i - Introduction
 

Section 1 - Comprehensive Provider Responsibilities 
 

Section 2 - Glossary of Terms
 

Section 3 - Northern Affiliation Policies                                                                                  

Code of Ethics

Customer Orientation

Medicaid Fair Hearing Process

Independent Facilitation for Person-Centered Planning

Benefit Verification

Initial Telephone Screening

Appointment Scheduling

Service Request

Initial Authorization of Community Inpatient Psychiatric Services

Continuing Stay Authorization of Community Inpatient Psychiatric Services

Provider Appeals

Consumer Satisfaction

Comparative Performance Monitoring

Clinical Provider’s Report Card Measures

Sentinel Events

Regulatory Compliance Plan

Utilization Management Plan

Out-of-Network Provider Agreement

Procedure for Delegation of Managed Care Functions

Practice Guidelines

Network Management Plan

Section 4 - Northern Affiliation Unified Policies                                                                          

Policy for Consistency in Service/Supports Coordination

Policy regarding Cultural Sensitivity

Cultural Competency Plan

Cultural Competency Plan - Attachment A

Policy for Reporting Critical Incidents

Policy Regarding Stakeholder Input

Policy Regarding Jail Diversion

Adult Jail Diversion Policy Practice Guideline

Person-Centered Planning

Person-Centered Planning Protocols and Guidelines

Self-Determination

Self-Determination Protocols and Guidelines

Policy Regarding Persons with Limited English Proficiency

Limited English Proficiency Plan

Accommodations for Persons with Special Needs

Privileging

Credentialing

Coordination of Care with Primary Care Physicians  

Corrective Action Initiatives

Protocol for Consents for Medication Treatment

Protocol for Transfer of Consumer Services between Member Boards  

Advance Directives

Advance Directives - Attachment A

Grievance and Appeal Protocol

Section 5 - MDCH Best Practice Guidelines                                                                 

Housing Best Practice Guideline

Inclusion Best Practice Guideline

Consumerism Best Practice Guideline

Section 6 - Recipient Rights

Rights of Service Recipients

Rights of Substance Abuse Program Recipients

Recipient Rights System  

Section 7 - Access Management                                                                                  

Access to Care Plan

Section 8 - Medical Necessity Criteria and Service Selection Guidelines                 

Medical Necessity Criteria for Medicaid MH and SA Services

Service Selection Guidelines:  Developmental Disabilities  

Service Selection Guidelines:  Mental Health Services

Section 9 - Documentation Procedures                                                                           

Northern Affiliation Documentation Manual and Forms  

Discharge/Transfer/Continuity of Care

Intake/Annual Assessment Addendum

Intake/Annual Assessment - Adult

Intake/Annual Assessment -Child/Adolescent

POS Pre-Planning Process

POS Review

POS Section A - Face Sheet

POS Section B - Diagnostic Formulation

POS Section C - Goals and Supports

POS Section D - Community Supports

POS Section E - Discharge Planning Agreements and Consents

POS Section F - Signature Page

Progress/Activity Note

Section 10 - Claims Processing                                                                                       

837 Professional Claims Processing - Procedure # 701

837 Professional Claims Processing - Procedure # 702

Section 11 - Performance Monitoring System                                                                    

Quality Assessment and Performance Improvement Plan

Quality Oversight Committee Work Plan