Mental Health & Substance Abuse Reporting Requirements
In order to monitor service provision, expenditures and consumer outcomes, the Department requires 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 federal Substance Abuse and Mental Health Services Administration.
(Click here for data reports and statistics.)- Link to Core HIPAA-Related Health Plan Materials
- PIHP/CMHSP Encounter Reporting Costing Per Code and Code Chart
(Lasted updated 7/25/2017)
- PIHP/CMHSP Provider Qualifications Chart
(Last Updated 7/1/2017)
Administrative Cost Reporting - Forms and Instructions
Administrative Cost Reporting Fiscal Year 2016
Forms and Instructions Revised and Posted for FY 16 Expenditures per FY16 General Fund Contract Section 7.8 & 7.8.1.
(Last Updated 02/10/2017)Administrative Cost Reporting Fiscal Year 2015
Forms and Instructions Revised and Posted for FY 14 Expenditures per FY15 General Fund Contract Section 7.8 & 7.8.1
(Last Updated 02/04/2015)Administrative Cost Reporting Fiscal Year 2014
Forms and Instructions Revised and Posted for FY 13 Expenditures per FY14 General Fund Contract Section 7.8 & 7.8.1(Last Updated 02/04/2015)
- Previous Years 2009 - 2013
Annual Submission Requirement Forms and Instructions
Financial Status Reporting
Financial Status Reporting Fiscal Year 2017
Contract Requirements Per General Fund Section P6.5.1.1 and Medicaid Section P7.7.1.1
Last updated 5/16/2017Financial Status Reporting Fiscal Year 2016
Contract Requirements Per General Fund Section P6.5.5.1 and Medicaid Section P7.7.1.1
Last updated 5/11/2016Financial Status Reporting Fiscal Year 2015
Contract Requirements Per General Fund Section P6.5.5.1 and Medicaid Section P7.7.1.1
Last updated 6/10/2015- Previous Years FY2009 - FY2014
SUD (Non-Medicaid) Reporting Instructions and Forms
PIHP SUD Reporting for FY 2017
Contract Requirements Per Medicaid Section 7.7.1.1
(Last Updated 02/22/2017)Contract Requirements Per Medicaid Section 4.13.1.
- ROSC/Recovery Process Deadlines
Table 2 Annual Plan – 12/31/16 (due date extended to 3/31/17)
Table 3a or 3b – due 10/31/17
Table 2 Annual Reporting – due 02/28/18PIHP SUD Reporting for FY 2016
Contract Requirements Per Medicaid Section 7.7.1.1
(Last Updated 9/30/2015)PIHP SUD Reporting for FY 2015
Contract Requirements Per Medicaid Section 7.8.1
(Last Updated 9/25/2014)
Medicaid Hospital Rate Adjustment (HRA) Annual Report
Contract Requirements Per Medicaid Section 7.7.1.1
(Last Updated 04/12/2016)
FY2016
- Previous Years 2010-2015
BH - TEDS
- BH-TEDS FY 18 File Specifications
Rev. 07/18/2017
- FY17 File Specifications
Rev. 04/17
- Field Requirements - Color Coded
Rev. 10/16
- BH-TEDS Q & A
Rev. 9/16
- BH-TEDS Error Logic
- BH-TEDS Coding Instructions
Rev. 10/11/2016
- BH-TEDS Error Description
Rev. 11/22/2016
Please send all questions and comments to Carol Hyso at HysoC@michigan.gov.
BH - REGISTRY FILE
- BH - Registry File Process Documentation
Please send all questions and comments to Dick Berry at BerryR3@michigan.gov.
Other Resources
- Instructions for Reporting Financial Information
(Last Updated: 4/22/2013)
Documentation on how to report financial information via the 837 including charged and paid amount, and provider identification.
- Instructions for Generating a CAFAS® and PECFAS® Aggregate Reports
(Last Updated 11/21/2013)
Instructions for generating aggregate annual Child and Adolescent Functional Assessment Scale (CAFAS) and Pre-School and Early Childhood Functional Assessment Scale (PECFAS) reports.
- 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 .
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Reporting Instructions for Specialty Services, HMP, for Medicaid and MI Child Autism Benefits (Oct-Dec, 2015) and Medicaid Autism (Jan-Sept. 2016)
(Last Updated - 2/10/2017)
Template for PIHP FY16 Medicaid, HMP, and Autism Cost Reporting. (Oct. 2015 - Sept. 2016)
Due date February 28, 2017 5:00 P.M. CMHSP FY16 Sub-Element Cost Reporting Form and Reporting Instructions
(Last Updated 2/10/2017)Template for CMHSP FY16 Cost Reporting. (Oct 2015-Sept 2016)
Due date February 28, 2017 5:00 P.M.CMHSP FY16 General Fund Cost Reporting Form and Reporting Instructions
(Last Updated 1/12/2017)
Template for CMHSP FY16 General Fund Cost Reporting (Oct 2015-Sept 2016).
Due date February 28, 2017 5:00 P.M.- PIHP/CMHSP Encounter Reporting Costing Per Code and Code Chart
(Last Updated 7/25/2017)
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.
- NPI Reporting Guidelines for 837 Encounter Transactions
(Last Updated 6/10/2016)
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 12/18/2013)Detailed instructions for reporting the FY12 Performance Indicators. Includes codebooks. Required for PIHPs,CMHSPs & CAs.
- CMHSP Template (Last Updated 12/18/2013)
- PIHP Template (Last Updated 12/18/2013)
- CMHSP Recipient Rights Reporting Template
- PIHP Recipient Rights Reporting Template
- Private Duty Nursing Authorizations Manual
(Last Updated 8/25/2010)
The User Manual guides CMH staff who are authorized through CHAMPS to enter prior authorizations for private duty nursing.
If you have questions on this material, please e-mail Kathy Haines at HainesK@michigan.gov.
