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 (fillable) FOCUS Removal Request Form
MASTER (fillable) SUD PROVIDER REQUEST TO OPEN CASE
MASTER (fillable) SUD PROVIDER REQUEST TO OPEN REGISTRY
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 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
New Provider Training Slides 6.2024