D. Monitoring: A process utilized by Authority staff to systematically review the implementation and compliance of funded programs.

Save this PDF as:
Size: px
Start display at page:

Download "D. Monitoring: A process utilized by Authority staff to systematically review the implementation and compliance of funded programs."

Transcription

1

2 Abuse Disorder (SUD) Providers, Autism Spectrum Disorder Providers, Hospitals, Individuals (i.e., Physician (MD/DO), licensed clinicians, etc.) Services are provided via outpatient (ambulatory), residential and/or inpatient settings C. Managers of Comprehensive Provider Networks (MCPNs): A business entity contracted by the Agency to develop and manage a comprehensive network of providers who can meet the needs of individuals with or at risk of developing severe mental illness, serious emotional disturbance, developmental disabilities and/or substance abuse. D. Monitoring: A process utilized by Authority staff to systematically review the implementation and compliance of funded programs. E. Subcontractor: A legal entity contracted to perform all or part of a community mental health service that is the contractual obligation of an entity contracted with the Authority. F. Utilization Management: Using established criteria to recommend or evaluate services provided in terms of medical necessity, effective use of resources and cost effectiveness. V. STANDARDS A. Providers of Behavioral Health services that want to contract with the Detroit- Wayne Mental Health Authority must complete the Organization/Facility Application in order to become a credentialed provider B. The applications must include evidence of their Medicaid and/or Medicare enrollment and Accreditation C. If the provider is not accredited they will receive a site visit prior to implementation of contract D. The applications will be submitted to the Managed Care Operations unit of the Authority for review E. The application assessment will include a review of the Office of Inspector General List of Excluded Individuals Entities (LEIE), Medicare Exclusion database (MED) and the System for Awards Management prior to contracting with the Provider, at least monthly thereafter and at the time of re-credentialing. F. Upon review a determination will be made based on the Authority s need for the requested services in the application G. The applicant will receive a letter stating that they met all requirements, or that they need to submit additional information or that the Authority does not need their services at this time. 5/20/15 Page 2 of 6

3 H. Providers that have not had a contract with the Detroit Wayne Mental Health Authority or one of the Integrated Care Organizations within 12 months prior to their application submission will receive a site visit before implementation of their contract I. Providers added to the Authority s panel will attend an orientation which will include provider education, reporting requirements and training regarding the Authority s policies and procedures J. Providers will also be oriented to the Provider Manual which will include reporting requirements K. Providers will be added to the provider directory L. Providers will be re-credentialed every three (3) years M. The Authority ensures that the full array of Medicaid and Medicare services are provided within 30 miles or 30 minutes of consumer s residence. N. The Authority monitors that the hours of operation are convenient to the population served. Access to mental health and/or substance use services are available 24 hours/day 7 days a week when medically necessary. O. Authority staff will conduct comprehensive site visits of the MCPN s provider networks, direct contract providers, and contracted County Department providers no less than annually to assure that delegated functions are in compliance with federal, state and local requirements. P. The review of the provider network will include an assessment of adequacy of space to provide the designated services. Q. A report of findings will be submitted to the MCPN, direct contract provider, or the contracted County Department. R. If there are any areas of deficiency, the Authority will require an appropriate response which could include a plan of correction, immediate resolution to the deficiency or contractual sanctions. S. The MCPN, direct contract provider, or contracted County Departments may be required to submit status updates, quarterly, at a minimum, indicating how they are meeting specific standards. T. The Authority reserves the right to monitor the compliance of the MCPNs, direct contract providers, and contracted County Departments on a random basis or as needed. 5/20/15 Page 3 of 6

4 U. MCPNs, and other Authority contractors with subcontractors are responsible, at least annually, for conducting site reviews of those providers to monitor the compliance with all federal, state and local requirements. V. The Authority will review and monitor this activity during their annual MCPN, and direct contract provider site visits. The Authority may randomly validate the findings of the MCPNs. W. MCPNs, their subcontractors, direct contract providers, and Contracted County Departments must have staffing standard requirements that ensure appropriate qualified staff are providing services. X. Failure to comply with applicable federal, state, county and local laws, administrative directives, guidelines and/or policies will result in sanctions outlined in the Authority s contract. Y. Michigan Department of Community Health, Integrated Care Organizations, National Practitioner Database (NPDB) and Authority units will be notified if a provider is terminated, suspended or decline further participation in the Authority s panel of providers Z. Contract Managers, and if necessary, Authority staff from the Office of Recipient Right, Quality Management, Budget and Finance, Utilization Management, Customer Service, and Clinical Services will meet with MCPNs no less than monthly. AA. Contract Managers will meet with direct contract providers, and contracted Wayne County Departments no less than quarterly to ensure compliance with all applicable standards, laws and regulations. BB. An assigned Contract Manager will meet and provide technical assistance as needed with new contractors bi-monthly, at a minimum, until they are substantially compliant with their contract. CC. At the onset of the contractual relationship, MCPNs, direct contract providers and Contracted Wayne County Departments must be in substantial compliance with all key requirements of the Authority s contract. DD. The Authority will monitor the contractor s clinical and managerial structures, processes and outcomes objectively. EE. Providers will receive updates through newsletters, bulletins, and the Detroit Wayne Mental Health Authority website including significant changes to the Authority s provider network 5/20/15 Page 4 of 6

5 VI. VII. VIII. QUALITY ASSURANCE/IMPROVEMENT The Authority shall review and monitor contractor adherence to this policy as one element in its network management program, and as one element of the QAPIP Goals and Objectives. The quality improvement programs of MCPNs, their subcontractors and direct contractors must include measures for both the monitoring of and the continuous improvement of the programs or processes described in this policy. COMPLIANCE WITH ALL APPLICABLE LAWS Authority staff, MCPNs, contractors and subcontractors are bound by all applicable local, state and federal laws, rules, regulations and policies, all federal waiver requirements, state and county contractual requirements, policies, and administrative directives, as amended. LEGAL AUTHORITY AND REFERENCES A. Michigan Mental Health Code, P.A. 258 of 1974, as amended; MCL , MCL B. 42 Code of Federal Regulations , 42CFR C. Agreement Between Michigan Department of Community Health and Detroit Wayne County Community Mental Health Agency for the Medicaid Managed Specialty Supports and Services Concurrent 1915 (b)(c) Waiver Program 10/1/14-9/30/15 D. MDCH Application for Participation, 2013 E. Detroit Wayne Mental Health Authority Cultural Competence Policy F. Detroit Wayne Mental Health Authority Credentialing and Re-credentialing Policy IX. EXHIBIT(S) 5/20/15 Page 5 of 6

6 Please Check: Policy: New Revised Annual Review Effective Date: Reviewed By: Reviewed Date: Fiscal Year: 5/20/2015 Ricarda Pope-King, Lorraine Taylor- Muhammad, J. Davis 7/20/2015 Ricarda Pope-King, Lorraine Taylor- Muhammad, J. Davis 5/20/2015 FY /20/2015 FY /20/15 Page 6 of 6

Reporting Period Service Months Being Reviewed

Reporting Period Service Months Being Reviewed B. Claims Verification Primary Review: Review by the Contractor who receives a randomized sample review of the percentage of claims paid. C. Claims Verification Secondary Review: Review by the Authority

More information

MI HEALTH LINK ACRONYMS AND KEY TERMS

MI HEALTH LINK ACRONYMS AND KEY TERMS MI HEALTH LINK ACRONYMS AND KEY TERMS MI Health Link - New program that will integrate Medicare and Medicaid benefits, rules and payments into one coordinated delivery system DOCUMENT FORMAT Acronym/Key

More information

GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT:

GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT: GENESEE COUNTY Date Issued: 01-1999 COMMUNITY MENTAL HEALTH Date Revised: 08-2011 PIHP POLICY MANUAL SUBJECT: Page 1 of 7 WRITTEN BY: T. Deeghan, COO TECHNICAL REVIEW BY: T. Deeghan, S. Mason AUTHORIZED

More information

Pre-Paid Inpatient Health Plan. Medicaid Services Verification Methodology Report. Fiscal Year 2014

Pre-Paid Inpatient Health Plan. Medicaid Services Verification Methodology Report. Fiscal Year 2014 Pre-Paid Inpatient Health Plan Medicaid Services Verification Methodology Report Fiscal Year 2014 Methodology Report Outline Introduction & Background Process Summary Data Analysis A. Summary of analysis

More information

COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN/PIHP Department: Author: Approval Date 3/17/14

COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN/PIHP Department: Author: Approval Date 3/17/14 COMMUNITY MENTAL HEALTH PARTNERSHIP OF SOUTHEASTERN MICHIGAN/PIHP Department: Author: Approval Date 3/17/14 Policy and Procedure Employee Competency & Credentialing Policy Local Policy Number (if used)

More information

POLICY No. 20-049. Prepared by: Judith Kell Effective: December 20, 2002 Compliance Review Supervisor Revised: January 23, 2009

POLICY No. 20-049. Prepared by: Judith Kell Effective: December 20, 2002 Compliance Review Supervisor Revised: January 23, 2009 LAKESHORE BEHAVIORAL HEALTH ALLIANCE Community Mental Health Services of Muskegon County Community Mental Health of Ottawa County Lakeshore Coordinating Council for Substance Abuse Services POLICY Prepared

More information

Lakeshore RE AFP POLICY # 4.4. APPROVED BY: Board of Directors

Lakeshore RE AFP POLICY # 4.4. APPROVED BY: Board of Directors Lakeshore PIHP POLICY TITLE: CREDENTIALING, RECREDENTIALING, STAFF QUALIFICATIONS, AND BACKGROUND CHECKS Topic Area: Provider Network Management POLICY # 4.4 Page: 1 of ISSUED BY: Chief Executive Officer

More information

Section 303(g)(2)(G) of the Controlled Substances Act (21 U.S.C. 823(g)(2)(G)) is amended. (1) by striking clause (ii) and inserting the following:

Section 303(g)(2)(G) of the Controlled Substances Act (21 U.S.C. 823(g)(2)(G)) is amended. (1) by striking clause (ii) and inserting the following: Section XX. Definitions. Section 303(g)(2)(G) of the Controlled Substances Act (21 U.S.C. 823(g)(2)(G)) is amended (1) by striking clause (ii) and inserting the following: (ii) The term qualifying practitioner

More information

PATHWAYS CMH. POLICY TITLE: Credentialing - Continuous Monitoring of Provider Network EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015

PATHWAYS CMH. POLICY TITLE: Credentialing - Continuous Monitoring of Provider Network EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015 PATHWAYS CMH POLICY TITLE: Credentialing - Continuous Monitoring of Provider Network EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015 RESPONSIBLE PARTY: COO/Human Resources Director CATEGORY:

More information

DETROIT WAYNE MENTAL HEALTH AUTHORITY REQUEST FOR PROPOSALS FOR MANAGERS OF COMPREHENSIVE PROVIDER NETWORK (MCPN) CONTROL #2014-004 ADDENDUM NO.

DETROIT WAYNE MENTAL HEALTH AUTHORITY REQUEST FOR PROPOSALS FOR MANAGERS OF COMPREHENSIVE PROVIDER NETWORK (MCPN) CONTROL #2014-004 ADDENDUM NO. DETROIT WAYNE MENTAL HEALTH AUTHORITY REQUEST FOR PROPOSALS FOR MANAGERS OF COMPREHENSIVE PROVIDER NETWORK (MCPN) CONTROL #2014-004 ADDENDUM NO. 3 ADDENDUM ISSUE DATE: Tuesday, July 22, 2014 This Addendum

More information

NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION UTILIZATION MANAGEMENT PLAN November 1, 2001. Revised January 2013

NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION UTILIZATION MANAGEMENT PLAN November 1, 2001. Revised January 2013 NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION UTILIZATION MANAGEMENT PLAN November 1, 2001 Revised January 2013 I. Mission II. III. IV. Scope Philosophy Authority V. Utilization Management

More information

Mid-State Health Network Utilization Management Plan. Pre-Paid Inpatient Health Plan

Mid-State Health Network Utilization Management Plan. Pre-Paid Inpatient Health Plan Mid-State Health Network Utilization Management Plan Pre-Paid Inpatient Health Plan Mid-State Health Network, Utilization Management Committee Approved: March, 2014 Mid-State Health Network, Operations

More information

Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals

Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals The purpose of this document is to clarify who can provide which outpatient services to Iowa Plan Medicaid members.

More information

Appendix B-2 Acceptance/continued participation criteria Primary care physician assistants

Appendix B-2 Acceptance/continued participation criteria Primary care physician assistants Appendix B-2 Acceptance/continued participation criteria Primary care physician assistants Amendments to this Appendix B-2 shall be effective as of August 1, 2012 (the Amendment Date ). To be initially

More information

BCBSM MENTAL HEALTH AND SUBSTANCE ABUSE MANAGED CARE PROGRAM

BCBSM MENTAL HEALTH AND SUBSTANCE ABUSE MANAGED CARE PROGRAM BCBSM MENTAL HEALTH AND SUBSTANCE ABUSE MANAGED CARE PROGRAM Professional Provider Participation Agreement This agreement (Agreement) is between Blue Cross Blue Shield of Michigan (BCBSM), and the provider

More information

Pages: 9 Date: 03/13/2012 Subject: Credentialing and Recredentialing. Prepared By: MVBCN Clinical Director

Pages: 9 Date: 03/13/2012 Subject: Credentialing and Recredentialing. Prepared By: MVBCN Clinical Director Governing Body: Mid-Valley Behavioral Care Network (MVBCN) Pages: 9 Date: 03/13/2012 Subject: Credentialing and Recredentialing Prepared By: MVBCN Clinical Director Approved By: Oregon Health Authority

More information

Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals

Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals IOWA PLAN F BEHAVIAL HEALTH RE: Professional Criteria and Medicaid Reimbursable Outpatient Services by Professionals The purpose of this document is to clarify who can provide which outpatient services

More information

CareLink Network Provider Application

CareLink Network Provider Application COMPLETION OF THIS APPLICATION DOES NOT GUARANTEE A CONTRACT WITH CARELINK NETWORK Instructions: Please complete one application for each organization and include unique service information for each site

More information

Treatment Facilities Amended Date: October 1, 2015. Table of Contents

Treatment Facilities Amended Date: October 1, 2015. Table of Contents Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 1.1 Definitions... 1 2.0 Eligibility Requirements... 1 2.1 Provisions... 1 2.1.1 General... 1 2.1.2 Specific... 1 2.2 Special

More information

SECTION 18 1 FRAUD, WASTE AND ABUSE

SECTION 18 1 FRAUD, WASTE AND ABUSE SECTION 18 1 FRAUD, WASTE AND ABUSE Annual FW&A Training Required for Providers and Office Staff 1 Examples of Fraud, Waste and Abuse 2 Fraud, Waste and Abuse Program Policy 3 Suspected Non-Compliance

More information

This Agreement is based on the following general principles:

This Agreement is based on the following general principles: CERTIFIED MEDICAID MATCH AGREEMENT BETWEEN THE AGENCY FOR HEALTH CARE ADMINISTRATION AND COUNTY FOR THE REIMBURSEMENT OF SPECIFIED SUBSTANCE ABUSE TREATMENT SERVICES FOR MEDICAID RECIPIENTS The Agency

More information

PROVIDER CREDENTIALING & RE-CREDENTIALING CRITERIA MEDICAID. Credentialing & Re-Credentialing Criteria Medicaid qmc092314 Page 1 of 15

PROVIDER CREDENTIALING & RE-CREDENTIALING CRITERIA MEDICAID. Credentialing & Re-Credentialing Criteria Medicaid qmc092314 Page 1 of 15 PROVIDER CREDENTIALING & RE-CREDENTIALING CRITERIA MEDICAID Credentialing & Re-Credentialing Criteria Medicaid qmc092314 Page 1 of 15 Sandhills Center Credentialing Criteria Agency/Facility: The agency/facility

More information

IN THE MATTER OF: Docket No. 2009-34011 SAS Case No. DECISION AND ORDER

IN THE MATTER OF: Docket No. 2009-34011 SAS Case No. DECISION AND ORDER STATE OF MICHIGAN STATE OFFICE OF ADMINISTRATIVE HEARINGS AND RULES FOR THE DEPARTMENT OF COMMUNITY HEALTH P.O. Box 30763, Lansing, MI 48909 (877) 833-0870; Fax: (517) 334-9505 IN THE MATTER OF: Docket

More information

Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner

Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner Appendix B-1 Acceptance/continued participation criteria Primary care nurse practitioner Amendments to this Appendix B-1 shall be effective as of August 1, 2012 (the Amendment Date ). To be initially admitted

More information

Harbor s Payment to Providers Policy and Procedures is available on the Harbor website and will be updated annually or as changes are necessary.

Harbor s Payment to Providers Policy and Procedures is available on the Harbor website and will be updated annually or as changes are necessary. Original Approval Date: 01/31/2006 Page 1 of 10 I. SCOPE The scope of this policy involves all Harbor Health Plan, Inc. (Harbor) contracted and non-contracted Practitioners/Providers; Harbor s Contract

More information

REV. JULY 1, 2008 NEBRASKA DEPARTMENT OF NMAP SERVICES MANUAL LETTER # 51-2008 HEALTH AND HUMAN SERVICES 471 NAC 17-000

REV. JULY 1, 2008 NEBRASKA DEPARTMENT OF NMAP SERVICES MANUAL LETTER # 51-2008 HEALTH AND HUMAN SERVICES 471 NAC 17-000 MANUAL LETTER # 51-2008 HEALTH AND HUMAN SERVICES 471 NAC 17-000 CHAPTER 17-000 PHYSICAL THERAPY SERVICES 17-001 Standards for Participation: To participate in the Nebraska Medical Assistance Program (NMAP),

More information

NORTHCARE NETWORK. POLICY TITLE: Event/Death Reporting, Notification & Monitoring EFFECTIVE DATE: 10/1/10 (Retro.) REVIEW DATE: 12/18/13

NORTHCARE NETWORK. POLICY TITLE: Event/Death Reporting, Notification & Monitoring EFFECTIVE DATE: 10/1/10 (Retro.) REVIEW DATE: 12/18/13 NORTHCARE NETWORK POLICY TITLE: Event/Death Reporting, Notification & Monitoring EFFECTIVE DATE: 10/1/10 (Retro.) REVIEW DATE: 12/18/13 RESPONSIBLE PARTY: Quality Improvement Coordinator CATEGORY: Quality

More information

UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) GENERAL PROGRAM REQUIREMENTS

UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) GENERAL PROGRAM REQUIREMENTS UTAH DIVISION OF SUBSTANCE ABUSE AND MENTAL HEALTH SUBSTANCE USE DISORDER SERVICES MONITORING CHECKLIST (FY 2014) Program Name Reviewer Name Date(s) of Review GENERAL PROGRAM REQUIREMENTS 2014 Division

More information

Iowa Medicaid Integrated Health Home Provider Agreement General Terms

Iowa Medicaid Integrated Health Home Provider Agreement General Terms Iowa Medicaid Integrated Health Home Provider Agreement General Terms This Agreement is between the state of Iowa, Department of Human Services, (the Department ) and the Provider (the Provider ). The

More information

APPENDIX 1. Medicaid Emergency Psychiatric Demonstration Application Proposal Guidelines

APPENDIX 1. Medicaid Emergency Psychiatric Demonstration Application Proposal Guidelines APPENDIX 1 Medicaid Emergency Psychiatric Demonstration Application Proposal Guidelines INTRODUCTION Section 2707 of the Affordable Care Act authorizes a 3-year Medicaid Emergency Psychiatric Demonstration

More information

I. Introduction. A. Summary/Background

I. Introduction. A. Summary/Background rev 11/11 9. Person Centered Planning Policy and Practice Guideline (FY 12 contract attachment C3.4.1.1) 2002 PCP Practice Guideline Grid TR on Treatment Plan Review Committees (FY 12 contract attachment

More information

504 Lavaca Street Suite 850 Austin, Texas 78701 PROVIDER NEWSLETTER

504 Lavaca Street Suite 850 Austin, Texas 78701 PROVIDER NEWSLETTER 504 Lavaca Street Suite 850 Austin, Texas 78701 PROVIDER NEWSLETTER PROVIDER REPORT www.cenpatico.com Welcome to the first Cenpatico provider report for 2013. We re excited to share with you details on

More information

WYOMING MEDICAID RULES CHAPTER 15 AMBULANCE SERVICES

WYOMING MEDICAID RULES CHAPTER 15 AMBULANCE SERVICES WYOMING MEDICAID RULES CHAPTER 15 AMBULANCE SERVICES Section 1. Authority These rules are promulgated by the Department of Health pursuant to the Medical Assistance and Services Act at W.S. 42-4-101 et

More information

Medicaid County Match Certification Program for Substance Abuse. Agency for Health Care Administration January 23-24, 2008

Medicaid County Match Certification Program for Substance Abuse. Agency for Health Care Administration January 23-24, 2008 Medicaid County Match Certification Program for Substance Abuse Agency for Health Care Administration January 23-24, 2008 1 Agenda Overview of the Program Review of County Agreement with AHCA County Provider

More information

()FFICE OF INSPECTOR GENERAL

()FFICE OF INSPECTOR GENERAL DEP.lliTMENT OF HEALTH 1.\.:' W Hcl\!1,\.'\1 SERYIC:E~ ()FFICE OF INSPECTOR GENERAL '.IASHI'iGTOO., DC 20201 SEP 2 7 2012 TO: Marilyn Tavenner Acting Administrator Centers for Medicare & Medicaid Services

More information

URAC Issue Brief: Best Practices in Network Management

URAC Issue Brief: Best Practices in Network Management 1220 L Street, NW, Suite 400 Washington, DC 20005 202.216.9010 Best Practices in Network Management Introduction As consumers enroll in health plans through newly formed Health Insurance Marketplaces,

More information

SUBSTANCE ABUSE FACILITY GENERAL INFORMATION

SUBSTANCE ABUSE FACILITY GENERAL INFORMATION SUBSTANCE ABUSE FACILITY GENERAL INFORMATION I. BCBSM s Substance Abuse Facility Programs Traditional The Traditional BCBSM Substance Abuse Program provides benefits for the treatment of substancerelated

More information

Issuance of this June 16, 2014 Technical Assistance Guide renders all other versions obsolete.

Issuance of this June 16, 2014 Technical Assistance Guide renders all other versions obsolete. DEPARTMENT OF MANAGED HEALTH CARE HELP CENTER DIVISION OF PLAN SURVEYS TECHNICAL ASSISTANCE GUIDE ACCESS AND AVAILABILITY OF SERVICES ROUTINE MEDICAL SURVEY OF PLAN NAME DATE OF SURVEY: PLAN COPY Issuance

More information

Anthem Credentialing Programs Standards

Anthem Credentialing Programs Standards Anthem Credentialing Programs Standards A. Eligibility Criteria Health Care Practitioners Initial applicants must meet the following criteria in order to be considered for participation: 1. Possess a current,

More information

Psychiatric Rehabilitation Clinical Coverage Policy No: 8D-1 Treatment Facilities Revised Date: August 1, 2012. Table of Contents

Psychiatric Rehabilitation Clinical Coverage Policy No: 8D-1 Treatment Facilities Revised Date: August 1, 2012. Table of Contents Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 2.0 Eligible Recipients... 1 2.1 Provisions... 1 2.2 EPSDT Special Provision: Exception to Policy Limitations for Recipients

More information

UNIVERSITY PHYSICIANS OF BROOKLYN, INC. POLICY AND PROCEDURE. No: Supersedes Date: Distribution: Issued by:

UNIVERSITY PHYSICIANS OF BROOKLYN, INC. POLICY AND PROCEDURE. No: Supersedes Date: Distribution: Issued by: UNIVERSITY PHYSICIANS OF BROOKLYN, INC. POLICY AND PROCEDURE Subject: ALCOHOL & SUBSTANCE ABUSE INFORMATION Page 1 of 10 No: Prepared by: Shoshana Milstein Original Issue Date: NEW Reviewed by: HIPAA Policy

More information

SUBSTANCE ABUSE SCREENING/TESTING S.B. 275 & H.B. 4118: SUMMARY AS ENROLLED

SUBSTANCE ABUSE SCREENING/TESTING S.B. 275 & H.B. 4118: SUMMARY AS ENROLLED SUBSTANCE ABUSE SCREENING/TESTING S.B. 275 & H.B. 4118: SUMMARY AS ENROLLED Senate Bill 275 (as enrolled) House Bill 4118 (as enrolled) Sponsor: Senator Joe Hune (S.B. 275) Representative Jeff Farrington

More information

Center for Medicare and Medicaid Innovation

Center for Medicare and Medicaid Innovation Center for Medicare and Medicaid Innovation Summary: Establishes within the Centers for Medicare and Medicaid Services (CMS) a Center for Medicare & Medicaid Innovation (CMI). The purpose of the Center

More information

Florida Medicaid: Mental Health and Substance Abuse Services

Florida Medicaid: Mental Health and Substance Abuse Services Florida Medicaid: Mental Health and Substance Abuse Services Beth Kidder Assistant Deputy Secretary for Medicaid Operations Agency for Health Care Administration House Children, Families, and Seniors Subcommittee

More information

NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION ACCESS TO CARE PROGRAM PLAN Revised January 2013

NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION ACCESS TO CARE PROGRAM PLAN Revised January 2013 NORTH COUNTRY COMMUNITY MENTAL HEALTH NORTHERN AFFILIATION ACCESS TO CARE PROGRAM PLAN Revised January 2013 I. Mission II. Scope III. Philosophy IV. Authority V. Program Review VI. Capacity Analysis VII.

More information

WRAPAROUND MILWAUKEE Policy & Procedure

WRAPAROUND MILWAUKEE Policy & Procedure WRAPAROUND MILWAUKEE Policy & Procedure Wraparound Wraparound-REACH FISS Project O-Yeah I. POLICY Date Issued: 11/15/07 Effective Date: 1/1/15 Reviewed: 10/20/14 By: WA Last Revision: 10/20/14 Subject:

More information

Requirements For Provider Type 11 Mental Health/Substance Abuse Services

Requirements For Provider Type 11 Mental Health/Substance Abuse Services Requirements For Provider Type 11 Mental Health/Substance Abuse Services Specialty Code Please choose from the following for specialty and code: 113 - Partial Psychiatric Hospitalization (Children) 114

More information

PATHWAYS CMH. CATEGORY: Personnel Employee Guidelines BOARD APPROVAL DATE: June 4, 2014 REVISION(S) TO POLICY OTHER REVISION(S):

PATHWAYS CMH. CATEGORY: Personnel Employee Guidelines BOARD APPROVAL DATE: June 4, 2014 REVISION(S) TO POLICY OTHER REVISION(S): PATHWAYS CMH POLICY TITLE: Credentialing Credentialing & Oversight EFFECTIVE DATE: June 4, 2014 REVIEWED DATE: June 30, 2015 RESPONSIBLE PARTY: COO/Human Resources Director CATEGORY: Personnel Employee

More information

Florida Medicaid. Managed Care Quality Assessment & Improvement Strategies. 2008/2009 Update

Florida Medicaid. Managed Care Quality Assessment & Improvement Strategies. 2008/2009 Update Florida Medicaid Managed Care Quality Assessment & Improvement Strategies 2008/2009 Update Agency for Health Care Administration Florida Medicaid s quality assessment and improvement strategies reflect

More information

CHAPTER 6: CREDENTIALING PROCEDURES

CHAPTER 6: CREDENTIALING PROCEDURES We want to help you become or continue as a participating in-network provider for our members. Please refer to this chapter for information about: Provider credentialing Provider recredentialing Provider

More information

FOLLOW-UP AUDIT OF THE FEDERAL BUREAU OF PRISONS EFFORTS TO MANAGE INMATE HEALTH CARE

FOLLOW-UP AUDIT OF THE FEDERAL BUREAU OF PRISONS EFFORTS TO MANAGE INMATE HEALTH CARE FOLLOW-UP AUDIT OF THE FEDERAL BUREAU OF PRISONS EFFORTS TO MANAGE INMATE HEALTH CARE U.S. Department of Justice Office of the Inspector General Audit Division Audit Report 10-30 July 2010 FOLLOW-UP AUDIT

More information

OFFICE SURGERY REGISTRATION APPLICATION

OFFICE SURGERY REGISTRATION APPLICATION OFFICE SURGERY REGISTRATION APPLICATION Please read the laws and rules that pertain to this registration application prior to completing the form. The laws and rules state the minimum requirements for

More information

EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31

EFFECTIVE DATE: 10/04. SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 SUBJECT: Primary Care Nurse Practitioners SECTION: CREDENTIALING POLICY NUMBER: CR-31 EFFECTIVE DATE: 10/04 Applies to all products administered by the plan except when changed by contract Policy Statement:

More information

Approval Date. 9/18/07 Archive Information

Approval Date. 9/18/07 Archive Information WCHO Department: Substance Abuse Author: Marci Scalera Policy and Procedure Substance Abuse Residential Room and Board Policy Local Policy Number (if used) Date: Reason: Revision Date 5/25/07 Approval

More information

WHAT HEALTHCARE PROVIDERS SHOULD KNOW ABOUT THE PROPOSED MEDICAID MANAGED CARE REGULATIONS RELEASED LAST WEEK

WHAT HEALTHCARE PROVIDERS SHOULD KNOW ABOUT THE PROPOSED MEDICAID MANAGED CARE REGULATIONS RELEASED LAST WEEK WHAT HEALTHCARE PROVIDERS SHOULD KNOW ABOUT THE PROPOSED MEDICAID MANAGED CARE REGULATIONS RELEASED LAST WEEK By Mark E. Reagan, Felicia Y Sze, Joseph R. LaMagna, Nina Adatia Marsden and Yanyan Zhou Basics:

More information

Please see Section IX. for Additional Information:

Please see Section IX. for Additional Information: The Florida Senate BILL ANALYSIS AND FISCAL IMPACT STATEMENT (This document is based on the provisions contained in the legislation as of the latest date listed below.) BILL: CS/SB 998 Prepared By: The

More information

Accountable Care Organization. Medicare Shared Savings Program. Compliance Plan

Accountable Care Organization. Medicare Shared Savings Program. Compliance Plan Accountable Care Organization Participating In The Medicare Shared Savings Program Compliance Plan 2014 Corporate Location: 3190 Fairview Park Drive Falls Church, VA 22042 ARTICLE I INTRODUCTION This Compliance

More information

Magellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP)

Magellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP) Magellan Behavioral Care of Iowa, Inc. Provider Handbook Supplement for Iowa Autism Support Program (ASP) 2014 Magellan Health Services Table of Contents SECTION 1: INTRODUCTION... 3 Welcome... 3 Covered

More information

HEALTH GENERAL PROVISIONS INCIDENT REPORTING, INTAKE, PROCESSING AND TRAINING REQUIREMENTS

HEALTH GENERAL PROVISIONS INCIDENT REPORTING, INTAKE, PROCESSING AND TRAINING REQUIREMENTS TITLE 7 CHAPTER 1 PART 13 HEALTH HEALTH GENERAL PROVISIONS INCIDENT REPORTING, INTAKE, PROCESSING AND TRAINING REQUIREMENTS 7.1.13.1 ISSUING AGENCY: New Mexico Department of Health. [7.1.13.1 NMAC - Rp,

More information

HB 686-FN-A - AS INTRODUCED. establishing a single payer health care system and making an appropriation therefor.

HB 686-FN-A - AS INTRODUCED. establishing a single payer health care system and making an appropriation therefor. 0 SESSION -0 0/0 HOUSE BILL AN ACT -FN-A establishing a single payer health care system and making an appropriation therefor. SPONSORS: Rep. McNamara, Hills ; Rep. Suzanne Smith, Graf ; Rep. Moody, Rock

More information

IV. CREDENTIALING AND STAFF QUALIFICATION REQUIREMENTS

IV. CREDENTIALING AND STAFF QUALIFICATION REQUIREMENTS IV. CREDENTIALING AND STAFF QUALIFICATION REQUIREMENTS Policy Manual Section IV Credentialing Staff Qual Req FY2013 (6.29.12).docx Page 1 of 16 Michigan Department of Community Health Behavioral Health

More information

THE HIPAA PRIVACY RULE AND THE NATIONAL HOSPITAL CARE SURVEY

THE HIPAA PRIVACY RULE AND THE NATIONAL HOSPITAL CARE SURVEY THE HIPAA PRIVACY RULE AND THE NATIONAL HOSPITAL CARE SURVEY Table of Contents I. Overview... 3 II. Legal Authority for NHCS... 3 III. Requirements of the HIPAA Privacy Rule... 3 IV. Extra Safeguards and

More information

Department of Health and Human Services. Centers for Medicare & Medicaid Services. Medicaid Integrity Program

Department of Health and Human Services. Centers for Medicare & Medicaid Services. Medicaid Integrity Program Department of Health and Human Services Centers for Medicare & Medicaid Services Medicaid Integrity Program Maryland Comprehensive Program Integrity Review Final Report Reviewers: Debra Tubbs, Review Team

More information

S. ll. To provide access to medication-assisted therapy, and for other purposes. IN THE SENATE OF THE UNITED STATES A BILL

S. ll. To provide access to medication-assisted therapy, and for other purposes. IN THE SENATE OF THE UNITED STATES A BILL ALB TH CONGRESS D SESSION S. ll To provide access to medication-assisted therapy, and for other purposes. IN THE SENATE OF THE UNITED STATES llllllllll Mr. MARKEY (for himself, Mrs. FEINSTEIN, Mr. ROCKEFELLER,

More information

Oregon Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Oregon

Oregon Data as of July 2003. Mental Health and Substance Abuse Services in Medicaid and SCHIP in Oregon Mental Health and Substance Abuse Services in Medicaid and SCHIP in Oregon As of July 2003, 398,874 people were covered under Oregon s Medicaid/SCHIP programs. There were 380,546 enrolled in the Medicaid

More information

STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street San Francisco, California 94105

STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street San Francisco, California 94105 STATE OF CALIFORNIA DEPARTMENT OF INSURANCE 45 Fremont Street San Francisco, California 94105 NOTICE OF PROPOSED EMERGENCY ACTION PURSUANT TO INSURANCE CODE SECTION 10133.5 AND GOVERNMENT CODE SECTION

More information

Department of Health and Human Services. Centers for Medicare & Medicaid Services. Medicaid Integrity Program

Department of Health and Human Services. Centers for Medicare & Medicaid Services. Medicaid Integrity Program Department of Health and Human Services Centers for Medicare & Medicaid Services Medicaid Integrity Program District of Columbia Program Integrity Review Final Report Reviewers: Mark Rogers, Review Team

More information

CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures.

CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures. CHAPTER 59A-23 WORKERS COMPENSATION MANAGED CARE ARRANGEMENTS 59A-23.001 Scope. 59A-23.002 Definitions. 59A-23.003 Authorization Procedures. 59A-23.004 Quality Assurance. 59A-23.005 Medical Records and

More information

Agency for Health Care Administration Continues Efforts to Control Medicaid Fraud and Abuse

Agency for Health Care Administration Continues Efforts to Control Medicaid Fraud and Abuse December 2011 No. 11-22 Agency for Health Care Administration Continues Efforts to Control Medicaid Fraud and Abuse at a glance The Agency for Health Care Administration continues to coordinate efforts

More information

LEGISLATURE OF THE STATE OF IDAHO Sixtieth Legislature First Regular Session 2009 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO.

LEGISLATURE OF THE STATE OF IDAHO Sixtieth Legislature First Regular Session 2009 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. LEGISLATURE OF THE STATE OF IDAHO Sixtieth Legislature First Regular Session 0 IN THE HOUSE OF REPRESENTATIVES HOUSE BILL NO. BY BUSINESS COMMITTEE 0 AN ACT RELATING TO HEALTH INSURANCE; AMENDING TITLE,

More information

PART 587 OPERATION OF OUTPATIENT PROGRAMS

PART 587 OPERATION OF OUTPATIENT PROGRAMS PART 587 OPERATION OF OUTPATIENT PROGRAMS (Statutory Authority: Mental Hygiene Law, 7.07, 7.09, 7.15, 7.31, 31.02, 31.04, 31.92, 31.94, 43.02; Social Services Law 364(3), 364-a(1), 365-m) Sec. 587.1 Background

More information

Subacute Inpatient MH - Adult

Subacute Inpatient MH - Adult Subacute Inpatient MH - Adult Definition Subacute Inpatient hospital psychiatric services are medically necessary short-term psychiatric services provided to a client with a primary psychiatric diagnosis

More information

HALFWAY HOUSE FACILITY APPLICATION FOR PARTICIPATION IN BCBSM S MENTAL HEALTH AND SUBSTANCE ABUSE MANAGED CARE NETWORK(S) GENERAL INFORMATION

HALFWAY HOUSE FACILITY APPLICATION FOR PARTICIPATION IN BCBSM S MENTAL HEALTH AND SUBSTANCE ABUSE MANAGED CARE NETWORK(S) GENERAL INFORMATION HALFWAY HOUSE FACILITY APPLICATION FOR PARTICIPATION IN BCBSM S MENTAL HEALTH AND SUBSTANCE ABUSE MANAGED CARE NETWORK(S) GENERAL INFORMATION I. BCBSM s Halfway House Facility Program for the State of

More information

DRAFT. Network Adequacy Standards for Qualified Health Plans Marketed in the Silver State Health Insurance Exchange

DRAFT. Network Adequacy Standards for Qualified Health Plans Marketed in the Silver State Health Insurance Exchange DRAFT Network Adequacy Standards for Qualified Health Plans Marketed in the Silver State Health Insurance Exchange Section I. A carrier that is participating in the Silver State Health Insurance Exchange

More information

MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011. Behavioral Health Intervention Services (BHIS) ONLY

MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011. Behavioral Health Intervention Services (BHIS) ONLY MAGELLAN HEALTH SERVICES ORGANIZATION SITE - SITE REVIEW PACKET 2011 Behavioral Health Intervention Services (BHIS) ONLY Proprietary: Magellan Health Services policies apply to all subsidiaries,including

More information

UPDATED. Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs

UPDATED. Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs UPDATED Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs Issued May 8, 2013 Updated Special Advisory Bulletin on the Effect of Exclusion from Participation

More information

RULES AND REGULATIONS DEPARTMENT OF HEALTH DIVISION OF DEVELOPMENTAL DISABILITIES CHAPTER 1

RULES AND REGULATIONS DEPARTMENT OF HEALTH DIVISION OF DEVELOPMENTAL DISABILITIES CHAPTER 1 RULES AND REGULATIONS DEPARTMENT OF HEALTH DIVISION OF DEVELOPMENTAL DISABILITIES CHAPTER 1 Rules For Individually-selected Service Coordination Section 1. Authority. The Department of Health, through

More information

Private Review Agent Application for Certification

Private Review Agent Application for Certification 2/3/16 Private Review Agent Application for Certification The items listed below may paraphrase the law or regulation. The checklist is not required to be included with the application. It should be used

More information

Subject: Overview of Credentialing (Page 1 of 8)

Subject: Overview of Credentialing (Page 1 of 8) Subject: Overview of Credentialing (Page 1 of 8) Objective: I. To ensure that Health Share/Tuality Health Alliance (THA) uses a well-defined credentialing and re-credentialing process for evaluating and

More information

Psychiatric Residential Treatment Facility (PRTF) Prior Authorization Request

Psychiatric Residential Treatment Facility (PRTF) Prior Authorization Request Psychiatric Residential Treatment Facility (PRTF) Prior Authorization Request Please submit this application and all supporting documentation to: Magellan Behavioral Health ATTN: Residential Psychiatric

More information

STATEMENT OF CONSIDERATION RELATING TO 907 KAR 15:070. Department for Medicaid Services Amended After Comments

STATEMENT OF CONSIDERATION RELATING TO 907 KAR 15:070. Department for Medicaid Services Amended After Comments STATEMENT OF CONSIDERATION RELATING TO 907 KAR 15:070 Department for Medicaid Services Amended After Comments (1) A public hearing regarding 907 KAR 15:070 was not requested and; therefore, not held. (2)

More information

Health Homes (Section 2703) Frequently Asked Questions

Health Homes (Section 2703) Frequently Asked Questions Health Homes (Section 2703) Frequently Asked Questions Following are Frequently Asked Questions regarding opportunities made possible through Section 2703 of the Affordable Care Act to develop health home

More information

Running the Numbers. A Periodic Feature to Inform North Carolina Health Care Professionals About Current Topics in Health Statistics

Running the Numbers. A Periodic Feature to Inform North Carolina Health Care Professionals About Current Topics in Health Statistics Running the Numbers A Periodic Feature to Inform North Carolina Health Care Professionals About Current Topics in Health Statistics A Snapshot of North Carolina s Public Mental Health, Developmental Disabilities,

More information

438 ADMINISTRATIVE SERVICES SUBCONTRACTOR EVALUATION

438 ADMINISTRATIVE SERVICES SUBCONTRACTOR EVALUATION 438 ADMINISTRATIVE SERVICES SUBCONTRACTOR EVALUATION EFFECTIVE DATE: 10/01/14, 06/01/15,07/01/16 REVISION DATE: 05/07/15, 02/04/16 STAFF RESPONSIBLE FOR POLICY: DHCM OPERATIONS I. PURPOSE This Policy applies

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Provider Manual. Psychiatric Residential Treatment Facility

KANSAS MEDICAL ASSISTANCE PROGRAM. Provider Manual. Psychiatric Residential Treatment Facility Provider Manual Psychiatric Residential Treatment Facility Updated 11/2011 PART II Introduction Section 7000 7010 7020 8100 8300 8400 BILLING INSTRUCTIONS Introduction to the CMS-1500 Claim Form......

More information

OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN

OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN OFFICE OF MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES BULLETIN ISSUE DATE: May 23, 2014 EFFECTIVE DATE: May 26, 2014 NUMBER: OMHSAS-14-02 SUBJECT: Enrollment and Payment of Licensed Providers that Provide

More information

SUBJECT: BUSINESS ETHICS AND REGULATORY COMPLIANCE PROGRAM & PLAN (BERCPP)

SUBJECT: BUSINESS ETHICS AND REGULATORY COMPLIANCE PROGRAM & PLAN (BERCPP) Effective Date: 6/17/2008; 1/3/2007; 6/2/2004, BOD #04-028 Revised Date: 9/5/2012 Review Date: 9/13/2012 North Sound Mental Health Administration Section 2000-Compliance: Business Ethics and Regulatory

More information

Financing integrated Healthcare in Washington

Financing integrated Healthcare in Washington Financing integrated Healthcare in Washington as of: April 23. 2012 E & M Codes CPT Code 99201-99205 99211-99215 Est. Pt Diagnostic Code May be used only with physical Federally Qualified Health Centers

More information

Organization Profile and Credentialing Application

Organization Profile and Credentialing Application Organization Profile and Credentialing Application Initial Profile and Application Re-credentialing Application and Profile Review Mark all areas of the application NA for any item not applicable I. Certification,

More information

Washtenaw Intermediate School District. Medicaid Quality Assurance Plan

Washtenaw Intermediate School District. Medicaid Quality Assurance Plan Washtenaw Intermediate School District Medicaid Quality Assurance Plan This plan has been developed by the WISD School Based Service Program (SBS) to meet the requirements of the Michigan Department of

More information

Arizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL

Arizona Department of Health Services Division of Behavioral Health Services PROVIDER MANUAL Section 3.20 Credentialing and Recredentialing 3.20.1 Introduction 3.20.2 References 3.20.3 Scope 3.20.4 Did you know? 3.20.5 Definitions 3.20.6 Objectives 3.20.7 Procedures 3.20.7-A. General process for

More information

May 21, 2015 Joint Committee on Finance Paper #352

May 21, 2015 Joint Committee on Finance Paper #352 Legislative Fiscal Bureau One East Main, Suite 301 Madison, WI 53703 (608) 266-3847 Fax: (608) 267-6873 Email: fiscal.bureau@legis.wisconsin.gov Website: http://legis.wisconsin.gov/lfb May 21, 2015 Joint

More information

Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014

Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014 Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: February 19, 2014 Introduction The Office of Mental Health (OMH) licensed and regulated Assertive Community

More information

OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE

OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE OUTPATIENT SUBSTANCE USE DISORDER SERVICES FEE-FOR-SERVICE Brief Coverage Statement Outpatient Substance Use Disorder (SUD) Fee-For-Service (FFS) Treatment Services are available for the treatment of substance

More information

TRANSITIONAL RESIDENTIAL TREATMENT PROGRAM Session Law 2007-323 House Bill 1473, Section 10.49(i)

TRANSITIONAL RESIDENTIAL TREATMENT PROGRAM Session Law 2007-323 House Bill 1473, Section 10.49(i) REPORT TO THE THE JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON MENTAL HEALTH, DEVELOPMENTAL DISABILITIES AND SUBSTANCE ABUSE SERVICES TRANSITIONAL RESIDENTIAL TREATMENT PROGRAM Session Law 2007-323 House Bill

More information

MAD-MR: 12-13 SPECIALTY SERVICES EFF: 9-1-12 MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION INDEX

MAD-MR: 12-13 SPECIALTY SERVICES EFF: 9-1-12 MEDICATION ASSISTED TREATMENT FOR OPIOID ADDICTION INDEX INDEX 8.325.11 8.325.11.1 ISSUING AGENCY...1 8.325.11.2 SCOPE...1 8.325.11.3 STATUTORY AUTHORITY...1 8.325.11.4 DURATION...1 8.325.11.5 EFFECTIVE DATE...1 8.325.11.6 OBJECTIVE...1 8.325.11.7 DEFINITIONS...1

More information

CHAPTER 37H. YOUTH CASE MANAGEMENT SERVICES SUBCHAPTER 1. GENERAL PROVISIONS Expires December 2, 2013

CHAPTER 37H. YOUTH CASE MANAGEMENT SERVICES SUBCHAPTER 1. GENERAL PROVISIONS Expires December 2, 2013 CHAPTER 37H. YOUTH CASE MANAGEMENT SERVICES SUBCHAPTER 1. GENERAL PROVISIONS Expires December 2, 2013 10:37H-1.1 Purpose and scope The rules in this chapter govern the provision of case management services

More information

Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: December 6, 2013

Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: December 6, 2013 Assertive Community Treatment (ACT) Providing Health Home Care Management Interim Instruction: December 6, 2013 Introduction The OMH licensed and regulated Assertive Community Treatment Program (ACT) will

More information

907 KAR 9:005. Level I and II psychiatric residential treatment facility service and coverage policies.

907 KAR 9:005. Level I and II psychiatric residential treatment facility service and coverage policies. 907 KAR 9:005. Level I and II psychiatric residential treatment facility service and coverage policies. RELATES TO: KRS 205.520, 216B.450, 216B.455, 216B.459 STATUTORY AUTHORITY: KRS 194A.030(2), 194A.050(1),

More information

Provider Service Expectations Adult Mental Health/Substance Abuse Day Treatment SPC 704 Provider Subcontract Agreement Appendix N

Provider Service Expectations Adult Mental Health/Substance Abuse Day Treatment SPC 704 Provider Subcontract Agreement Appendix N Provider Service Expectations Adult Mental Health/Substance Abuse Day Treatment SPC 704 Provider Subcontract Agreement Appendix N Purpose: Defines requirements and expectations for the provision of subcontracted,

More information