Michigan Intensive Child and Adolescent Service (MICAS) Array

Michigan Intensive Child & Adolescent Services (MICAS) is a Medicaid-covered service array of intensive and comprehensive home- and community-based services identified to meet the behavioral health needs of children, youth and their families when determined to be medically necessary. 

The MICAS array includes the following services: 

1. Intensive Home-Based Services (HBS): A treatment program for families that includes therapy, case management, crisis support, and connections to outside resources such as food, housing or medical care. 
2. Intensive Crisis Stabilization Services (ICSS): Proactive response, including mobile response, and other supports provided by clinicians and other staff to quickly react to a crisis and support the family with connections to follow-up care. 
3. Intensive Care Coordination with Wraparound (ICCW): Planning process to support children and youth in receiving individualized mental health treatment and services, and to promote coordination across multiple providers and agencies. 
4. Parent Support Partner: Parent or caregiver with lived experience dedicated to supporting parents/ caregivers who have children with serious emotional disturbance or intellectual/developmental disabilities. Helps increase hope and promote self-advocacy with service providers to ensure family’s needs are being met. 
5. Youth Peer Support: Young adult with lived experience dedicated to helping youth and young adults with serious emotional disturbance or serious mental illness, specifically to enhance hope, confidence, self-advocacy skills and decision-making abilities. 
6. Respite: Offers parents and caregivers temporary relief from providing complex care for children with serious emotional disturbances or intellectual/developmental disabilities. 

Eligibility criteria for each of the MICAS services are outlined in the Medicaid Provider Manual, Behavioral Health and Intellectual and Developmental Disability Supports and Services Chapter, Section 21 - MichiCANS. Access to these services is provided through Prepaid Inpatient Health Plans (PIHP). PIHPs offer Medicaid-funded community mental and behavioral health services as determined medically necessary.  

The Prepaid Inpatient Health Plan (PIHP) Customer Services Standards outline the uniform standards that apply to the PIHP and any entity which the PIHP has delegated the customer service function, including affiliate Community Mental Health Service Programs (CMHSPs), or provider network. These standards must align with federal law and the Michigan Mental Health Code, Public Act 258 of 1974. The functions of the Customer Services Unit include:  

• Welcome and orient individuals to services and benefits available, and the provider network.
• Provide information about how to access behavioral health, primary health and other community services.
• Provide information about how to access various rights processes.
• Help individuals with problems and inquiries regarding benefits.
• Assist individuals with and oversee local complaint and grievance processes.
• Track and report patterns of problem areas for the organization. 

Specific information about the following can be found in the identified areas of the PIHP Customer Services Standards: 

• Grievance & Appeals Processes – Template #5
• Recipient Rights – Template #9
• Service Array – Template #11 

Additional information regarding recipient rights, grievances and appeals can be found in the CMHSP Contract.