENT ASAM ASSESSMENT FORM

Revised ADULT ASAM ASSESSMENT 2 FORM

ROD Instructions

ROD Report of Death Form.Rev 4.20.15

Women’s Specialty Procedures_Child Services Reporting

 

Chapter 11: QHP Agreements

Coordination Agreements

Macomb Co Medicaid Health Plans listing

 

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: BSAAS Policies and Technical Advisories

BSAAS Policies and Technical 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

Individual Recovery Plan

Peer Recovery Coach Referral Form

RECOVERY HOME ADMISSION FORM

Recovery Home Authorization

RECOVERY HOME DISCHARGE FORM

Recovery Home Information Memo

Recovery Home Policy and Procedures

Registry Request to Open form

Self-sufficiency Matrix -blank

Service_Recovery Plan

Subcontract phone_FY20 RECOVERY HOMES

 

Chapter 17: Michigan Department Of Corrections

Michigan Department of Corrections Policy

 

Chapter 18: Opioid Health Homes

FY21 MCOSA OHH PROVIDERS

Opioid Health Homes Policy

COVID-19 Notice

Due to current COVID-19 restrictions and State of Michigan and CDC guidelines, most services are currently occurring via telehealth. Please contact the Access Center at 855-99-MCCMH to connect with services. Children's Mobile Crisis Services are available for in-person assessments as needed by calling the Crisis Center at 586-307-9100.

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