SITE REVIEW TOOLS
General Information and Tally Tool
Compliance Tool
Best Practice Tool
Travel Reimbursement Rates
MANUALS
Guidance Manual February 25, 2011 Edition
Appendix A:
CSHCS State of Michigan "Who to Call" list
Appendix B:
MDCH Directory
CSHCS Directory
Appendix C:
LHD "Contacts at a Glance" List for CSHCS office
NOTE: If you have had any change in staff or contact information please email that information to wilsona@michigan.gov
Appendix D:
CSHCS and MDCH Forms
Appendix E:
Diagnostic Codes
Appendix F:
CSHCS Acronym List
Appendix G:
Medicaid Provider Manual Navigation Instructions
Appendix H
Record Retention and Disposal Schedule
Appendix I:
CSHCS Medical Diagnosis and Possible Related Specialties
Appendix J:
LHD Procedures What to Do If
Appendix K: Sample Plans of Care
Basic Plan of Care
Care Coordination Log
Log for CM/CC FSR Billing
Genesee Plan of Care
Genesee Phone Plan of Care
Kids Connection Plan of Care
Appendix L:
CSHCS Denial Code Reasons
Appendix M:
Family Rights and Responsibilities
Transition Resource Manual
CSHCS BROCHURES
Link for ordering CSHCS Brochures.
Click the 'Children's Health Care' Link.
Online Brochures (you can print from here):
Using Other Insurance with CSHCS (This may take a while to open)
CSHCS Insurance Premium Payment Benefit
FSN Brochure
CSHCS Informational Brochure Arabic English Spanish
Being Prepared for an Emergency
Children with Special Needs Fund (CSN)
FORMS
Bereavement form
CSHCS Out of State Authorization Request form
Medicaid Forms that can be down loaded
CSHCS Prior Authorization Form for In-state Medical that Require PA
CSHCS MERF Medical Eligibility Report Form
CONTACT INFORMATION
CSHCS Nurse Consultant and Analyst Contacts
CSHCS Nurse Consultants and Analyst Assignments
Local CSHCS Office Contact Information
Phone Numbers for Local CSHCS Offices
WEB CLASSES
CSHCS On-line LHD ORIENTATION created specifically for LHD Staff.
To learn more about CSHCS, take the free Department Of Community Health on-line courses titled "What is Children's Special Health Care Services". At this same site you will find another course titled "CSHCS-Support Parent Training Course". You can access these courses by clicking here.
State of Michigan Links
MDCH, Medicaid Provider Manual
Magellan Medicaid Pharmacy Link
MDCH Local Liason Report
Michigan Prepares: Protecting Your Family and Community
Department of Human Services Main Page
Program Administrative Manual (PAM)
Program Eligibility Manual (PEM)
Department of Human Services County Look Up
State Adoption Information
Early On Information
State of Michigan, SSI Information
Michigan Genetics Resource Center
State of Michigan, Special Education
Women, Infants and Children (WIC)
External Links
Online CSHCS class - Page down to "What is CSHCS?"
Federal Disability and SSI Information