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.)

GLOSSARY of Key Words

Note:
  • As policies are reviewed/revised attachments may be located immediately following a policy (internal links will not be accessible) or
  • 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.


 Document Name
 

 
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


Crisis Services


Crisis Plan
Last Updated: Mar 20, 2023   File Size: 327.38 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


Residential


DWIHN Residential Services Referral
Last Updated: Mar 15, 2023   File Size: 122.93 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