Service Numbers

SWMBH Main Line: 800-676-0423
SWMBH Customer Service: 800-890-3712
SWMBH Compliance Hotline: 800-783-0914
SWMBH SUD Access Line: 800-781-0353
SWMBH Portal

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Crisis Phone Number: 1-800-675-7148

Provider documents from SWMBH

Whether you’re interested in gaining a better understanding of our credentialing process, need information about the self-determination policy and practice guidelines of the Michigan Department of Health and Human Services, or any number of other topics, SWMBH is committed to arming our providers with the knowledge, education, and information that they need to deliver community mental health services that have a positive impact on our members’ lives.

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MI Health Link Policies

MI Health Link (1 documents)

SWMBH UM Program for MI Health Link Medicare
1.05 MB

SWMBH Policies

General Management (6 documents)

SWMBH 1.1 Policy Development and Approval Process
260.67 KB
SWMBH 1.2 Policy and Procedure Expectation
148.30 KB
SWMBH 1.3 Procurement
1.81 MB
SWMBH 1.4 New Hire Orientation and Training Schedule
545.00 KB
SWMBH 1.5 PTO Donations
208.84 KB
SWMBH 1.6 Driving Personal Vehicle Work
584.70 KB

Provider Network Management (19 documents)

SWMBH 2.1 Delegation of Credentialing
490.71 KB
SWMBH 2.2 Crdtlg Rcrdlg of Bhvl Hlth Prctnrs
1.02 MB
SWMBH 2.2A Attachment Applicant Credentialing Rights
70.95 KB
SWMBH 2.3 Crdtlg Org Prvds
817.04 KB
SWMBH 2.4 Clean Credentialing and Re-Credentialing Files
598.23 KB
SWMBH 2.5 Credentials Comm Conf of Cred Recs and Provider Nondiscrimination
704.91 KB
SWMBH 2.6 Org Providers Credentialing of Practitioners
1.12 MB
SWMBH 2.7 Provider Communication
485.59 KB
SWMBH 2.8 Network Directory and Network Reporting Obligations
683.42 KB
SWMBH 2.9 Participating Provider Precautionary Suspension
530.52 KB
SWMBH 2.10 Sub Contracting
730.27 KB
SWMBH 2.11 Out of network providers
483.40 KB
SWMBH 2.12 Network Adequacy Analysis
232.12 KB
SWMBH 2.13 Provider Network Monitoring
811.76 KB
SWMBH 2.14 Grievance and Appreal non-clinical
747.10 KB
SWMBH 2.15 Provider Training
1.07 MB
SWMBH 2.16 Criminal History Screening
1.60 MB
SWMBH 2.17 Provider Office Site Quality
220.35 KB
SWMBH 2.18 Ongoing Network Provider Monitoring
638.02 KB

Quality Management (7 documents)

SWMBH 3.1 QAPIP 2017
1.02 MB
SWMBH 3.2 Quality Assurance and Performance Improvement
489.56 KB
SWMBH 3.3 Behavior Treatment Review Committee (BTRC)
356.40 KB
SWMBH 3.4 Stakeholder Input and Satisfaction of Provider Services
339.09 KB
SWMBH 3.5 Incident Event and Death Reporting and Monitoring
685.87 KB
SWMBH 3.6 Access Standards and Monitoring
415.41 KB
SWMBH 3.7 Cultural and Linguistic Competencies
302.79 KB

Utilization Management (18 documents)

Consent to Share Behavioral Health Information for Care Coordination Purposes
36.74 KB
MHL Auth Request Sheet
94.78 KB
OMT
1.14 MB
Psychological-Neuropsychological Evaluation Request Form
151.64 KB
SmartCare MI Health Link Add-Remove User Form
38.99 KB
SmartCare SUD Add-Remove User Form
40.37 KB
SWMBH 4.1 Access Management Policy
589.34 KB
SWMBH 4.2 Utilization Management
797.23 KB
SWMBH P4.2.1 Access Mgmt Triage Referral Protocol
896.32 KB
SWMBH 4.3 Service Authorization Outlier Management (URAC)
5.40 MB
SWMBH 4.4 Medical Necessity Criteria Clinical Practice Guidelines
2.15 MB
SWMBH 4.5 Person Family Centered Planning Policy
1.21 MB
SWMBH 4.6 Self Determination Policy
3.26 MB
SWMBH 4.7 Competitive Employment For Disabled Persons
310.71 KB
SWMBH 4.8 Retrospective Review
157.48 KB
SWMBH MHL Outpatient Mental Health Auth Processes
43.14 KB
SWMBH MI Health Link Phone Numbers
77.79 KB
SWMBH Notice of Confidentiality and Privacy Practices Jan 2014
141.12 KB

Public Policy (1 documents)

SWMBH 5.1 Community Living
561.95 KB

Customer Service (10 documents)

SWMBH 6.1 Customer Services Roles and Delegation
370.10 KB
SWMBH 6.2 Community Benefit
199.01 KB
SWMBH 6.3 Advance Directives
646.65 KB
SWMBH 6.4 Customer Grievance Systems
1.26 MB
SWMBH 6.5 Limited English Proficiency
364.57 KB
SWMBH 6.6 Customer Advisory Committee
357.56 KB
SWMBH 6.7 Customer Education and Marketing Orientation
302.04 KB
SWMBH 6.8 Enrollee Rights and Responsibilities
198.70 KB
SWMBH 6.9 CS Policy Notification of Provider Network Changes
299.55 KB
SWMBH 6.10 Stipends To Customers and Family Members
1.09 MB

Information Systems Management (7 documents)

SWMBH 7.1 Data Storage Retention Maintenance
180.22 KB
SWMBH 7.2 Workstation Use
472.02 KB
SWMBH 7.3 Internet Acceptable Use
365.72 KB
SWMBH 7.4 ISM Information Security
510.19 KB
SWMBH 7.5 IT Requisition
148.14 KB
SWMBH 7.6 Privacy Folder Access
325.86 KB
SWMBH 7.7 Portal Access
557.70 KB

Financial Management (1 documents)

SWMBH 8.4 Approval Limits Policy
132.61 KB

Claims (13 documents)

SWMBH 9.1 Claims Adjudication
197.73 KB
SWMBH 9.2 Claims Overpayment and Refunds
90.27 KB
SWMBH 9.3 Electronic Claims Submission
113.46 KB
SWMBH 9.4 Provider Communication
145.96 KB
SWMBH 9.5 Provider Claims Grievances and Appeals
215.89 KB
SWMBH 9.6 State and Federal Regulations
173.28 KB
SWMBH 9.7 Paper Claims Control
185.85 KB
SWMBH 9.8 Enrollee Cost Sharing
114.17 KB
SWMBH P9.8 Enrollee Claims Status Script
118.20 KB
SWMBH 9.9 Member Plan Coverage Eligibility Determination
156.98 KB
SWMBH 9.10 Timely Payment of Claims Quality Assurance MI Health Link
192.52 KB
SWMBH 9.11 Claim Denials Due to Member Coverage
174.58 KB
SWMBH 9.12 Financial Liability Determination ATP
4.00 MB

Compliance (22 documents)

SWMBH 10.1 Corporate Compliance Plan FINAL
5.30 MB
SWMBH 10.2 Comp Policy Development of Comp Plan Policies and Procedures
588.32 KB
SWMBH 10.3 Code of Conduct Distribution and Training
1.66 MB
SWMBH 10.4 Compliance Oversight Committee
590.36 KB
SWMBH 10.5 Compliance Education and Training
611.58 KB
SWMBH 10.6 Compliance Reporting Responsibilities
578.52 KB
SWMBH 10.7 Compliance Auditing and Monitoring
594.94 KB
SWMBH 10.8 Compliance Reviews and Investigations for Reporting
822.40 KB
SWMBH 10.9 Compliance Enforcement and Discipline
553.32 KB
SWMBH 10.10 Conflict of Interest
1.99 MB
SWMBH 10.10a COI Waiver SWMBH Board
514.94 KB
SWMBH 10.11 Fraud and Abuse
676.98 KB
SWMBH 10.12 Freedom of Information Request Policy
2.90 MB
SWMBH 10.13 Federal Program Eligibility Screening and Exclusion Disclosure
1.30 MB
SWMBH 10.14 Appeal Process For Compliance Decisions
582.72 KB
SWMBH 10.15 Clinical Documentation Review Policy
727.59 KB
SWMBH 10.16 Breach Team Program Oversight
1.67 MB
SWMBH 10.17 Social Security Privacy Policy
606.85 KB
SWMBH 10.18 Breach Notification
1.01 MB
SWMBH 10.20 Compliance Document Retention
601.37 KB
SWMBH 10.21 Use of MDHHS Standard Consent Form
559.81 KB
SWMBH 10.22 Requirement for Reporting and Returning Overpayments
519.08 KB

Substance Abuse Treatment and Prevention (23 documents)

SWMBH 11.1 Treatment Planning SUD
419.20 KB
SWMBH 11.2 SA Wait list
220.01 KB
SWMBH 11.3 Womens Treatment
453.75 KB
SWMBH 11.4 Services for Women and their Children
163.04 KB
SWMBH 11.5A Communicable Disease Testing Education
445.79 KB
SWMBH 11.5A Communicable Disease Testing Education
452.32 KB
SWMBH 11.6 Cnfdlty Dsclsre of SA Info
786.28 KB
SWMBH 11.7 MI Child Admin CA Services
522.45 KB
SWMBH 11.8 Professional Development Plan
194.61 KB
SWMBH 11.9 Fetal Alcohol Spectrum Disorders
351.06 KB
SWMBH 11.10 Substance Abuse Prevention Services (1)
1.67 MB
SWMBH 11.11 Recipient Rights of SA Consumers
371.75 KB
SWMBH 11.13 Substance Abuse Service Auth Guidelines
248.52 KB
SWMBH 11.14 Admission Criteria and Intake Procedures SARF
649.40 KB
SWMBH 11.15 Referrals for SARF
173.37 KB
SWMBH 11.16 Staff Development Program SARF
160.45 KB
SWMBH 11.17 Substance Abuse Services for Minors
151.68 KB
SWMBH 11.18 OMT
1.35 MB
SWMBH 11.19 Substance Abuse Operating Manual SARF
108.57 KB
SWMBH 11.20 Disclosure of Conf Info SARF
1.29 MB
SWMBH 11.21 Substance Abuse Treatment Documentation SARF
450.19 KB
SWMBH 11.22 Transportation
157.25 KB
SWMBH P11.22.1 Transportation
641.07 KB

Clinical Practices (21 documents)

SWMBH 12.1 Assessment and Services for Co-Occurring Disorders
489.90 KB
SWMBH 12.2 Integrated Collaborative Care
636.24 KB
SWMBH 12.3 Emergency Mental Health Services
533.58 KB
SWMBH 12.4 Electroconvulsive Therapy
329.89 KB
SWMBH 12.5 Discharge Planning and Follow-Up
208.91 KB
SWMBH P12.5.1 Discharge and Follow-Up Procedure
272.21 KB
SWMBH 12.6 County of Financial Responsibility (COFR)
454.72 KB
SWMBH 12.7 Pre-Admission Screening
373.49 KB
SWMBH 12.8 Autism Services policy
979.61 KB
SWMBH P12.8.1 Autism Benefit Enrollment and Authorization Procedure
351.48 KB
SWMBH 12.9 Recovery Relapse Effective Freedom
254.99 KB
SWMBH 12.10 Trauma Informed System of Care
274.71 KB
SWMBH 12.11 Clinical Documentation
866.10 KB
SWMBH 12.12 Jail Diversion
238.21 KB
SWMBH 12.12A Jail Diversion Practice Guidelines
844.51 KB
SWMBH 12.13 Supports Intensity Scale
206.93 KB
Self Determination Practice & Fiscal Intermediary Guideline
2.43 MB
Inclusion Practice Guideline
279.83 KB
Housing Practice Guideline
238.78 KB
Consumerism Practice Guideline
376.32 KB
Family-Driven and Youth-Guided Policy/Practice Guideline
922.26 KB

Provider Forms and Documents

Downloadable Forms (7 documents)

Appeal form
29.58 KB
Consent to Share Behavioral Health Information for Care Coordination Purposes
36.74 KB
Consent to Share Health Information (Spanish)
43.88 KB
MHL SWMBH IntegratedDenialNotice MI 2015
61.67 KB
Streamline User Request Form
41.50 KB
SWMBH Action Notice Medicaid Template Dec 2016 Spanish
49.56 KB
SWMBH Action Notice Medicaid Template December 2016
54.01 KB

Provider Forms General Information (4 documents)

Phone System v.2.1.16
514.86 KB
SWMBH Duals Web Ex Feb_15
520.55 KB
SWMBH Powerpoint Provider Network
457.60 KB
SWMBH Process Flow Charts
352.31 KB

Provider Manual

Introduction (4 documents)

Briefing for Stakeholders 2014
156.59 KB
Letter of Welcome 2014
61.20 KB
SWMBH Affiliate Locations
33.44 KB
SWMBH Org Chart functional 3.31.15
186.55 KB

Provider Network (8 documents)

Applicant Credentialing Rights
31.39 KB
Credentialing Process SWMBH
42.36 KB
Malpractice Claims Explanation Form
51.59 KB
Provider Disputes Appeals Process SWMBH
34.46 KB
Reporting Material Changes
29.32 KB
SWMBH Independent Practitioner Credentialing Final 1.25.16
169.20 KB
SWMBH Organization Credentialing App 6-30-14
170.06 KB
W-9 Form
84.44 KB

Practice Guidelines (19 documents)

Substance Use Disorders - Quick Reference Guide
216.71 KB
Substance Use Disorders
2.86 MB
Major Depressive Disorder - Quick Reference Guide
155.84 KB
Major Depressive Disorder
1.65 MB
Bipolar Disorder Quick Reference Guide
155.30 KB
Bipolar Disorder
1.74 MB
Consumerism PracticeGuidelines
361.39 KB
Employment Works Policy
321.73 KB
Family Driven and Youth Guided Policy and Practice Guidelines
737.97 KB
Housing Practice Guideline
226.57 KB
Inclusion Practice Guideline
283.64 KB
Jail Diversion Practice Guidelines
848.23 KB
Person-Centered Planning Practice Guideline
1.13 MB
Personal Care in Non-Specialized Residential Setting Technical Requirement
438.80 KB
Recovery Policy and Practice Advisory
599.33 KB
SED Technical Requirements
2.73 MB
Self Determination Policy and Practice Guideline
2.50 MB
Self Determination Practice Fiscal Intermediary Guideline
2.43 MB
Special Education to Community Transition Planning Practice Recommendation Guideline
2.10 MB

Corporate Compliance (1 documents)

SWMBH 10.1 Corporate Compliance Plan FINAL 12/11/2015
145.43 KB

Performance Improvement (3 documents)

BH-TEDS Coding Instructions
482.36 KB
MI Indicator System FY14
24.97 KB
SWMBH PI Plan
912.51 KB

Consumer Rights (6 documents)

2017 SWMBH Handbook-Spanish
1.34 MB
Consumer Rights 2014
64.89 KB
MHL SWMBH IntegratedDenialNotice MI 2015 022715
61.67 KB
SA Consumer Rights 2014
27.19 KB
SWMBH Action Notice Medicaid Spanish Aug-2014
182.68 KB
SWMBH Action Notice Medicaid Template December 2016
54.01 KB

Utilization Management (18 documents)

Consent to Share Behavioral Health Information for Care Coordination Purposes
36.74 KB
MHL Auth Request Sheet
94.78 KB
OMT
1.14 MB
Psychological-Neuropsychological Evaluation Request Form
151.64 KB
SmartCare MI Health Link Add-Remove User Form
38.99 KB
SmartCare SUD Add-Remove User Form
40.37 KB
SWMBH 4.1 Access Management Policy
589.34 KB
SWMBH 4.2 Utilization Management
797.23 KB
SWMBH P4.2.1 Access Mgmt Triage Referral Protocol
896.32 KB
SWMBH 4.3 Service Authorization Outlier Management (URAC)
5.40 MB
SWMBH 4.4 Medical Necessity Criteria Clinical Practice Guidelines
2.15 MB
SWMBH 4.5 Person Family Centered Planning Policy
1.21 MB
SWMBH 4.6 Self Determination Policy
3.26 MB
SWMBH 4.7 Competitive Employment For Disabled Persons
310.71 KB
SWMBH 4.8 Retrospective Review
157.48 KB
SWMBH MHL Outpatient Mental Health Auth Processes
43.14 KB
SWMBH MI Health Link Phone Numbers
77.79 KB
SWMBH Notice of Confidentiality and Privacy Practices Jan 2014
141.12 KB

Provider Training Materials

Provider Training Materials (11 documents)

SWMBH Advance Directives Training
335.11 KB
SWMBH Code of Conduct 2016
200.02 KB
SWMBH Compliance 2016 training
910.35 KB
SWMBH Grievance Appeal training
422.09 KB
SWMBH HIPAA Privacy and Security 2016 training
633.20 KB
SWMBH LEP Training
399.02 KB
SWMBH MCIS SUD Provider User Guide
1.26 MB
SWMBH MCIS 837 Companion Guide Rev 1.5.16
155.89 KB
SWMBH MCIS Adjudication Logic
111.99 KB
SWMBH MCIS MI Health Provider PowerPoint (1)
1.99 MB
SWMBH MCIS SUD Provider PowerPoint
1.36 MB

SUD Providers

SUD Treatment Director's Meeting Information (13 documents)

August 2016 SUD Directors Minutes
408.81 KB
August 2016 SUD Directors Packet
916.75 KB
December 2015 packet
353.79 KB
February 2016 SUD Directors Meeting packet
3.11 MB
February 2016 SUD Directors Meeting packet
3.11 MB
June 2016 Agenda
335.84 KB
June 2016 SUD Directors Minutes
1.87 MB
October 2015 packet
4.09 MB
SUD Directors Mtg Packet April 2015
620.40 KB
SUD Program Director Minutes 12-2015
263.40 KB
SUD Program Director minutes 2/16/16
331.27 KB
SUD Program Director minutes april 2016
409.82 KB
SUD Program Director minutes october 20/2015
246.41 KB

Employee Resources (6 documents)

BH TEDS Errors
306.43 KB
BH TEDS Smartcare
928.29 KB
BH-TEDS QA 09/08/2016
701.09 KB
FY17 BH-TEDS Coding Instructions
628.32 KB
SWMBH BH TEDS for SUD Overview
312.48 KB
Tx Planning for SUD v3.0
674.84 KB

Community Resources (1 documents)

SpanishAAMeetingFlyer
40.97 KB

SUD Treatment Providers General Information (3 documents)

MAT Guidelines for Opiod Use Disorders
1.11 MB
SWMBH STRATEGIC PLAN NARRATIVE FINAL
778.52 KB
SWMBH Three year strategic plan attachments FINAL
1.83 MB
For the SWMBH Main Line, call
For the SWMBH Compliance Hotline, call
For SWMBH Customer Service, call
For the SWMBH SUD Access Line, call