Note: All individuals must meet the medical necessary criteria. The Michigan Medicaid Provider Manual contains complete definitions of the following services as well as eligibility criteria and provider qualifications. The Manual may be accessed at www.michigan.gov/mdhhs/0,5885,7-339–87572–,00.html
Assessment includes a comprehensive psychiatric evaluation, psychological testing, substance abuse screening, or other assessments except for physical health, conducted to determine a person’s level of functioning and mental health treatment needs.
Community Inpatient Services are hospital services used to stabilize a mental health condition in the event of a significant change in symptoms, or in a mental health emergency. Community hospital services are provided in licensed psychiatric hospitals and in licensed psychiatric units of general hospitals.
Community Living Supports (CLS) are activities provided by paid staff that help adults with either serious mental illness or developmental disabilities live independently and participate actively in the community. Community Living Supports may also help families who have children with special needs (such as developmental disabilities or serious emotional disturbance).
Crisis Interventions are unscheduled individual or group services aimed at reducing or eliminating the impact of unexpected events on mental health and well-being.
Crisis Residential Services are short-term alternatives to inpatient hospitalization provided in a licensed residential setting.
Health Services include assessment, treatment, and professional monitoring of health conditions that are related to or impacted by a person’s mental health condition. A person’s primary doctor will treat any other health conditions they may have.
Home-Based Services for Children and Families are provided in the family home or in another community setting. Services are designed individually for each family, and can include things like mental health therapy, crisis intervention, service coordination, or other supports to the family.
Intensive Crisis Stabilization is another short-term alternative to inpatient hospitalization. Intensive crisis stabilization services are structured treatment and support activities provided by a mental health crisis team in the person’s home or in another community setting.
Medication Review is the evaluation and monitoring of medicines used to treat a person’s mental health condition, their effects, and the need for continuing or changing their medicines.
Targeted Case Management: A case manager is a staff person who helps write an individual plan of service and makes sure the services are delivered, The staff person helps find the services and providers to help the individual meet their goals
Wraparound Services for children and adolescents with serious emotional disturbance and their families include treatment and supports necessary to maintain the child in the family home,
Respite Care Services provide short term relief to the unpaid primary caregiver of people eligible for specialty services. Respite care provides temporary alternative care, either in the family home, or in another community setting chosen by the family.
Individual, family or group therapy includes therapy or counseling designed to help improve functioning and relationships with other people,