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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.)
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Section 460 Reporting Requirements
11/29/2006
Methods and instructions for allocating administrative costs and reporting requirements for the Pre-Paid Inpatient Health Plans (PIHPs), Community Mental Health Services Programs (CMHSPs), and their sub-contractors.
- Cost Allocation Requirement for FY'07 - Background
- PIHP Legislative Report - Template
- CMHSP Legislative Report - Template
- Q&A - Vol. I
- Q&A - Vol. II
- Technical Training for Chief Financial Officers and Key Accountants
- PowerPoint - Revised November 6, 2006
- Best Practices "July 23rd, 2007 Presentation" |
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PIHP FY07 Medicaid Utilization and Cost Reporting Form
and Reporting Instructions
Last Updated 12/21/2007.
Template for PIHP FY07 Medicaid Cost Reporting (Oct 2006-Sept 2007).
Due date January 31, 2008 5:00 P.M.
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CMHSP FY07 Sub-Element Cost Reporting Form
and
Reporting Instructions
Last Updated 12/20/2007
Template for CMHSP FY07 cost reporting. Due date January 31, 2008 5:00 P.M.
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NPI Reporting Guidelines for 837 Encounter Transactions
October 17, 2007
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- PIHP/CMHSP Encounter Reporting Costing Per Code
Last Updated 10/1/2007
Contains 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.
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- PIHP/Mental Health Coding Questions and Answers
Last Updated 4/18/2006
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- Michigan's Mission-Based Performance Indicator System, Version 6.0
Last Updated 7/13/2007
Due Date Revisions 2/6/2007
Detailed instructions for reporting the FY06 Performance Indicators. Includes codebooks. Required for PIHPs, CMHSPs & CAs.
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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.
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State TEDS Admission/Discharge Coding Instructions - FY2007
State TEDS Admission/Discharge Coding Instructions for Coordinating Agencies - FY2007
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Establishing Managed Care Administrative Costs (6/05)
Establishes PIHP Managed Care Administrative Costs. Provides instructions on what managed care functions should be included in the allocation of expenditures for management.
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- 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.
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If you have questions on this material, please e-mail Kathy Haines at HainesKat@Michigan.gov
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