Policies
Policy Listing
Policies are listed below, categorized by their Area of Ownership. If you are unable to find the policy you are looking for, search for keywords in the POLICY DOCUMENT NAME. (This listing is currently being updated. Thank you for your patience.)
Note:
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As policies are reviewed/revised attachments may be located immediately following a policy (internal links will not be accessible) or
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attachments will be listed in the policy category as separate documents.
Proposed Policies
The Detroit Wayne Integrated Health Network periodically issues notices of proposed policies. These documents inform interested parties of proposed changes in policies.
A Proposed Policy may undergo a public comment period before becoming final. The notices provide a way for interested parties to comment on proposed policies. Viewers may comment by using the electronic feedback form before the comment due date. Notice contents are, in effect, a draft. They do not represent official policy.
Search Results
Access Call Center
Access
Last Updated: Sep 21, 2022 File Size: 250.45 KB
Access Call Center Welcoming
Last Updated: Mar 16, 2023 File Size: 288.94 KB
Eligibility and Screening
Last Updated: Mar 16, 2023 File Size: 253.04 KB
Administration
DWIHN Communications, Marketing, and Outreach Policy & Procedures
Last Updated: Mar 21, 2022 File Size: 126.38 KB
Children's Services
CAFAS-PECFAS-DECA
Last Updated: Oct 20, 2022 File Size: 212.46 KB
Children's Diagnostic Treatment Services Program
Last Updated: Mar 21, 2022 File Size: 168.6 KB
Children's Home and Community-Based Waiver
Last Updated: Mar 21, 2022 File Size: 139.98 KB
Community Living Supports (CLS)
Last Updated: Jun 22, 2022 File Size: 296.16 KB
Early Childhood Mental Health Services
Last Updated: Sep 9, 2022 File Size: 408.85 KB
Parent Management Training Oregon (PMTO)
Last Updated: Mar 17, 2023 File Size: 138.9 KB
Promoting & Supporting Minors with Serious Emotional Disturbances Remaining in Their Home, School, & Communities
Last Updated: Feb 23, 2023 File Size: 293.54 KB
Respite (In-Home and Out-of Home)
Last Updated: Mar 17, 2023 File Size: 110.47 KB
Wraparound
Last Updated: Mar 21, 2022 File Size: 142.53 KB
Claims Management
Claims Adjudication Policy
Last Updated: Feb 15, 2023 File Size: 207.77 KB
Claims Administrative Appeal
Last Updated: Jun 1, 2022 File Size: 214.18 KB
Claims Audit
Last Updated: Feb 15, 2023 File Size: 115 KB
Claims Processing
Last Updated: Jun 1, 2022 File Size: 214.23 KB
Claims Reconsideration
Last Updated: Mar 2, 2023 File Size: 213.48 KB
Non-Contracted Providers Claims Handing Policy
Last Updated: Feb 15, 2023 File Size: 250.15 KB
Clinical
Behavior Health Home (BHH)
Last Updated: Aug 5, 2022 File Size: 252.37 KB
Clinical Practice Guidelines
Last Updated: Mar 17, 2023 File Size: 318.84 KB
Clinically Responsible Service Provider (CRSP) Responsibilities Procedure
Last Updated: Sep 8, 2022 File Size: 365.54 KB
Opioid Health Home (OHH) Policy
Last Updated: Mar 16, 2023 File Size: 415.41 KB
Research, Evaluation, and Participant Protection
Last Updated: Feb 23, 2023 File Size: 293.32 KB
Clinical Practice Improvement (CPI)
Assertive Community Treatment (ACT)
Last Updated: May 11, 2022 File Size: 295.35 KB
Assessment
Last Updated: Mar 21, 2022 File Size: 130.99 KB
Case Management Network Procedure
Last Updated: Mar 16, 2023 File Size: 146.94 KB
CRSP Member Re-Engagement and Case Closure
Last Updated: Jun 24, 2022 File Size: 416.44 KB
Employment Works!
Last Updated: Mar 16, 2023 File Size: 341.29 KB
IPOS Individual Plan of Service / Person-Centered Plan
Last Updated: Jun 15, 2022 File Size: 645.4 KB
LOCUS: Level of Care Utilization System Protocol
Last Updated: Sep 9, 2022 File Size: 276.98 KB
Proven Behavioral Health Clinical Technology Inclusion and Application Guidelines Policy
Last Updated: Jun 24, 2022 File Size: 291 KB
Self-Management Tool
Last Updated: Mar 29, 2022 File Size: 135.84 KB
Telemedicine
Last Updated: Mar 2, 2021 File Size: 140.05 KB
Treatment Plan Training Procedure for Direct Support Professional -DSP-Aide
Last Updated: Mar 17, 2023 File Size: 108.48 KB
Compliance
Compliance Plan Policy
Last Updated: Jan 22, 2022 File Size: 1.08 MB
Compliance Reporting Policy
Last Updated: Jan 1, 2022 File Size: 222.69 KB
Conflict of Interest
Last Updated: Mar 2, 2023 File Size: 121.37 KB
Data Breach Notification Policy
Last Updated: Sep 22, 2022 File Size: 176.9 KB
Fraud, Waste, and Abuse Policy
Last Updated: Jan 1, 2022 File Size: 472.42 KB
Investigation Policy
Last Updated: Feb 1, 2021 File Size: 125.63 KB
Protected Health Information (PHI) Privacy and Confidentiality
Last Updated: Jun 13, 2022 File Size: 106.58 KB
Record Retention and Disposal
Last Updated: Jly 26, 2022 File Size: 675 KB
Risk Management Policy
Last Updated: Jun 1, 2022 File Size: 445.6 KB
Section 1557 Grievance Procedure Policy
Last Updated: Jan 1, 2022 File Size: 920.87 KB
Standards of Conduct Policy
Last Updated: Feb 2, 2022 File Size: 373.62 KB
Credentialing
Credentialing/Re-Credentialing
Last Updated: Mar 16, 2023 File Size: 1.41 MB
Credentialing Committee PROCEDURE
Last Updated: Dec 7, 2022 File Size: 332.26 KB
Credentialing File Security PROCEDURE
Last Updated: Dec 7, 2022 File Size: 776.23 KB
Credentialing Procedures Delegated to All Accredited Providers
Last Updated: Mar 22, 2022 File Size: 130.58 KB
Credentialing Verification Organization (CVO) Responsibilities
Last Updated: Feb 17, 2023 File Size: 861.1 KB
Organizational Credentialing/Re-Credentialing
Last Updated: Jun 22, 2022 File Size: 144.65 KB
Primary Source Verification of Credentialing Information
Last Updated: Oct 13, 2022 File Size: 942.1 KB
Provider Credentialing Monitoring and Auditing
Last Updated: Mar 20, 2023 File Size: 127.48 KB
Customer Service
Accommodations for Individuals with Visual & Mobility Impairments Policy
Last Updated: Jun 13, 2022 File Size: 229.26 KB
Clubhouse/Psychosocial Rehabilitation Services Policy
Last Updated: Feb 15, 2023 File Size: 120.6 KB
Communication Using the Teletype Device Michigan Relay Service or Other Communication Devices
Last Updated: Feb 15, 2023 File Size: 196.2 KB
Cultural Competence
Last Updated: Sep 22, 2022 File Size: 143.86 KB
Customer Service (CS)
Last Updated: Feb 15, 2023 File Size: 496.54 KB
Customer Service (CS) Enrollee Member Appeals
Last Updated: Jun 1, 2022 File Size: 997.71 KB
Customer Service Medical Record Retrieval
Last Updated: Apr 1, 2022 File Size: 122.05 KB
Dreams Come True Fund Policy
Last Updated: Dec 1, 2021 File Size: 128.39 KB
Enrollee/Member Grievance Timeframes and Procedural Steps
Last Updated: Mar 16, 2023 File Size: 130.89 KB
Family Support Subsidy Program Policy
Last Updated: Feb 1, 2022 File Size: 244.15 KB
Limited English Proficiency (LEP) Policy
Last Updated: Feb 15, 2023 File Size: 326.79 KB
Medication Procedures for Enrollees/Members
Last Updated: Feb 17, 2023 File Size: 107.21 KB
Member Experience
Last Updated: Oct 11, 2022 File Size: 288.44 KB
Member Grievance
Last Updated: Feb 14, 2023 File Size: 181.9 KB
Member Orientation
Last Updated: Jan 1, 2021 File Size: 147.18 KB
Member Stipend Policy
Last Updated: Jun 21, 2022 File Size: 771.34 KB
Peer Services Policy
Last Updated: Jun 1, 2022 File Size: 265.32 KB
PIHP Disenrollment
Last Updated: Nov 1, 2021 File Size: 137.51 KB
Provider Satisfaction
Last Updated: Oct 11, 2022 File Size: 249.58 KB
Recovery Policy
Last Updated: Mar 1, 2022 File Size: 289.05 KB
Second Opinion Procedure
Last Updated: Feb 17, 2023 File Size: 246.84 KB
Service Provider Change Procedure
Last Updated: Mar 1, 2022 File Size: 835.99 KB
Finance (Office of Fiscal Management)
Ability to Pay (ATP)
Last Updated: Mar 29, 2022 File Size: 135.56 KB
County of Financial Responsibility (COFR)
Last Updated: Mar 29, 2022 File Size: 144.45 KB
Fiscal Control & Accountability Procedure
Last Updated: Mar 29, 2022 File Size: 161.62 KB
Human Resources
Americans with Disabilities Act (ADA)/Americans with Disabilities Act Amendments Act (ADAAA)
Last Updated: Mar 2, 2023 File Size: 109.39 KB
Diversity Policy
Last Updated: Feb 28, 2023 File Size: 114.54 KB
Intern Onboarding Process
Last Updated: Feb 15, 2023 File Size: 223.16 KB
Volunteers, Students, and Interns
Last Updated: Feb 1, 2022 File Size: 120.43 KB
Information Technology
Acceptable Use Policy
Last Updated: Jun 1, 2022 File Size: 368.05 KB
Business Continuity and Disaster Recovery Plan
Last Updated: May 1, 2022 File Size: 147.82 KB
Data Submission Completeness Policy
Last Updated: Jun 1, 2022 File Size: 133.59 KB
Email Policy
Last Updated: Jun 1, 2022 File Size: 210.05 KB
Health Insurance Portability and Accountability Act (HIPAA) Security
Last Updated: Jly 25, 2022 File Size: 770.91 KB
Staff File Maintenance Policy
Last Updated: Nov 1, 2021 File Size: 129.49 KB
Integrated Health Care
Care Coordination
Last Updated: Jun 23, 2022 File Size: 143.27 KB
Complex Case Management
Last Updated: Jun 23, 2022 File Size: 366.5 KB
Legal
Disclosure of Control and Ownership Interest
Last Updated: Mar 3, 2023 File Size: 114.71 KB
Freedom of Information Act (FOIA)
Last Updated: Feb 27, 2023 File Size: 129.38 KB
Managed Care Operations
Delegated Functions
Last Updated: Mar 5, 2021 File Size: 157.23 KB
MI Health Link Non-Contracted Provider PROCEDURE
Last Updated: Mar 5, 2021 File Size: 205.64 KB
Network Monitoring and Management
Last Updated: Jun 21, 2022 File Size: 127.19 KB
Out of Network
Last Updated: Jun 22, 2022 File Size: 811.03 KB
Workforce and Provider Background Check
Last Updated: Mar 1, 2023 File Size: 436.2 KB
Medical
Infection Control
Last Updated: Mar 29, 2022 File Size: 124 KB
Medication Control Policy
Last Updated: Mar 29, 2022 File Size: 122.81 KB
Nursing Assessment Protocol
Last Updated: Sep 27, 2022 File Size: 223.63 KB
Psychiatric Assessments Protocol
Last Updated: Mar 13, 2023 File Size: 249.35 KB
Psychiatric Inpatient Hospitalization
Last Updated: Mar 29, 2022 File Size: 136.92 KB
Psychiatric Practice Standards
Last Updated: Jun 9, 2022 File Size: 290.89 KB
Psychopharmacology in Children and Adolescents
Last Updated: Mar 29, 2022 File Size: 129.6 KB
SIS Level-of-Care Determination Procedure
Last Updated: Jun 9, 2022 File Size: 213.38 KB
Office of Recipient Rights (ORR)
Abuse and Neglect Policy
Last Updated: Mar 14, 2023 File Size: 404.58 KB
Change In Type of Treatment Policy
Last Updated: Feb 17, 2022 File Size: 210.68 KB
Communications and Visits Policy
Last Updated: Mar 14, 2023 File Size: 207.71 KB
Comprehensive Examinations Policy
Last Updated: Mar 14, 2023 File Size: 206.18 KB
Consent To Treatment And Services Policy
Last Updated: Mar 14, 2023 File Size: 112.49 KB
Disclosure of Confidential or Privileged Information Policy
Last Updated: Mar 14, 2023 File Size: 684.06 KB
Family Planning Policy
Last Updated: Mar 14, 2023 File Size: 97.94 KB
Fingerprinting, Photographing, Audio Taping, and Use of One Way Glass Policy
Last Updated: Sep 22, 2022 File Size: 150.9 KB
Freedom of Movement Policy
Last Updated: Mar 2, 2023 File Size: 206.17 KB
Incident Reporting Policy
Last Updated: Mar 1, 2022 File Size: 283.5 KB
Personal Property And Search Policy
Last Updated: Mar 14, 2023 File Size: 174.83 KB
Qualifications And Training For ORR Staff
Last Updated: Mar 14, 2023 File Size: 256.13 KB
Recipient Rights Appeals Policy
Last Updated: Mar 14, 2023 File Size: 923.72 KB
Recipient Rights Complaint Resolution Policy
Last Updated: Mar 14, 2023 File Size: 993.63 KB
Resident Funds Policy
Last Updated: Mar 14, 2023 File Size: 285.4 KB
Resident Labor Policy
Last Updated: Mar 14, 2023 File Size: 101.76 KB
Restraint Policy
Last Updated: Mar 14, 2023 File Size: 225.96 KB
Right To Entertainment Materials Policy
Last Updated: Mar 14, 2023 File Size: 666.34 KB
Seclusion Policy
Last Updated: Mar 14, 2023 File Size: 723.3 KB
Services Suited To Condition In The Least Restrictive Setting Policy
Last Updated: Mar 14, 2023 File Size: 246.1 KB
Treatment By Spiritual Means
Last Updated: Mar 2, 2023 File Size: 248.68 KB
Treatment With Dignity And Respect Policy
Last Updated: Feb 15, 2023 File Size: 101.78 KB
Use Of Psychotropic Drugs Policy
Last Updated: Sep 22, 2022 File Size: 149.02 KB
Purchasing & Procurement
Clinical and Non-Clinical Contract Approval and Authorized Signatures
Last Updated: Feb 27, 2023 File Size: 488.94 KB
Procurement Policy
Last Updated: Jun 16, 2022 File Size: 202.57 KB
Procurement Ethic's Policy
Last Updated: Mar 16, 2023 File Size: 131.05 KB
Quality Improvement
Case Record Maintenance and Review
Last Updated: Mar 24, 2022 File Size: 140.5 KB
Claims Verification
Last Updated: Mar 24, 2022 File Size: 128.36 KB
Costing and Reporting Integrity: Procedure Code Work Goup (PCWG) Policy
Last Updated: Mar 24, 2022 File Size: 149.52 KB
Environmental Safety
Last Updated: Sep 23, 2022 File Size: 153.28 KB
Home and Community Based Services
Last Updated: Mar 24, 2022 File Size: 130.84 KB
Michigan Mission Based Performance Indicator (MMBPI) Reporting Requirements
Last Updated: Mar 15, 2023 File Size: 136.18 KB
Quality Assessment Performance Improvement Program (QAPIP)
Last Updated: Feb 17, 2023 File Size: 455.63 KB
Reporting of Critical Event, Sentinel Event, and Death
Last Updated: Mar 24, 2022 File Size: 166.86 KB
Use of Behavior Treatment in Community Mental Health Settings
Last Updated: Sep 23, 2022 File Size: 146.15 KB
Strategic Planning
Definitions and Glossary of Terms for Policies and Procedures
Last Updated: Feb 20, 2023 File Size: 185.57 KB
Policy Review Guidelines Policy
Last Updated: Oct 11, 2022 File Size: 235.35 KB
SUD
Fetal Alcohol Spectrum Disorder
Last Updated: Feb 20, 2023 File Size: 271.9 KB
Substance Use Disorder - Recipient Rights
Last Updated: Feb 20, 2023 File Size: 247.31 KB
Women's Specialty Services Policy
Last Updated: Feb 20, 2023 File Size: 337.07 KB
Utilization Management
Appropriate Professionals for Utilization Management Decision Making Policy
Last Updated: Jun 28, 2022 File Size: 142.26 KB
Behavioral Health Service Medical Necessity Criteria
Last Updated: Mar 1, 2022 File Size: 156.2 KB
Behavioral Health Utilization Management Review
Last Updated: Feb 1, 2021 File Size: 165.81 KB
Benefit
Last Updated: Aug 5, 2022 File Size: 380.39 KB
Denial of Service
Last Updated: Mar 1, 2022 File Size: 152.36 KB
Habilitation Supports Waiver (Medicaid 1915(c) Waiver)
Last Updated: Aug 24, 2022 File Size: 337.22 KB
Independent Review Organization
Last Updated: Aug 25, 2022 File Size: 129.86 KB
Inter-Rater Reliability Policy for Utilization Management Staff
Last Updated: Dec 1, 2020 File Size: 136.57 KB
Post-Service UM Provider Appeals for Medicare Services Procedure
Last Updated: Mar 15, 2023 File Size: 158.37 KB
Self-Determination and Self-Directed Arrangements
Last Updated: Feb 1, 2021 File Size: 141.08 KB
UM Authorization Procedures for MI Health Link
Last Updated: Jun 1, 2022 File Size: 463.51 KB
UM Provider PROCEDURES for Prior Authorized Behavioral Health Services
Last Updated: May 1, 2022 File Size: 1.19 MB
Utilization Management Denial and Appeal System Controls PROCEDURE
Last Updated: Feb 15, 2023 File Size: 787.64 KB
UM Review Procedure for Substance Use Disorders
Last Updated: Mar 15, 2023 File Size: 123.27 KB
Utilization Management (UM) Provider Appeals
Last Updated: Jan 1, 2021 File Size: 239.63 KB
Utilization Management Affirmative Statement
Last Updated: Nov 1, 2021 File Size: 137.32 KB
Utilization Management Program Description
Last Updated: Feb 1, 2021 File Size: 131.1 KB
Utilization Management/Provider Local and Alternative Dispute Resolution
Last Updated: Jun 28, 2022 File Size: 805.9 KB