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 FY12 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 - Revised 2/19/2013.
  Template for PIHP FY12 Medicaid and ABW Cost Reporting. (Oct. 2011 - Sept. 2012)
   Due date February 28, 2013 5:00 P.M. 

 -   CMHSP FY12 Sub-Element Cost Reporting Form          
   and       Reporting Instructions 
   Last Updated 2/4/2013; Template Revised 2/8/2013
  Template for CMHSP FY12 Cost Reporting. (Oct 2011-Sept 2012)
   Due date February 28, 2013 5:00 P.M. 

- CMHSP FY12 General Fund Cost Reporting Form and Reporting Instructions 
  Last Updated 2/4/2013.
   Template for CMHSP FY12 General Fund Cost Reporting (Oct 2011-Sept 2012).
   Due date February 28, 2013 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 12/17/2012 
   
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 12/18/2012

    CMHSP Reporting Codebooks (Last Updated 12/18/2012) 
    PIHP Reporting Codebooks      (Last Updated 12/18/2012)  

Detailed instructions for reporting the FY12 Performance Indicators. Includes codebooks. Required for PIHPs, CMHSPs & CAs. 
  
    CMHSP Template   (Last Updated 5/15/2012)
    PIHP Template   (Last Updated 5/15/2012)
    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  

-  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