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Mental Health & Substance Abuse Reporting Requirements

In order to monitor service provision, expenditures and consumer outcomes, the Department requires Substance Abuse Coordinating Agencies (CAs), Community Mental Health Services Providers (CMHSPs), and Pre-Paid Inpatient Health Plans (PIHPs) to provide information and data on topics such as costs, services, consumer demographics, and administrative activities. The following is a list of key instructional documents for reporting to the Mental Health and Substance Abuse Administration. 
(Click here for data reports and statistics.) 

 

  Administrative Cost Reporting - Forms and Instructions 

 

 Administrative Cost Reduction Reporting FY2011 
 
 Last Updated 12/6/2010 

 Annual Submission Requirement Forms and Instructions 
 Last Updated 1/6/2012

  Financial Status Reporting 

 

 Medicaid Hospital Rate Adjustment (HRA) Annual Report 
 
Last updated 1/12/2012

FY 2011

FY 2010

 

 

 

 

Instructions for Generating a CAFAS® Aggregate Report - Instructions for generating aggregate annual Child and Adolescent Functional Assessment Scale (CAFAS) reports from the from the Level of Functioning Project at Eastern Michigan University.
Last Updated 10/21/2011 

 

-  MDCH/PIHP Event Reporting FY11 
Last Updated 11/1/2010
Documentation on how to report to the Event Reporting System. Includes requirements, coding instructions, technical specification and the Implementation Guide. Current reporting includes suicides, non-suicide deaths, emergency medical treatment due to injury or medication error, hospitalizations due to emergency or medication error, and arrests for reportable populations . 

 

 -   PIHP FY11 Medicaid Utilization and Cost Reporting Form for Specialty Services and the Adult Benefit Waiver (ABW)    
  
 Reporting Instructions for Specialty Services and for ABW  
  
Last Updated 12/1/2011.
  Template for PIHP FY11 Medicaid and ABW Cost Reporting. (Oct. 2010 - Sept. 2011)
   Due date February 28, 2012 5:00 P.M.
 

 -   CMHSP FY11 Sub-Element Cost Reporting Form      
  
 and       Reporting Instructions 
 
 Last Updated 2/3/2012
  Template for CMHSP FY10 Cost Reporting. (Oct 2009-Sept 2010)
   Due date February 28, 2012 5:00 P.M.
 

 

CMHSP FY11 General Fund Cost Reporting Form and Reporting Instructions 
  Last Updated 12/1/2011.
   Template for CMHSP FY11 General Fund Cost Reporting (Oct 2010-Sept 2011).
   Due date February 28, 2012 5:00 P.M.
 

 

NPI Reporting Guidelines for 837 Encounter Transactions 
   October 17, 2007 

 

PIHP/CMHSP Encounter Reporting Costing Per Code and Code Chart    
  Last Updated 2/9/2012 - Corrected
 
   
Includes all reportable HCPCS and Revenue codes for mental health.  Contains updated instructions on   use of modifiers and the acceptable activities that may be reflected in the cost of each procedure such as whether an activity needs to be face-to-face.
   

 


Michigan's Mission-Based Performance Indicator System, Ver. 6.0
Last Updated 10/18/2011

    CMHSP Reporting Codebooks 
    PIHP Reporting Codebooks  
 (Revised 10/18/11) 

Detailed instructions for reporting the FY11 Performance Indicators. Includes codebooks. Required for PIHPs, CMHSPs & CAs
  
    CMHSP Template 
 (Last Updated 5/17/2011)
    PIHP Template  (Last Updated 5/17/2011)
    CMHSP Death Reporting Template 
    CMHSP Recipient Rights Reporting Template 
    PIHP Recipient Rights Reporting Template 

 

 

 

Private Duty Nursing Authorizations Manual Posted 8/25/2010
The User Manual guides CMH staff who are authorized through CHAMPS to enter prior authorizations for private duty nursing.   


 
 

Submitting Medicaid Substance Abuse Encounters (9/05) 
In order to be in compliance with the Balanced Budget Act, Medicaid encounters for services provided by the Substance Abuse Coordinating Agencies (CAs) are to be received electronically by the Department via the Prepaid Inpatient Health Plans (PIHPs). The attached provides instructions for use with FY 06 encounters. This document also includes related instructions on Plan and Submitter IDs. 

>   Instructions for use with FY06 encounters 

State TEDS Admission/Discharge Coding Instructions - FY2007 
State TEDS Admission/Discharge Coding Instructions for Coordinating Agencies - FY2007 

>   Coding instructions for Treatment Episode Data Sets (TEDS ) 

Instructions for Reporting Facility Provider Type (11/04) 
PIHP and CMHSP Instructions for reporting the inpatient hospital provider type for the servicing facility on the 837 Institutional. Provider Types include state hospital, community inpatient, institute for mental disease (IMD) and Intermediate Care Facility for the Mentally Retarded (ICF/MR). See also, listing of hospitals and reporting codes. 

>   Instructions for Reporting Facility Provider Type XXXX 

 

If you have questions on this material, please e-mail Kathy Haines at HainesK@Michigan.gov 

 

 

 

 

 


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