PREMIUM PAY AUTHORIZATION AND INSTRUCTIONS
During COVID-19 Stay at Home, Stay Safe State of Michigan Executive Orders, consideration has been given for the critical work of our front line direct care workers in the form of a temporary Premium Pay. Contracted Providers are authorized to pay an additional $2 per hour gross Premium Pay to qualifying direct care workers from April 1, 2020 through and including February 28, 2021. In follow up to directives previously provided, Contracted Providers are requested to review and comply with the specific instructions for administering the Premium Pay program, and requesting reimbursement from NCCMH, as follows:
Contract Provider Authorization Letter from Christine Gebhard, NCCMH Chief Executive Officer
MDHHS L 20-28 Letter with Premium Pay Qualifying Codes of Service
Premium Pay Invoice Instructions for Preparation and Submittal of Invoice
Premium Pay Invoice – Excel Calculating Version
Premium Pay Invoice – Manual Version
Premium Pay Employee Sample Attestation Form
For questions or concerns regarding provider reimbursement procedures, please contact Ann Friend, Reimbursement Supervisor, NCCMH, at 231/439-1233 or email afriend@norcocmh.org.