MI Health Link Provider Webinar A tutorial of the Mental Health Wellness Information Network (MH-WIN) and how to use it to submit Level I & Level II Assessments Get your questions answered by DWMHA staff

MH-WIN & the Claims Process

Friday, June 12th11:30am-1:00pm Webinar Presented by Audrey Smith, Director of Integrated Health, and the Integrated Care Team, from the Detroit Wayne Mental Health Authority

Outline of Webinar

• • • • • • • Welcome from DWMHA Purpose of Webinar Update on MI Health Link Program – Statewide and Wayne County BH Service Provision for MI Health Link Enrollees Level I-Level II Assessment Care Coordination Process Using MHWIN Proactive Preparation for Passive Enrollments Next Webinar Topics – Authorizations and Claims Submission – Proactive Passive Enrollment Process 4/30/2020 v.aes

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Purpose of Webinar

• • • MI Health Link is a game changing program for community mental health service providers (CMHSPs) and prepaid inpatient health plans (PIHPs).

DWMHA wants to ensure that all contracted providers are informed well the most recent information to provide behavioral health services for enrollees in this program.

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Update on MI Health Link Program Statewide

Dual eligible persons enrollments as of 6/11/15:

Michigan

Wayne County

15,673

715 Macomb County Upper Peninsula 4,499 * Southwest Michigan BH * * Passive Enrollment Phase 162 10,281 4/30/2020 v.aes

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Update on MI Health Link Program in Wayne County

Total Wayne County Dual Eligibles

# % 4/30/2020 Number of Dual Eligible Enrollees 55,872 Number of Opt-Outs Number of Opt-Ins 4,692 715

8% 1%

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Update of MI Health Link Program in Wayne County

BH Level I Referrals from Opt Ins ICOs Aetna Better Health AmeriHealth of Michigan Fidelis SecureCare HAP/Midwest Molina # 6 2 1 40 70 Status of Level I Referrals for Level II Assessment Completion 119 17% % of total BH Level I Referrals 5% 2% 1% 33% 59% # % of total BH Level I Referrals In Process of Contacting Enrollee to schedule appointment for Level II Assessment Appointment scheduled for Level II Assessment Enrollee Declined Behavioral Health Services Inappropriate Referrals to PIHP Total 25 64 27 3 119 21% 54% 23% 2% 4/30/2020 v.aes

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Update on MI Health Link Program in Wayne County

Scheduled Enrollees for Level II Assessment by Provider Adult Well Being Community Care Services Community Living Services Detroit Central City Development Centers Inc.

Detroit East Health Center Goodwill Industries Hegira Programs Inc.

The Guidance Center Lincoln Behavioral Health New Center Community Health Northeast Guidance Center Services to Enhance Potential Team Mental Health # 7 6 4 1 1 5 6 5 3 2 4 1 2 7 % of Scheduled Enrollees 13% 6% 4% 4% 13% 7% 2% 11% 7% 11% 7% 2% 2% 9% 4/30/2020 v.aes

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What to do when a MI Health Link Enrollee comes to your organization for regularly scheduled services, who has not gone through the Level I/Level II Assessment Process

Scenario: MI Health Link Enrollee presents for outpatient services, without a Level I Assessment referral for a Level II Assessment-

Provider will check insurance eligibility/verification If MI Health Link,register patient as usual in system Acknowledge that consumer is in the MI Health Link Program Provide consumer with MI Health Link Member Handbook, Welcome Letter, and Privacy Notice.

Provide consumer with new BH Consent, explain and ensure that the ICO, DWMHA, Provider and others are on the consent form. This consent is particulary important for the electronic exchange of data. Update, if necessary, Biopsychosocial; LOCUS; SIS. Notify [email protected] of MI Health Link enrollee cam in for service.

Request authorization for services and bill for services under MI Health Link contract 4/30/2020 v.aes

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Scenario: MI Health Link Enrollee presents at outpatient provider from a Level I Assessment that generated a Level II referral-

Access Center schedules appointment for Level II Assessment Provider will check insurance eligibility/ verification If MI Health Link,register patient as usual in system Acknowledge that consumer is in the MI Health Link Program Provide consumer with MI Health Link Member Handbook, Welcome Letter, and Privacy Notice.

Provide consumer with new BH Consent, explain and ensure that the ICO, DWMHA, Provider and others are on the consent form. This consent is particulary important for the electronic exchange of data. Update, if necessary, Biopsychosocial; LOCUS; SIS. Notify ICO Care Coordinator that the Level II is complete.

Uplaod/Secure email Level II to the ICO Care Coordinator Notify [email protected]

Discuss with the ICO Care Coordinator, plan for ICT to complete IICSP.

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Process for Difficult to Reach Enrollees

MI HEALTH LINK LEVEL I to LEVEL II FLOWCHART FOR DIFFICULT TO REACH ENROLLEES

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DATE

Level II Referral Disposition/Tracking

LEVEL I ASSESSMENT RECEIVED FROM ICO Care Coordinator Name, DATE CONTACT ATTEMPTS TO SCHEDULE LEVEL II ASSESSMENT

#1 #2 #3

DATE CONTACT TO ICO TO ASSIST IN SCHEDULING LEVEL II ASSESSMENT

#1 #2 #3

DATE LEVEL II ASSESSMENT APPOINTMENT OUTCOMES

#1 #2 #3 4/30/2020

Name Email Phone Provider Level Case Manager/Supports Coordinator Contact Info.

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Level I-Level II Assessment Care Coordination Process Using MHWIN David DesNoyer, PCE Systems Kelly Quinn, Wellplace Nakia Young, DWMHA

Proactive Passive Enrollment Process

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Lines Open for Questions & Answers

Next MI Health Link Provider Webinar

Friday, June 26, 2015 ??

11:30am – 1:00pm ??