Provider Compliance
Compliance
Regulatory compliance, audit resources, and documentation requirements for DWIHN network providers meeting state and federal standards.
DWIHN compliance resources for all contracted providers. Do the right thing.
Our Role
Compliance Office
The role of the Detroit Wayne Integrated Health Network Compliance Office is to establish internal safeguards to effectively provide quality behavioral health and substance abuse services to Consumers in Wayne County within the parameters of federal and state regulation.
The DWIHN Compliance motto is "Do the Right Thing," which requires DWIHN and its Providers to provide services in a manner that promotes honesty, integrity, and ethics.
Do the Right Thing
Promote honesty, integrity, and ethics in all services delivered.
Contact ComplianceAnnual Requirement
Required Training
DWIHN requires each employee and Provider Network to take the following training through its Detroit Wayne Connect (DWC) Portal on an annual basis.
- Compliance
- Fraud, Waste, and Abuse
- HIPAA (type of training depends on role and title)
Access Training
All required annual training is available through the Detroit Wayne Connect (DWC) training portal. Visit DWCTraining.com to access your training dashboard.
Detroit Wayne Connect (opens in new tab)OIG Framework
7 Elements of a Successful Compliance Program
The federal Office of Inspector General (OIG) has established seven elements for an effective compliance program to monitor, detect, correct and report fraud, waste, and abuse.
- 1
Development of Policies and Procedures
- 2
Oversight by appointing a compliance officer and compliance committee
- 3
Compliance Education and Training
- 4
Monitoring and Auditing
- 5
Reporting and Investigation
- 6
Enforcement and Discipline
- 7
Response and Prevention
Report Concerns
Reporting Fraud, Waste, and Abuse
DWIHN Compliance Office
Detroit Wayne Integrated Health Network
ATTN: Compliance Office
8726 Woodward Ave.
Detroit, MI 48202
Anonymous Reporting
You may report complaints anonymously. If you identify yourself, DWIHN will maintain anonymity to the extent provided by law.
State Reporting
Michigan Department of Health and Human Services
Office of Inspector General
PO Box 30062
Lansing, MI 48909
Downloads
Compliance Policies
DWIHN has established the following compliance policies and procedures to prevent fraud, waste, and abuse. Policies are available for download from PolicyStat — enter the policy name in the search bar.
PolicyStat
All compliance policies are available on PolicyStat for download.
View on PolicyStat (opens in new tab)Stakeholder Review
Proposed Policies: Your Input is Needed
DWIHN periodically shares new and revised policy drafts so interested parties can review them and comment before they become final. Read each draft, then use the survey to send your feedback. These documents are drafts and do not represent official policy.
New Policies
- Annual Audit of SUD-Funded Programs Standard Operating Procedure Draft (PDF, opens in new tab)
- SUD Incident Escalation Protocol and Criteria Draft (PDF, opens in new tab)
- Claims Recoupment Policy Draft (PDF, opens in new tab)
- Substance Use Disorder Financial Reallocation or Additional Funding Management Draft (PDF, opens in new tab)
- SUD Intake, Eligibility Verification, Level of Care Validation, and Level of Care Change Draft (PDF, opens in new tab)
- Outcomes Improvement Committee (OIC) Draft (PDF, opens in new tab)
- Progress Notes Procedure Draft (PDF, opens in new tab)
- Level of Care Change for Individuals Receiving Substance Use Disorder Services Standard Operating Procedure Draft (PDF, opens in new tab)
- Substance Use Disorders Provider Sanctions Standard Operating Procedure Draft (PDF, opens in new tab)
Dawn Ison
Interim VP of Compliance
Dawn and her team work to ensure that DWIHN and its provider network operate with integrity, transparency, and in full accordance with state and federal regulations. Our goal is to make compliance a source of confidence — not anxiety — for every provider we serve.
Doing the right thing is not just a motto — it is the standard we hold ourselves and our network to every single day.
Compliance Department
Compliance questions? We can help.
Reach out to the DWIHN Compliance team with questions about audit preparation, training requirements, incident reporting, or regulatory standards affecting your organization.