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: Training Workshops with David Pitonyak, PhD

06/22/2017 
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NEW David Pitonyak Training Workshops Registration Form

06/22/2017 
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Flyer: Engagement - Motivational Interviewing - July 2017

05/22/2017 
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Engagement - Motivational Interviewing Registration Form

05/22/2017 
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 
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  SWMBH Phone System Flow Chart 

07/06/2017 
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  SWMBH Process Flow Charts 

07/06/2017