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Policies, Procedures, & Agreements

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Policy Listing

Note: Attachments are located immediately following a policy. Attachment links are not accessible.

Policy Title Area of Ownership Last Approved
Ability to Pay Policy  Clinical Practice  Improvement  02/2018 
Abuse and Neglect Policy  Office of   Recipient   Rights  12/2019
Access Policy  Clinical Practice  Improvement  01/2019
Accommodations for Individuals with Visual & Mobility Impairments  Customer   Service  04/2019
Appropriate Professionals for Utilization Management Decision Making Policy  Utilization  Management  06/2018
Assessment Policy  Medical  01/2019
Behavioral Health Service Medical Necessity Criteria Policy  Utilization  Management  05/2017
Behavioral Health Utilization Management Review Policy  Utilization  Management  02/2019
Benefit Policy  Utilization  Management  05/2017
Case Records Maintenance and Review Policy  Quality  Improvement  11/2019
Change in Type of Treatment  Policy  Office of   Recipient   Rights  12/2019
Children Diagnostic Treatment Services Program Policy  Children   Services  12/2019
Children’s Home and Community Based Waiver Policy  Utilization  Management  07/2017
Choice Voucher System for Children  Children   Services  12/2019
Claims Adjudication Policy  Information   Technology  07/2018
Claims Administrative Appeal Policy  Claims   Management  12/2019
Claims Mail Room Policy and Procedure
 Claims   Management  12/2019
Claims Processing Policy and Procedure  Claims   Management  12/2019
Claims Reconsideration Policy and Procedure  Claims   Management  12/2019
Clinical Practice Guidelines Policy  Medical  12/2019
Complex Case Management Policy and Procedure  Integrated   Health Care  09/2019
Coordination of Benefits Policy and Procedure  Claims   Management  12/2019
Communications and Visits Policy  Office of   Recipient   Rights  12/2019
Communication Using the Teletype Device, & Michigan Relay Service or Other Communication Devices Policy  Customer   Service  06/2019
Community Outreach Policy  Communications  11/2019
Complex Case Management Policy  Integrated   Health  Care  06/2017
Compliance Plan Policy  Compliance  02/2018
Compliance Reporting Policy  Compliance  09/2018
Comprehensive Examinations Policy  Office of   Recipient   Rights  12/2019
Conflict of Interest Policy  Compliance  11/2019
Consent to Treatment & Services Policy  Office of   Recipient   Rights  12/2019
Consumer Stipend Policy  Customer   Service  01/2019
Costing and Reporting Integrity: Procedure Code Work Group (PCWG) Policy  Finance  12/2019
County of Financial Responsibility (COFR) Policy  Finance  03/2018
Credentialing/Re-Credentialing Policy  Managed Care  Operations  09/2019
Crisis Plan Policy  Utilization  Management  06/2018
Cultural Competence Policy  Customer   Service  10/2019
Customer Service Policy  Customer   Service  04/2019
Customer Service (CS) Enrollee/Member Appeals Policy  Customer   Service  01/2019
Data Submission and Completeness  Information   Technology  06/2018
Delegated Functions Policy  Managed Care  Operations  08/2017
Denial of Service Policy  Utilization  Management  02/2018
Disclosure of Confidential or Privileged Information Policy  Office of   Recipient   Rights  12/2019
Disclosure of Control and Ownership Interest Policy  Legal  04/2019
Dreams Come True Fund Policy  Customer   Service  02/2019
DWMHA Utilization Management Program Description and Policy  Utilization  Management  01/2018
Early Childhood Mental Health Services Policy  Children's   Services  02/2019
Eligibility and Screening Policy  Clinical Practice  Improvement  01/2019
Environmental Safety Policy  Quality   Improvement  12/2019
Family Planning Policy  Office of   Recipient   Rights  12/2019
Family Support Subsidy Program Policy  Customer   Service  04/2019
Fetal Alcohol Spectrum Disorder Policy  Substance Use  Disorders  01/2019
Fingerprinting, Photographing, Audio Taping & Use of One Way Glass Policy  Office of   Recipient   Rights  12/2019
Fraud, Waste and Abuse Policy  Compliance  11/2019
Freedom of Movement Policy  Office of   Recipient   Rights  12/2019
Habilitation Supports Waiver (Medicaid 1915 (c) Waiver) Policy  Utilization  Management  04/2018
Health Insurance Portability & Accountability Act (HIPAA) Security Policy  Compliance  06/2019
ID Badge, Event and Building Access Policy  Human   Resources  10/2019
Incident Reporting Policy  Quality   Improvement  12/2019
Independent Review Organization Policy  Utilization  Management  02/2018
Individual Plan of Service (IPOS) Person-Centered Plan Policy  Clinical Practice  Improvement  06/2018
Infection Control Policy  Clinical Practice  Improvement  02/2018
Inter-Rater Reliability Policy for Utilization Management Staff Policy  Utilization  Management  04/2017
Investigation Policy  Compliance  09/2018
Limited English Proficiency (LEP) Policy  Customer   Service  07/2019
LOCUS - Level of Care Utilization System Protocol  Clinical Practice  Improvement  04/2017
Medication Control Policy  Clinical Practice  Improvement  06/2018
Member Experience Policy  Customer   Service  10/2019
Member Grievance Policy  Customer   Service  04/2019
National Correct Coding Compliance Policy  Claims   Management  12/2019
Network Monitoring and Management Policy  Managed Care   Operations  06/2017
New Member Orientation Policy  Customer   Service  09/2019
Non-Contracted Providers Policy  Claims   Management  12/2019
Out-of-Network Policy  Managed Care   Operations  09/2017
Parent Management Training Oregon Model (PMTO) Policy  Children's   Services  11/2019
Peer Services Policy  Customer   Service  04/2019
Personal Property & Search Policy  Office of   Recipient   Rights  12/2019
PHI Privacy and Confidentiality Policy  Compliance  06/2019
PIHP Disenrollment Policy  Utilization   Management  08/2017
Policy Review Guidelines  Strategic   Planning  11/2019
Procurement Policy  Purchasing  12/2019
Promoting & Supporting Minors with Serious Emotional Disturbances Remaining in their Home, School and Communities Policy  Children's     Services  11/2019
Proven Behavioral Health Clinical Technology Inclusion and Application Guidelines Policy  Clinical Practice  Improvement  01/2019
Provider Satisfaction Policy  Customer   Service  12/2019
Psychiatric Inpatient Hospitalization  Clinical Practice  Improvement  06/2018
Psychiatric Practice Standards Policy  Clinical Practice  Improvement  06/2018
Psychopharmacology in Children and Adolescents  Medical  01/2019
Qualifications and Training for RR Staff Policy  Office of   Recipient   Rights  12/2019
Quality Assessment Performance Improvement Program (QAPIP) Policy  Quality  Improvement  06/2017
Recipient Rights Appeals Policy  Office of   Recipient   Rights  12/2019
Recipient Rights Complaint Resolution  Office of   Recipient   Rights  12/2019
Record Retention & Disposal Policy  Compliance  12/2019
Recovery Policy  Customer   Service  04/2019
Reporting of Consumer Critical Event, Sentinel Event, and Death Policy  Quality  Improvement  12/2019
Resident Funds Policy  Office of   Recipient   Rights  12/2019
Resident Labor Policy  Office of   Recipient   Rights  12/2019
RESPITE (In-Home and Out-of-Home) Policy  Children's   Services  06/2019
Restraint Policy  Office of   Recipient   Rights  12/2019
Right to Entertainment Materials Policy  Office of   Recipient   Rights  12/2019
Risk Management Policy  Compliance  11/2019
Seclusion Policy  Office of   Recipient   Rights  12/2019
Section 1557 Grievance Procedure Policy  Compliance  11/2019
Selection of Sub-recipients for Grants Policy  Purchasing  04/2019
Self-Determination Policy  OPA!  08/2017
Self-Management Tool Policy

 Clinical Practice   Improvement

Services Suited to Condition in the Least Restrictive Setting Policy

 Office of   Recipient   Rights

Standards of Conduct Policy


SUD Ability To Pay Policy  Substance Use  Disorder  01/2019
Substance Use Disorder - Recipient Rights Policy  Substance Use  Disorder   12/2019
Treatment by Spiritual Means  Office of   Recipient   Rights  12/2019
Treatment with Dignity and Respect Policy  Office of   Recipient   Rights  12/2019
Use of Behavior Treatment in Community Mental Health Settings Policy  Quality  Improvement  12/2019
Use of Psychotropic Drugs Policy  Office of   Recipient   Rights  12/2019
Utilization Management Affirmative Statement  Utilization  Management  05/2017 
Utilization Management Provider Appeals Policy  Utilization  Management  02/2018
Utilization Management/Provider Local and Alternative Dispute Resolution Policy  Utilization  Management  06/2018
Volunteer Services Policy  Human   Resources  01/2019
Women's Specialty Services Policy  Substance Use  Disorders  02/2019
Workforce and Provider Background Check Policy  Managed    Care Operations  12/2019
Wraparound Policy  Children's   Services  11/2019



Proposed Policies

The Detroit Wayne Mental Health Authority periodically issues notices of proposed policies. These documents inform interested parties of proposed changes in policies.
A Proposed Policy may undergo a public comment period before becoming final. The notices provide a way for interested parties to comment on proposed policies. Viewers may comment by using the electronic feedback form before the comment due date. Notice contents are, in effect, a draft. They do not represent official policy.
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