Procedures - List All
Compliance
- Compliance: Compliance Investigations Procedure (PDF)
- Compliance: Delinquency for SUD Providers Procedure (pdf)
- Compliance: Member Rights Requests (PDF)
- Compliance: Provider Contract Non-Compliance Procedure (PDF)
Customer Service
- Customer Service: Medicaid Enrollee Appeals/Grievances Procedure (PDF)
- Customer Service: Reporting Medicaid Beneficiary Appeals, Grievances, Recipient Rights and Administrative Hearings (PDF)
Finance
- Finance: Audit Procedure (PDF)
- Finance: Capitation Payments and Budget Procedure (PDF)
- Finance: Claims Procedure (PDF)
- Finance: Explanation of Benefits Procedure (PDF)
- Finance: Fiscal Monitoring and Oversight (PDF)
- Finance: Habilitation Supports Waivers Program (PDF)
- Finance: Internal Budgeting Procedure (PDF)
- Finance: Local Funds Accounting and Distribution (PDF)
- Finance: Procurement through Request for Proposal (PDF)
- Finance: Provider Fee Schedule Update/Changes (PDF)
- Finance: Reporting Procedure (PDF)
- Finance: Substance Use Disorder – Income Eligibility & Fee Determination (PDF)
General Management
- General Management: Board Member Disclosure Procedure (PDF)
- General Management: CCBHC Recipient Eligibility (PDF)
- General Management: Freedom of Information Act (FOIA) Procedure (PDF) and Public Summary (PDF)
- General Management: Nominations and Elections (PDF)
- General Management: Policy & Procedure Management (PDF)
Human Resources
- Human Resources: Conference, Travel and Out of State Procedure (PDF)
- Human Resources: Emergency Notification Procedure - External (PDF)
- Human Resources: Emergency Notification Procedure - Internal (PDF)
- Human Resources: Employee Compensation Procedure (PDF)
- Human Resources: Employee Injury Reporting Procedure (PDF)
- Human Resources: Employee Internal Posting Procedure (PDF)
- Human Resources: Employee Onboarding (PDF)
- Human Resources: Employee Orientation (PDF)
- Human Resources: Employee Recruitment & Selection (PDF)
- Human Resources: Encountering Abusive/Threatening Interactions with Providers (PDF)
- Human Resources: Exit Interview Procedure (PDF)
- Human Resources: Involuntary Termination Procedure (PDF)
- Human Resources: Performance Evaluation (PDF)
- Human Resources: Personnel Records (PDF)
- Human Resources: Reimbursement Procedure for Credentials, Licensure and Memberships (PDF)
- Human Resources: Remote Employee Procedure and Agreement (PDF)
- Human Resources: Succession Planning (PDF)
Information Technology
- Information Technology: Breach Notification Procedure (PDF)
- Information Technology: Cybersecurity Awareness Training and Phish Testing (PDF)
- Information Technology: Cybersecurity Roles and Responsibilities (PDF)
- Information Technology: Data Backup Procedure (PDF)
- Information Technology: MDHHS File Transfer Procedure (PDF)
- Information Technology: Password Security (PDF)
- Information Technology: Website Procedure (PDF)
Population Health
- Population Health: Care Coordination Planning Procedure (PDF)
- Population Health: Follow Up After Hospitalization Procedure (PDF)
- Population Health: Health Home Care Plan Monitoring Procedure (PDF)
Provider Network
- Provider Network: Background Checks (PDF)
- Provider Network: Credentialing and Recredentialing - Individual Practitioners (PDF)
- Provider Network: Credentialing and Recredentialing - Organizational Providers (PDF)
- Provider Network: Credentialing - Reporting Monitoring Procedure (PDF)
- Provider Network: Disclosure of Ownership, Control, and Criminal Convictions (PDF)
- Provider Network: Fiscal Contract Review Procedure (PDF)
- Provider Network: Fiscal Year Contract Monitoring Procedure (PDF)
- Provider Network: Non-Licensed Provider Qualifications (PDF)
- Provider Network: Provider Appeal Procedure (PDF)
- Provider Network: Provider Network Directory – Information Requirements (PDF)
- Provider Network: Substance Use Disorder Credentialing and Qualifications (PDF)
- Provider Network: Substance Use Disorder Media Campaign (PDF)
Quality
- Quality: Behavior Treatment Plans (PDF)
- Quality: CMHSP Participant Monitoring & Oversight (PDF)
- Quality: Medicaid Event Verification Procedure (PDF)
- Quality: Monitoring & Oversight of SUD Service Providers (PDF)
- Quality: Regional Monitoring & Oversight Procedure (PDF)
Service Delivery
- Service Delivery System: 1915(i) SPA Disenrollment and Transfer (PDF)
- Service Delivery System: 1915(i) SPA Enrollment and Annual Recertification (PDF)
- Service Delivery System: Case Management Services (PDF)
- Service Delivery System: Children's Home and Community Based Waiver Procedure (PDF)
- Service Delivery System: Electroconvulsive Therapy (PDF)
- Service Delivery System: Habilitation Supports Waiver Annual Recertification (PDF)
- Service Delivery System: Habilitation Supports Waiver Disenrollment and Transfer (PDF)
- Service Delivery System: Habilitation Supports Waiver Initial Application and Eligibility Procedure (PDF)
- Service Delivery System: Habilitation Supports Waiver Private Duty Nursing Procedure (PDF)
- Service Delivery System: Home and Community Based Services Monitoring Procedure (PDF)
- Service Delivery System: Provisional Approval to Provide Residential and Non-Residential HCBS (pdf)
- Service Delivery System: Severe Emotional Disturbances Waiver (SEDW) Disenrollment and Transfer Procedure (PDF)
- Service Delivery System: SUD Services Single-Case Agreement Procedure (PDF)
- Service Delivery System: Veteran Navigator-Referral Procedure (PDF)
Utilization Management
- Utilization Management: Access System (PDF)
- Utilization Management: Level of Care System (PDF)
- Utilization Management: Retrospective Sample Review - Acute Care Services (PDF)
- Utilization Management: Service Authorization Denials Reporting and Monitoring (PDF)
- Utilization Management: Utilization Management (PDF)