Substance Use Services Provider Manual
Chapter 1: Covered Services
Managed Care Operation (MCO) Functions
Chapter 2: Quality Assurance
Billing Verification Audit Process
Charitable Choice Model Notice
FY25 Updated GPRA QA Guidelines
Chapter 3: Forms
Change in Level of Care Form.2024
Communicable Disease Risk Screen
Directors Verification Form updated 3.1.25
Fee Agreement Instructions MCCMH-SUD
FOCUS Access Request Form.updated 3.1.25
Incident Report Form MCCMH-SUD
Incident Report Instructions MCCMH-SUD
MASTER FOCUS Removal Request Fillable Form
MDHHS 5515 MCCMH-SUD-Standard-Release.updated-10.2024 (1)
NOTICE OF ADVERSE BENEFIT DETERMINATION
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
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
Chapter 5: Priority Populations
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
Chapter 6: Reports
Annual Women’s Specialty Services Report 2025
Fiscal Year 2025 SUD (Non-Medicaid) Reporting Instructions and Forms
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
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
Chapter 8: Useful Links
MCO Policies: Policy Manual – MCCMH
MDHHS Office locations in Macomb County
MDHHS Policies and Advisories
LARA SUD Page: Substance Use Disorder Licensure
United Way/211: Get Help – United Way for Southeastern Michigan
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
ASAM Residential Designation Letter
ASAM Outpatient Designation Letter
OTP Provider SAMHSA registration link: OTP Extranet System
Mi Login Job Aid for ASAM Application
Mi Login Job Aide Organizational Credentialing Application
Chapter 9: Prevention
MDHHS Substance Use Prevention
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 Providers MCCMH-SUD 2025
Recovery Plan Recovery Homes MCCMH-SUD
Recovery_Home_Guidelines 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
Chapter 12: Health Homes
MCCMH-SUDHH Care Plan Template
SUD Health Homes Program Guidelines FY 25
SUDHH Consent to treat template 10.1.24
Chapter 13: Training
MCCMH Training Department: Training – MCCMH
Instructions- How to add an ASAM CONTINUUM 2021-09-29