Section 460 Reporting Requirements
11/29/2006
Methods and instructions for allocating administrative costs and reporting requirements for the Pre-Paid Inpatient Health Plans (PIHPs), Community Mental Health Services Programs (CMHSPs), and their sub-contractors.

- Cost Allocation Requirement for FY'07 - Background  
- PIHP Legislative Report - Template
- CMHSP Legislative Report - Template
- Q&A - Vol. I  
- Q&A - Vol. II  
- Technical Training for Chief Financial Officers and Key Accountants
- PowerPoint - Revised November 6, 2006 

Best Practices "July 23rd, 2007 Presentation "

-  PIHP FY07 Medicaid Utilization and Cost Reporting Form   
   and  Reporting Instructions
   Last Updated 12/21/2007.
  Template for PIHP FY07 Medicaid Cost Reporting (Oct 2006-Sept 2007).
   Due date January 31, 2008 5:00 P.M.

-  CMHSP FY07 Sub-Element Cost Reporting Form 
  and   Reporting Instructions
  Last Updated 12/20/2007
  Template for CMHSP FY07 cost reporting. Due date January 31, 2008 5:00 P.M.

-  NPI Reporting Guidelines for 837 Encounter Transactions
   October 17, 2007

-  PIHP/CMHSP Encounter Reporting Costing Per Code
   Last Updated 10/1/2007
   Contains instructions on use of modifiers and the acceptable activities that may be reflected in the cost of each procedure such as whether an activity needs to be face-to-face.

-  PIHP/Mental Health Coding Questions and Answers
   Last Updated 4/18/2006

Michigan's Mission-Based Performance Indicator System, Ver. 6.0
Last Updated 7/13/2007
Due Date Revisions 2/6/2007
Detailed instructions for reporting the FY06 Performance Indicators. Includes codebooks. Required for PIHPs, CMHSPs & CAs. 
  
    CMHSP Template
    PIHP Template
    CMHSP Death Reporting Template
    CMHSP Recipient Rights Reporting Template
    PIHP Recipient Rights Reporting Template

-  Submitting Medicaid Substance Abuse Encounters (9/05)
In order to be in compliance with the Balanced Budget Act, Medicaid encounters for services provided by the Substance Abuse Coordinating Agencies (CAs) are to be received electronically by the Department via the Prepaid Inpatient Health Plans (PIHPs). The attached provides instructions for use with FY 06 encounters. This document also includes related instructions on Plan and Submitter IDs.

-  State TEDS Admission/Discharge Coding Instructions - FY2007
State TEDS Admission/Discharge Coding Instructions for Coordinating Agencies - FY2007

-  Establishing Managed Care Administrative Costs (6/05)
Establishes PIHP Managed Care Administrative Costs. Provides instructions on what managed care functions should be included in the allocation of expenditures for management.

- Instructions for Reporting Facility Provider Type (11/04)
PIHP and CMHSP Instructions for reporting the inpatient hospital provider type for the servicing facility on the 837 Institutional. Provider Types include state hospital, community inpatient, institute for mental disease (IMD) and Intermediate Care Facility for the Mentally Retarded (ICF/MR). See also, listing of hospitals and reporting codes.