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 below.

Note: Attachments are located immediately following a policy. Attachment links are not accessible.

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.

 Document Name
 

 
Search Results   

Access and Crisis Services


Eligibility and Screening Policy
Last Updated: Apr 20, 2020   File Size: 126.32 KB


Administration


DWIHN Communications, Marketing, and Outreach Policy
Last Updated: Aug 1, 2020   File Size: 129.43 KB


Children's Initiatives


Children's Home and Community Based Waiver Policy
Last Updated: Jan 1, 2020   File Size: 16.04 MB

Children Diagnostic Treatment Services Program Policy
Last Updated: Dec 1, 2019   File Size: 1.35 MB

Choice Voucher System for Children Policy
Last Updated: Dec 1, 2019   File Size: 224.3 KB

Early Childhood Mental Health Services Policy
Last Updated: Jly 1, 2020   File Size: 284.74 KB

Parent Management Training Oregon Model (PMTO) Policy
Last Updated: Nov 1, 2019   File Size: 438.95 KB

Promoting & Supporting Minors with Serious Emotional Disturbances Remaining in their Home, School and Communities Policy
Last Updated: Nov 1, 2019   File Size: 137.88 KB

RESPITE (In-Home and Out-of-Home) Policy
Last Updated: Jly 1, 2020   File Size: 408.95 KB

Wraparound Policy
Last Updated: Nov 1, 2019   File Size: 2.03 MB


Claims Management


Claims Administrative Appeal Policy
Last Updated: Dec 1, 2019   File Size: 192.61 KB

Claims Audit Policy
Last Updated: Mar 1, 2020   File Size: 218.44 KB

Claims Mail Room Policy
Last Updated: Jun 1, 2020   File Size: 321.97 KB

Claims Processing Policy
Last Updated: Dec 1, 2019   File Size: 239.01 KB

Claims Reconsideration Policy
Last Updated: Dec 1, 2019   File Size: 292.96 KB

Coordination of Benefits Policy
Last Updated: Dec 1, 2019   File Size: 225.72 KB

National Correct Coding Compliance Policy
Last Updated: Dec 1, 2019   File Size: 131.23 KB

Non-Contracted Providers Policy
Last Updated: Dec 1, 2019   File Size: 145.15 KB


Clinical Practice Improvement


Access Policy
Last Updated: Apr 1, 2020   File Size: 127.12 KB

Individual Plan of Service IPOS Person-Centered Plan (PCP) Policy
Last Updated: Apr 1, 2020   File Size: 1.74 MB

Medication Control Policy
Last Updated: Jun 1, 2018   File Size: 115.55 KB

Proven Behavioral Health Clinical Technology Inclusion and Application Guidelines Policy
Last Updated: Apr 1, 2020   File Size: 132.52 KB

Self-Management Tool Policy
Last Updated: Apr 20, 2020   File Size: 256.13 KB


Compliance


Compliance Plan Policy
Last Updated: Nov 1, 2019   File Size: 151.71 KB

Compliance Reporting Policy
Last Updated: Nov 1, 2019   File Size: 124.44 KB

Conflict of Interest Policy
Last Updated: Nov 1, 2019   File Size: 204.81 KB

Fraud, Waste and Abuse Policy
Last Updated: Nov 1, 2019   File Size: 135.94 KB

Health Insurance Portability and Accountability Act (HIPAA) Security Policy
Last Updated: Jun 1, 2019   File Size: 409.09 KB

Investigation Policy
Last Updated: Mar 1, 2020   File Size: 124.93 KB

PHI Privacy and Confidentiality Policy
Last Updated: Jun 1, 2019   File Size: 432.54 KB

Record Retention and Disposal Policy
Last Updated: Dec 1, 2019   File Size: 371.09 KB

Risk Management Policy
Last Updated: Nov 1, 2019   File Size: 181.22 KB

Section 1557 Grievance Procedure Policy
Last Updated: Nov 1, 2019   File Size: 130.15 KB

Standards of Conduct Policy
Last Updated: Nov 1, 2019   File Size: 142.32 KB


Customer Service


Accommodations for Individuals with Visual & Mobility Impairments Policy
Last Updated: Aug 11, 2020   File Size: 124.11 KB

Communication Using the Teletype Device Michigan Relay Service or Other Communication Devices Policy
Last Updated: May 1, 2020   File Size: 240.73 KB

Consumer Stipend Policy
Last Updated: Apr 1, 2020   File Size: 123.61 KB

Cultural Competence Policy
Last Updated: Oct 1, 2019   File Size: 226.29 KB

Customer Service CS Enrollee Member Appeals Policy
Last Updated: Jan 1, 2019   File Size: 468.7 KB

Customer Service Policy
Last Updated: Apr 1, 2019   File Size: 1.02 MB

Dreams Come True Fund Policy
Last Updated: Feb 1, 2019   File Size: 118.97 KB

Family Support Subsidy Program Policy
Last Updated: May 5, 2020   File Size: 128.46 KB

Limited English Proficiency (LEP) Policy
Last Updated: Jly 1, 2020   File Size: 955.13 KB

Member Experience Policy
Last Updated: Oct 1, 2019   File Size: 135.86 KB

Member Grievance Policy
Last Updated: May 1, 2020   File Size: 1.22 MB

New Member Orientation Policy
Last Updated: Sep 1, 2019   File Size: 6.15 MB

Peer Services Policy
Last Updated: Aug 1, 2020   File Size: 128.38 KB

Provider Satisfaction Policy
Last Updated: Dec 1, 2019   File Size: 223.11 KB

Recovery Policy
Last Updated: Apr 1, 2019   File Size: 121.56 KB


Human Resources


Diversity Policy
Last Updated: Apr 1, 2020   File Size: 118.12 KB

ID Badge, Event, and Building Access Policy
Last Updated: Oct 1, 2019   File Size: 130.08 KB

Volunteer, Students, and Interns Policy
Last Updated: May 5, 2020   File Size: 210.41 KB


Information Technology


Acceptable Use Policy
Last Updated: Dec 1, 2019   File Size: 144.3 KB

Claims Adjudication Policy
Last Updated: Jly 1, 2018   File Size: 128.46 KB

Clean Desk Policy
Last Updated: Jun 1, 2018   File Size: 128.63 KB

Data Submission Completeness Policy
Last Updated: Jun 1, 2018   File Size: 130.25 KB

Email Policy
Last Updated: Mar 10, 2018   File Size: 126.82 KB

Password Construction Guidelines Policy
Last Updated: Jun 1, 2018   File Size: 132.87 KB

Password Protection Policy
Last Updated: Mar 1, 2018   File Size: 127.95 KB


Integrated Healthcare


Care Coordination Policy
Last Updated: Apr 1, 2020   File Size: 620.26 KB

Complex Case Management Policy
Last Updated: Sep 1, 2019   File Size: 539.63 KB


Legal


Disclosure of Control and Ownership Interest Policy
Last Updated: Dec 1, 2019   File Size: 939.75 KB


Managed Care Operations


Credentialing/Re-Credentialing Policy
Last Updated: Sep 1, 2019   File Size: 394.41 KB

Delegated Functions Policy
Last Updated: Aug 1, 2017   File Size: 241.13 KB

Network Monitoring and Management Policy
Last Updated: Jly 1, 2020   File Size: 279.24 KB

Out of Network Policy
Last Updated: Jly 1, 2020   File Size: 486.22 KB

Workforce and Provider Background Checks
Last Updated: Dec 1, 2019   File Size: 1.09 MB


Medical


Assessment Policy
Last Updated: Jan 1, 2019   File Size: 2.01 MB

Clinical Practice Guidelines Policy
Last Updated: Dec 1, 2019   File Size: 1.46 MB

Infection Control Policy
Last Updated: Jun 1, 2020   File Size: 20.27 MB

Psychiatric Inpatient Hospitalization Policy
Last Updated: Jly 1, 2020   File Size: 328.14 KB

Psychiatric Practice Standards Policy
Last Updated: Jly 1, 2020   File Size: 762.21 KB

Psychopharmacology in Children and Adolescent Policy
Last Updated: Jun 1, 2020   File Size: 347.26 KB


Office of Fiscal Management (Finance)


County of Financial Responsibility (COFR) Policy
Last Updated: Jan 1, 2020   File Size: 182.69 KB


Office of Recipient Rights


Abuse and Neglect Policy
Last Updated: Dec 1, 2019   File Size: 144.97 KB

Change In Type of Treatment Policy
Last Updated: Dec 1, 2019   File Size: 124.58 KB

Communication and Visits Policy
Last Updated: Dec 1, 2019   File Size: 126.06 KB

Comprehensive Examinations Policy
Last Updated: Dec 1, 2019   File Size: 125.07 KB

Consent To Treatment And Services Policy
Last Updated: Dec 1, 2019   File Size: 133.56 KB

Disclosure Of Confidential or Privileged Information Policy
Last Updated: Dec 1, 2019   File Size: 144.08 KB

Family Planning Policy
Last Updated: Dec 1, 2019   File Size: 136.83 KB

Fingerprinting, Photographing, Audio Taping, and Use of One Way Glass Policy
Last Updated: Dec 1, 2019   File Size: 133.96 KB

Freedom Of Movement Policy
Last Updated: Dec 1, 2019   File Size: 123.65 KB

Personal Property And Search Policy
Last Updated: Dec 1, 2019   File Size: 132.51 KB

Qualifications And Training For ORR Staff Policy
Last Updated: Dec 1, 2019   File Size: 129.65 KB

Recipient Rights Appeals.pdf
Last Updated: Dec 1, 2019   File Size: 137.04 KB

Recipient Rights Complaint Resolution Policy
Last Updated: Dec 1, 2019   File Size: 142.82 KB

Resident Funds Policy
Last Updated: Dec 1, 2019   File Size: 130.99 KB

Resident Labor Policy
Last Updated: Dec 1, 2019   File Size: 124.67 KB

Restraint Policy
Last Updated: Dec 1, 2019   File Size: 171.28 KB

Right To Entertainment Materials Policy
Last Updated: Dec 1, 2019   File Size: 125.16 KB

Seclusion Policy
Last Updated: Dec 1, 2019   File Size: 172.15 KB

Services Suited To Condition In The Least Restrictive Setting Policy
Last Updated: Dec 1, 2019   File Size: 128.05 KB

Treatment By Spiritual Means Policy
Last Updated: Dec 1, 2019   File Size: 192.35 KB

Treatment With Dignity And Respect Policy
Last Updated: Dec 1, 2019   File Size: 122.7 KB

Use Of Psychotropic Drugs Policy
Last Updated: Dec 1, 2019   File Size: 137.73 KB


Purchasing & Procurement


Procurement Policy
Last Updated: Dec 1, 2019   File Size: 200.29 KB

Selection of Subrecipients for Grants Policy
Last Updated: May 1, 2020   File Size: 140.44 KB


Quality Improvement


Case Record Maintenance and Review Policy
Last Updated: Nov 1, 2019   File Size: 230.18 KB

Claims Verification Policy
Last Updated: May 1, 2020   File Size: 311.75 KB

Costing and Reporting Integrity: Procedure Code Work Goup (PCWG) Policy
Last Updated: Dec 1, 2019   File Size: 128 KB

Environmental Safety Policy
Last Updated: Dec 1, 2019   File Size: 333.71 KB

Home and Community Based Services Policy
Last Updated: Jun 1, 2020   File Size: 206.17 KB

Incident Reporting Policy
Last Updated: Dec 1, 2019   File Size: 134.86 KB

Quality Assessment Performance Improvement Program (QAPIP) Policy
Last Updated: Oct 1, 2019   File Size: 1.53 MB

Reporting of Critical Event, Sentinel Event, and Death Policy and Procedure
Last Updated: Apr 1, 2020   File Size: 1.15 MB

Use of Behavior Treatment in Community Mental Health Settings Policy
Last Updated: Dec 1, 2019   File Size: 740.65 KB


Strategic Planning


Policy Review Guidelines Policy
Last Updated: Nov 1, 2019   File Size: 131.28 KB


SUD


Fetal Alcohol Spectrum Disorder Policy
Last Updated: Apr 1, 2020   File Size: 149.7 KB

Substance Use Disorder - Recipient Rights Policy
Last Updated: Dec 1, 2019   File Size: 541.47 KB

SUD Ability To Pay Policy
Last Updated: Jan 1, 2019   File Size: 126.42 KB

Women's Specialty Services Policy
Last Updated: May 5, 2020   File Size: 163.07 KB


Utilization Management


Appropriate Professionals for Utilization Management Decision Making Policy
Last Updated: Jun 1, 2018   File Size: 129.17 KB

Behavioral Health Service Medical Necessity Criteria Policy
Last Updated: May 1, 2017   File Size: 819.23 KB

Behavioral Health Utilization Review Policy
Last Updated: Feb 1, 2019   File Size: 1.38 MB

Benefit Policy
Last Updated: May 1, 2017   File Size: 2.45 MB

Children's Home and Community Based Waiver Policy
Last Updated: Jly 1, 2017   File Size: 539.74 KB

Crisis Plan Policy
Last Updated: Jun 1, 2018   File Size: 351.66 KB

Denial of Service Policy
Last Updated: Feb 1, 2018   File Size: 5.34 MB

DWMHA Utilization Management Program Description and Policy
Last Updated: Jan 1, 2018   File Size: 3.08 MB

Habilitation Supports Waiver (Medicaid 1915c) Waiver Policy
Last Updated: Apr 1, 2018   File Size: 838.52 KB

Independent Review Organization Policy
Last Updated: Feb 1, 2018   File Size: 502.63 KB

Inter-Rater Reliability Policy for Utilization Management Staff
Last Updated: Apr 1, 2017   File Size: 227.49 KB

PIHP Disenrollment Policy
Last Updated: May 19, 2020   File Size: 488.26 KB

Self-Determination Policy
Last Updated: Feb 1, 2020   File Size: 980.31 KB

Utilization Management (UM) Provider Appeals Policy
Last Updated: Dec 1, 2019   File Size: 1.78 MB

Utilization Management Affirmative Statement Policy
Last Updated: Dec 1, 2019   File Size: 247.14 KB

Utilization Management Program Description Policy
Last Updated: May 19, 2020   File Size: 1.44 MB

Utilization Management Provider Local and Alternative Dispute Resolution Policy
Last Updated: May 19, 2020   File Size: 842.95 KB