In addition to meeting medically necessary criteria, services listed below marked with an asterisk (*) require a doctor’s prescription.
Note: 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
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.
Behavior Management Review: If an individual experiences behaviors which interfere with his or her daily life, their individual plan of services may include a plan that addresses the behavior. This plan is often called a “behavior management plan.” The behavior management plan is developed during person-centered planning and then is approved and reviewed regularly by a team of specialists to make sure that it is effective and dignified, and continues to meet the person’s needs.
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).
Fiscal Intermediary Services help individuals manage their service and supports budget and pay providers if they are using a “self-determination” approach.
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.
*Occupational Therapy includes the evaluation by an occupational therapist of an individuals’ ability to do things in order to take care of themselves every day, and treatments to help increase these abilities.
Personal Care in Specialized Residential Settings assists an adult with mental illness or developmental disabilities with activities of daily living, self-care and basic needs, while they are living in a specialized residential setting in the community.
Respite Care Services provide short-term relief to the unpaid primary caregivers of people eligible for specialty services. Respite provides temporary alternative care, either in the family home, or in another community setting chosen by the family.
Skill-Building Assistance includes supports, services and training to help a person participate actively at school, work, volunteer, or community settings, or to learn social skills they may need to support themselves or to get around in the community.