The Michigan Department of Community Health (MDCH) received approval from the Centers for Medicare and Medicaid Services (CMS) for the Children's Home and Community-Based Services Waiver for Children with Serious Emotional Disturbance (SEDW), which began in October 2005. The SEDW is currently available in a limited number of counties and Community Mental Health Services Programs (CMHSPs).
The Children's SEDW provides services that are enhancements or additions to Medicaid State Plan coverage for children up to age 18 with SED, who are enrolled in the SEDW. The MDCH operates the SEDW through contracts with the CMHSPs. The SEDW is a fee-for-service program administered by the CMHSP in partnership with other community agencies.
Key Provisions
The SEDW enables Medicaid to fund necessary home and community-based services for children under age 18 with SED who meet the criteria for admission to the state inpatient psychiatric hospital (Hawthorn Center) and are at risk of hospitalization without waiver services. The CMHSP is responsible for assessment of potential waiver candidates.
Application for the SEDW is made through the CMHSP. The CMHSP is responsible for the coordination of the SEDW services. The Wraparound Facilitator, the child and his/her family and friends, and other professional members of the planning team work cooperatively to identify the child's needs and to secure the necessary services. All services and supports must be included in a Plan of Service (POS).
Eligibility
To be eligible for this waiver, the child must:
- Meet Medicaid eligibility criteria and become a Medicaid beneficiary;
- Meet current MDCH contract criteria for the state psychiatric hospital; and
- Demonstrate serious functional limitations that impair his/her ability to function in the community (functional criteria will be identified using the Child and Adolescent Functional Assessment Scale [CAFAS])
- CAFAS score of 90 or greater for children age 12 or younger; or
- CAFAS score of 120 or greater for children age 13 to 18.
Coverage Area
The SEDW is currently limited to 43 children in nine counties and five CMHSPs, with future plans to expand the number of children and coverage area. The counties and CMHSPs currently approved are:
CMH of Central Michigan (comprised of Clare, Gladwin, Isabella, Mecosta, Midland and Osceola)
CMH Authority of Clinton-Eaton-Ingham Counties (Ingham only)
Livingston County CMH Authority
Macomb County CMH Services
Van Buren CMH Authority
To request more information regarding eligibility for the SEDW, contact your local CMHSP or click on the link to the Children's SEDW Technical Assistance Manual:
2007 Children's SEDW Technical Assistance Manual.
Contact: Debbie Milhouse-Slaine, Director of Children's Home and Community-Based Waivers, MDCH at (517) 241-5757 or e-mail her at Milhouse@michigan.gov
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