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
MDHHS standard consent form_English
MDHHS standard consent form_Spanish
QA Guidelines
SUD_Self_Pay_Sliding_Fee_Schedule_FY_2021
SUD_Self_Pay_Sliding_Fee_Schedule_FY_2022
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_SUD_ChangeInLevelOfCare_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
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.
