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298 Medicaid Unenrolled PIHP Contract Attachments

298 Medicaid Unenrolled PIHP Contract Attachments

298 Medicaid Unenrolled PIHP Contract Attachments

298 Medicaid Unenrolled PIHP Contract Attachments overview

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The following are public policy requirements and other contract attachments for Michigan's Prepaid Inpatient Health Plans (PIHPs). 

Technical requirements/advisories, standards and processes as referenced in Schedule A

Technical requirements/advisories, standards and processes as referenced in Schedule A

Technical Requirement for Behavior Treatment Plans (P 1.4.1)

Technical Requirement for Behavior Treatment Plans (P 1.4.1)

Access Standards (P.4.1.1)

Access Standards (P.4.1.1)

Technical Requirement for SED Children (P.4.7.4)

Technical Requirement for SED Children (P.4.7.4)

Appeals and Grievances Technical Requirements (P.6.3.1.1)

Appeals and Grievances Technical Requirements (P.6.3.1.1)

Customer Service Standards (P.6.3.1)

Customer Service Standards (P.6.3.1)

Technical Advisory for Estimated Cost of Services (P.6.3.2.1.B.i)

Technical Advisory for Estimated Cost of Services (P.6.3.2.1.B.i)

Technical Requirements for Explanation of Benefits (P.6.3.2.1.B.ii)

Technical Requirements for Explanation of Benefits (P.6.3.2.1.B.ii)

Medicaid Verification Process (P.6.4.1)

Medicaid Verification Process (P.6.4.1)

Credentialing and Recredentialing Process (P.7.1.1)

Credentialing and Recredentialing Process (P.7.1.1)

Reciprocity Standards (P.7.3.1.1)

Reciprocity Standards (P.7.3.1.1)

PIHP Reporting Requirements (P.7.7.1.1)

PIHP Reporting Requirements (P.7.7.1.1)

Quality Assessment and Performance Improvement Program for Specialty PIHPs (P.7.9.1)

Quality Assessment and Performance Improvement Program for Specialty PIHPs (P.7.9.1)

Contract Financing (P.8.0.1)

Contract Financing (P.8.0.1)

Internal Service Fund Technical Requirements (P.8.6.4.1)

Internal Service Fund Technical Requirements (P.8.6.4.1)

Procurement Technical Requirements (P.37.0.1)

Procurement Technical Requirements (P.37.0.1)

Appeal Process for Compliance Examination Decisions (P.39.0.1.1)

Appeal Process for Compliance Examination Decisions (P.39.0.1.1)

Compliance Examination Guidelines (P.39.0.1)

Compliance Examination Guidelines (P.39.0.1)

MDHHS Audit Report and Appeal Process (P.39.3.1)

MDHHS Audit Report and Appeal Process (P.39.3.1)

Specialty Behavioral Health Policy Requirements and Practice Guidelines

Specialty Behavioral Health Policy Requirements and Practice Guidelines

Person-Centered Planning Policy (P 4.4.1.1)

Person-Centered Planning Policy (P 4.4.1.1)

Self Determination Policy and Practice Guideline (P 4.7.1)

Self Determination Policy and Practice Guideline (P 4.7.1)

Recovery Policy & Practice Advisory (P 4.13.1)

Recovery Policy & Practice Advisory (P 4.13.1)

Inclusion Practice Guideline (P.7.10.2.1)

Inclusion Practice Guideline (P.7.10.2.1)

Housing Practice Guideline (P.7.10.2.2)

Housing Practice Guideline (P.7.10.2.2)

Consumerism Practice Guideline (P.7.10.2.3)

Consumerism Practice Guideline (P.7.10.2.3)

Personal Care in Non-Specialized Residential Settings (P.7.10.2.4)

Personal Care in Non-Specialized Residential Settings (P.7.10.2.4)

Family-Driven and Youth-Guided Policy & Practice Guideline (P.7.10.2.5)

Family-Driven and Youth-Guided Policy & Practice Guideline (P.7.10.2.5)

Employment Works! Policy (P.7.10.2.6)

Employment Works! Policy (P.7.10.2.6)

Jail Diversion Practice Guidelines (P.7.10.3.10)

Jail Diversion Practice Guidelines (P.7.10.3.10)

School to Community Transition Planning (P.7.10.4.1)

School to Community Transition Planning (P.7.10.4.1)

Substance Use Disorder Policy Manual (P.II.B.A)

Substance Use Disorder Policy Manual (P.II.B.A)