Downloadable Forms

 

PDF

  Form Name

Last Updated  

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 Consent to Share Health Information_MDHHS-5515

01/19/2017  

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 Consent to Share Health Information_MDHHS-5515 (Spanish)

02/09/2017  

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 Denied Claims Appeals Form

01/06/2017  

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 SWMBH Action Notice_Medicaid_Template

01/18/2017  

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 SWMBH Action Notice_Medicaid_(Spanish)

02/09/2017  

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 SWMBH Action Notice_NON Medicaid_Template

01/18/2017  

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 SWMBH Streamline MI Health Link User and Billing Provider Request

06/10/2015  

 


Provider Training Materials
 

 

CLICK HERE FOR USER TUTORIALS ON SmartCare 4.0

 

PDF

  Document

Last Updated

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NEW Flyer: HCBS Rules: Implementing Tools & Best Practices  4-21-2017

03/22/2017 
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NEW Flyer: HCBS Rules: Implementing Tools & Best Practices  5-5-2017

03/22/2017 
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Flyer: Trauma Cllinical Supervision 2017

03/01/2017 
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Registration Form: Advanced Supervisory & Secondary Trauma

03/01/2017 
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 Flyer: Tobacco Free

02/17/2017 
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 Flyer: Social Work Ethics, Pain Mgmt, and Human Trafficking 2017

02/09/2017 
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 SWMBH Ethics, PM, and HT Registration Form

02/09/2017 
pdf-icon  SWMBH MCIS MI Health Link PowerPoint 01/25/2016 
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 SWMBH MCIS SUD Provider User Guide 

01/25/2016 
pdf-icon  SWMBH MCIS SUD Provider PowerPoint 01/25/2016 
pdf-icon  SWMBH MCIS Adjudication Logic 01/25/2016 
pdf-icon  SWMBH MCIS 837 Companion Guide

 

01/25/2016

 

pdf-icon  SWMBH Advance Directives Training 02/23/2016

pdf-icon  SWMBH Code of Conduct 2016 02/23/2016
pdf-icon  SWMBH Compliance 2016 Training 02/23/2016
pdf-icon  SWMBH Grievance & Appeal Training 02/23/2016
pdf-icon  SWMBH HIPAA Privacy and Security 2016 Training 02/23/2016
pdf-icon  SWMBH LEP Training 02/23/2016

 General Information

PDF

  Document

Last Updated

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  Overview of SWMBH Provider Network

10/27/2014 

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  SWMBH Duals (MI Health Link) WebEx 

06/10/2015