Policies

Policy Listing

Policies are listed below, categorized by their Area of Ownership. If you are unable to find the policy you are looking for, search for keywords in the POLICY DOCUMENT NAME.

GLOSSARY of Key Words

Note:
  • As policies are reviewed/revised attachments may be located immediately following a policy (internal links will not be accessible) or
  • attachments will be listed in the policy category as separate documents. 
 

Proposed Policies

The Detroit Wayne Integrated Health Network 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.

Your Input Is Needed!

Response deadline is April 26, 2021
Proposed Draft Policy Review
 
 
 
 Document Name
 

 
Search Results   

Access and Crisis Services


Access Policy
Last Updated: Apr 1, 2020   File Size: 129.56 KB

Crisis Plan
Last Updated: Aug 1, 2020   File Size: 134.13 KB

Eligibility and Screening Policy
Last Updated: Apr 20, 2020   File Size: 126.32 KB


Administration


DWIHN Communications, Marketing, and Outreach Policy & Procedures
Last Updated: Aug 1, 2020   File Size: 129.43 KB


Children's Initiatives


Children's Diagnostic Treatment Services Program
Last Updated: Apr 13, 2020   File Size: 1.35 MB

Children's Home and Community Based Waiver
Last Updated: Aug 11, 2020   File Size: 16.04 MB

Choice Voucher System for Children Procedure
Last Updated: Oct 6, 2020   File Size: 124 KB

Community Living Supports (CLS) Policy
Last Updated: Mar 25, 2021   File Size: 158.16 KB

Parent Management Training Oregon Model (PMTO)
Last Updated: Apr 21, 2020   File Size: 438.95 KB

PHQ-A Guidelines and Clinical Guidance
Last Updated: Nov 5, 2020   File Size: 120.45 KB

Promoting & Supporting Minors with Serious Emotional Disturbances Remaining in their Home, School and Communities Policy
Last Updated: Apr 21, 2020   File Size: 137.88 KB

RESPITE (In-Home and Out-of-Home)
Last Updated: Aug 11, 2020   File Size: 408.95 KB

Wraparound
Last Updated: Apr 21, 2020   File Size: 2.03 MB


Claims Management


Claims Administrative Appeal
Last Updated: Dec 11, 2020   File Size: 126.82 KB

Claims Audit
Last Updated: Dec 11, 2020   File Size: 123.86 KB

Claims Processing
Last Updated: Dec 11, 2020   File Size: 129.96 KB

Claims Reconsideration
Last Updated: Dec 11, 2020   File Size: 164.85 KB

Coordination of Benefits
Last Updated: Mar 4, 2021   File Size: 124.71 KB

Non-Contracted Providers Policy
Last Updated: Dec 11, 2020   File Size: 144.35 KB


Clinical Practice Improvement


IPOS Individual Plan of Service / Person-Centered Plan
Last Updated: Dec 11, 2020   File Size: 155.41 KB

LOCUS: Level of Care Utilization System Protocol
Last Updated: Dec 11, 2020   File Size: 121.99 KB

Proven Behavioral Health Clinical Technology Inclusion and Application Guidelines Policy
Last Updated: Dec 11, 2020   File Size: 130.8 KB

Self-Management Tool
Last Updated: Dec 11, 2020   File Size: 133.41 KB

Telemedicine
Last Updated: Mar 2, 2021   File Size: 140.05 KB


Compliance


Compliance Plan Policy
Last Updated: Dec 1, 2020   File Size: 155.34 KB

Compliance Reporting Policy
Last Updated: Dec 1, 2020   File Size: 125.08 KB

Conflict of Interest
Last Updated: Nov 1, 2019   File Size: 204.81 KB

Data Breach Notification Policy
Last Updated: Feb 1, 2021   File Size: 156.95 KB

Health Insurance Portability and Accountability Act (HIPAA) Security Policy
Last Updated: Jun 1, 2019   File Size: 409.09 KB

Investigation Policy
Last Updated: Feb 1, 2021   File Size: 125.63 KB

PHI Privacy and Confidentiality Policy
Last Updated: Jan 1, 2021   File Size: 432.54 KB

Record Retention and Disposal
Last Updated: Jan 1, 2021   File Size: 371.09 KB

Risk Management Policy
Last Updated: Nov 1, 2020   File Size: 179.18 KB

Section 1557 Grievance Procedure Policy
Last Updated: Dec 1, 2020   File Size: 127.55 KB

Standards of Conduct Policy
Last Updated: Dec 1, 2020   File Size: 142.66 KB


Credentialing


Credentialing/Re-Credentialing
Last Updated: Dec 14, 2020   File Size: 175.68 KB

Credentialing Committee Procedure
Last Updated: Dec 14, 2020   File Size: 128.9 KB

Credentialing File Security PROCEDURE
Last Updated: Dec 14, 2020   File Size: 131.93 KB

Credentialing Procedures Delegated to All Accredited Providers
Last Updated: Dec 14, 2020   File Size: 131.42 KB

Organizational Credentialing/Re-Credentialing
Last Updated: Mar 8, 2021   File Size: 133.6 KB

Primary Source Verification of Credentialing Information PROCEDURE
Last Updated: Dec 14, 2020   File Size: 136.48 KB

Provider Credentialing Monitoring and Auditing PROCEDURE
Last Updated: Dec 14, 2020   File Size: 127.21 KB


Customer Service


Accommodations for Individuals with Visual & Mobility Impairments Policy
Last Updated: Jly 1, 2020   File Size: 127.19 KB

Communication Using the Teletype Device Michigan Relay Service or Other Communication Devices
Last Updated: May 1, 2020   File Size: 131.33 KB

Consumer Stipend Policy
Last Updated: Apr 1, 2020   File Size: 122.86 KB

Cultural Competence
Last Updated: Oct 1, 2019   File Size: 226.29 KB

Customer Service (CS)
Last Updated: Apr 1, 2019   File Size: 147.41 KB

Customer Service (CS) Enrollee Member Appeals
Last Updated: May 1, 2020   File Size: 173.86 KB

Customer Service Medical Record Retrieval Procedure
Last Updated: Nov 1, 2019   File Size: 141.07 KB

Dreams Come True Fund Policy
Last Updated: Feb 1, 2019   File Size: 132.5 KB

Family Support Subsidy Program Policy
Last Updated: May 1, 2020   File Size: 128.01 KB

Limited English Proficiency (LEP)
Last Updated: Jly 1, 2020   File Size: 161.01 KB

Local Appeal Procedures for Enrollees/Members with Medicaid
Last Updated: Oct 1, 2020   File Size: 129.33 KB

Local Dispute Resolution for Enrollees/Members without Medicaid
Last Updated: Oct 1, 2020   File Size: 129.86 KB

MDHHS State Fair Hearing Procedures for Enrollees/Members with Medicaid Services
Last Updated: Oct 1, 2020   File Size: 138.65 KB

Member Experience
Last Updated: Oct 1, 2019   File Size: 135.86 KB

Member Grievance
Last Updated: May 1, 2020   File Size: 1.22 MB

Member Handbook
Last Updated: Dec 1, 2019   File Size: 113.87 KB

New Member Orientation
Last Updated: Sep 1, 2019   File Size: 139.8 KB

Peer Services Policy
Last Updated: Aug 1, 2020   File Size: 128.26 KB

PIHP Disenrollment
Last Updated: Aug 1, 2017   File Size: 133.41 KB

Provider Satisfaction
Last Updated: Dec 1, 2019   File Size: 223.11 KB

Recovery Policy
Last Updated: Jly 1, 2020   File Size: 134.57 KB

Second Opinion Procedure
Last Updated: Oct 1, 2020   File Size: 120.95 KB

Service Provider and Practitioner Updates and Changes
Last Updated: Mar 1, 2020   File Size: 122.91 KB


Human Resources


Americans with Disabilities Act (ADA)/Americans with Disabilities Act Amendments Act (ADAAA)
Last Updated: Aug 1, 2020   File Size: 129.6 KB

Diversity Policy
Last Updated: Apr 1, 2020   File Size: 123.34 KB

ID Badge, Event, and Building Access Policy
Last Updated: Oct 1, 2019   File Size: 130.08 KB

Volunteer, Students, and Interns Policy
Last Updated: May 1, 2020   File Size: 210.41 KB


Information Technology


Acceptable Use Policy
Last Updated: Nov 1, 2020   File Size: 144.51 KB

Business Continuity and Disaster Recovery Plan Policy
Last Updated: Jan 1, 2021   File Size: 147.82 KB

Claims Adjudication Policy
Last Updated: Sep 1, 2020   File Size: 126.05 KB

Clean Desk Policy
Last Updated: Feb 1, 2021   File Size: 125.97 KB

Data Submission Completeness Policy
Last Updated: Feb 1, 2021   File Size: 129.02 KB

Email Policy
Last Updated: Sep 1, 2020   File Size: 125.79 KB

Health Insurance Portability and Accountability Act (HIPAA) Security
Last Updated: Oct 1, 2020   File Size: 127.18 KB

Password Protection
Last Updated: Oct 1, 2020   File Size: 127.95 KB


Integrated Health Care


Care Coordination
Last Updated: Mar 15, 2021   File Size: 159.84 KB

Complex Case Management
Last Updated: Mar 15, 2021   File Size: 159.67 KB

Data Sharing Care Coordination
Last Updated: Mar 15, 2021   File Size: 119.52 KB


Legal


Disclosure of Control and Ownership Interest
Last Updated: Aug 18, 2020   File Size: 939.75 KB

Freedom of Information Act (FOIA)
Last Updated: Mar 15, 2021   File Size: 143.36 KB


Managed Care Operations


Delegated Functions
Last Updated: Mar 5, 2021   File Size: 157.23 KB

MI Health Link Non-Contracted Provider PROCEDURE
Last Updated: Mar 5, 2021   File Size: 205.64 KB

Network Monitoring and Management
Last Updated: Aug 18, 2020   File Size: 279.24 KB

Out of Network
Last Updated: Aug 18, 2020   File Size: 486.22 KB

Provider Manual Policy
Last Updated: Mar 5, 2021   File Size: 149.13 KB

Workforce and Provider Background Checks
Last Updated: Apr 22, 2020   File Size: 1.09 MB


Medical


Assessment
Last Updated: Mar 15, 2021   File Size: 156.94 KB

Clinical Practice Guidelines Policy
Last Updated: Mar 17, 2021   File Size: 160.43 KB

Infection Control
Last Updated: Aug 18, 2020   File Size: 20.27 MB

Psychiatric Inpatient Hospitalization
Last Updated: Mar 23, 2021   File Size: 135.12 KB

Psychiatric Practice Standards
Last Updated: Aug 18, 2020   File Size: 762.21 KB

Psychopharmacology in Children and Adolescents
Last Updated: Aug 18, 2020   File Size: 347.26 KB


Office of Fiscal Management (Finance)


Ability to Pay
Last Updated: Oct 16, 2020   File Size: 133.58 KB

County of Financial Responsibility (COFR)
Last Updated: Oct 16, 2020   File Size: 144.98 KB


Office of Recipient Rights (ORR)


Abuse and Neglect Policy
Last Updated: Nov 1, 2020   File Size: 142.21 KB

Change In Type of Treatment Policy
Last Updated: Nov 20, 2020   File Size: 124.55 KB

Communications and Visits Policy
Last Updated: Nov 1, 2020   File Size: 125.39 KB

Comprehensive Examinations Policy
Last Updated: Nov 1, 2020   File Size: 124.97 KB

Consent To Treatment And Services Policy
Last Updated: Nov 1, 2020   File Size: 132.51 KB

Family Planning Policy
Last Updated: Nov 1, 2020   File Size: 119.87 KB

Fingerprinting, Photographing, Audio Taping, and Use of One Way Glass Policy
Last Updated: Jan 1, 2021   File Size: 141.57 KB

Freedom of Movement Policy
Last Updated: Nov 1, 2020   File Size: 124.46 KB

Incident Reporting Policy
Last Updated: Nov 1, 2020   File Size: 131.37 KB

Personal Property And Search Policy
Last Updated: Nov 1, 2020   File Size: 134.18 KB

Qualifications And Training For ORR Staff Policy
Last Updated: Nov 1, 2020   File Size: 129.61 KB

Recipient Rights Appeals.pdf
Last Updated: Nov 1, 2020   File Size: 138.17 KB

Recipient Rights Complaint Resolution Policy
Last Updated: Nov 1, 2020   File Size: 142.59 KB

Resident Funds Policy
Last Updated: Nov 1, 2020   File Size: 132.86 KB

Resident Labor Policy
Last Updated: Nov 1, 2020   File Size: 124.33 KB

Restraint Policy
Last Updated: Nov 1, 2020   File Size: 171.93 KB

Right To Entertainment Materials Policy
Last Updated: Nov 1, 2020   File Size: 125.7 KB

Seclusion Policy
Last Updated: Nov 1, 2020   File Size: 172 KB

Services Suited To Condition In The Least Restrictive Setting Policy
Last Updated: Nov 1, 2020   File Size: 129.55 KB

Treatment By Spiritual Means
Last Updated: Nov 1, 2020   File Size: 129.7 KB

Treatment With Dignity And Respect Policy
Last Updated: Nov 1, 2020   File Size: 123.05 KB

Use Of Psychotropic Drugs Policy
Last Updated: Nov 1, 2020   File Size: 141.28 KB


Purchasing & Procurement


Procurement Policy
Last Updated: Dec 1, 2019   File Size: 200.29 KB

Selection of Subrecipients for Grants Policy
Last Updated: May 1, 2020   File Size: 140.44 KB


Quality Improvement


Case Record Maintenance and Review
Last Updated: Apr 6, 2021   File Size: 143.89 KB

Claims Verification
Last Updated: Jun 5, 2020   File Size: 311.75 KB

Costing and Reporting Integrity: Procedure Code Work Goup (PCWG) Policy
Last Updated: Apr 6, 2021   File Size: 148.9 KB

Environmental Safety
Last Updated: Apr 6, 2021   File Size: 132.71 KB

Home and Community Based Services
Last Updated: Aug 28, 2020   File Size: 206.17 KB

Quality Assessment Performance Improvement Program (QAPIP)
Last Updated: Apr 6, 2021   File Size: 149.99 KB

Reporting of Critical Event, Sentinel Event, and Death
Last Updated: Jun 5, 2020   File Size: 1.15 MB

Use of Behavior Treatment in Community Mental Health Settings
Last Updated: Apr 6, 2021   File Size: 131.84 KB


Strategic Planning


Policy Review Guidelines Policy
Last Updated: Nov 1, 2019   File Size: 131.28 KB


SUD


Fetal Alcohol Spectrum Disorder
Last Updated: Apr 8, 2021   File Size: 128.05 KB

Substance Use Disorder - Recipient Rights
Last Updated: Apr 8, 2021   File Size: 126.24 KB

SUD Ability To Pay
Last Updated: Apr 8, 2021   File Size: 125.95 KB

Women's Specialty Services Policy
Last Updated: Apr 8, 2021   File Size: 145.54 KB


Utilization Management


Appropriate Professionals for Utilization Management Decision Making Policy
Last Updated: Nov 1, 2020   File Size: 153.15 KB

Behavioral Health Service Medical Necessity Criteria
Last Updated: Apr 8, 2021   File Size: 156.2 KB

Behavioral Health Utilization Management Review
Last Updated: Feb 1, 2021   File Size: 165.81 KB

Benefit
Last Updated: Jun 1, 2020   File Size: 153.22 KB

Denial of Service
Last Updated: Oct 1, 2020   File Size: 152.36 KB

Habilitation Supports Waiver (Medicaid 1915c) Waiver
Last Updated: Dec 1, 2020   File Size: 141.03 KB

Independent Review Organization
Last Updated: Jly 1, 2020   File Size: 129.86 KB

Inter-Rater Reliability Policy for Utilization Management Staff
Last Updated: Dec 1, 2020   File Size: 136.57 KB

Self-Determination and Self-Directed Arrangements
Last Updated: Feb 1, 2021   File Size: 141.08 KB

Utilization Management (UM) Provider Appeals Policy
Last Updated: Dec 1, 2019   File Size: 1.78 MB

Utilization Management Affirmative Statement Policy
Last Updated: Dec 1, 2019   File Size: 247.14 KB

Utilization Management Program Description
Last Updated: Feb 1, 2021   File Size: 131.1 KB

Utilization Management Provider Local and Alternative Dispute Resolution Policy
Last Updated: May 19, 2020   File Size: 842.95 KB