Prepaid Inpatient Health Plan for the Upper Peninsula
Managing specialty mental health & substance abuse services & supports
Toll Free: 888.333.8030 | Local: 906.225.7254
A_Access PolicyA_Rescheduling Initial Assessments PolicyA_General Fund Waiting List Policy 14-17 Year Old Request Without Parental Consent ProcedureAbuse or Neglect Referrals to CPS or APS ProcedureAction Notice ProcedureAmending the Medical Record ProcedureAppeal process ProcedureAuthorization for ROI (Consent to Share Information)Autism ProcedureBoard of Financial Responsibility (BOFR) ProcedureCentralized Access Call Flow ProcedureChild Caring Institution revision ProcedureClosed Case Re-Entry ProcedureCompletion of Screenings ProcedureConfidentiality Requirements for Access Screeners ProcedureConsent Requirements ProcedureConsumer Complaints ProcedureCoordination of Care for UPHP ProcedureCourt Ordered Evaluations for Guardianship of Adults with DD ProcedureCourt Ordered for Treatment ProcedureCrisis Response Services ProcedureDrills and Emergencies Phone ProcedureEligibility Determination - Medicaid ProcedureEligibility Determination Non-Medicaid ProcedureELMER Documentation ProcedureFace to Face Eligibility Determination for an Assessment - Medicaid ProcedureGeneral Fund Waiting List ProcedureHome-Based Services ProcedureHospital Request for CMHSP ProcedureInfant Mental Health ProcedureJail Diversion ProcedureJail Referrals for Services ProcedureMI Health Link ProcedureNursing Home Requests ProcedureOut of Area Request for Services ProcedureQuality Assurance (QA) ProcedureReferral and Information Services ProcedureRescheduling Initial Assessments ProcedureRespite Services ProcedureSecond Opinion ProcedureSpecial Needs Accommodations ProcedureTransferring Cases Procedure CP_Employment Services PolicyCP_Treatment Planning for Integrated Healthcare PolicyCP_Autism Benefit PolicyCP_Behavior Treatment Review PolicyCP_Clinical Practices Guideline PolicyCP_Family Psychoeducation PolicyCP_Health Services PolicyCP_Housing PolicyCP_Jail Diversion PolicyCP_Peer Support Specialists-Recovery Coaches PolicyCP_Psychotropic Medication Prescribing PolicyCP_Recovery Based Services PolicyCP_CMHSP Medical Services and Referral PolicyCP_Psychotropic Medication Education Consent PolicyCP_Telemedicine PolicyC_Conflict of Interest Policy - GeneralC_Corrective Action Plan PolicyC_Privacy and Notice of Privacy Practices PolicyC_Responding To Government Investigations PolicyC_Compliance Oversight & Risk Management Committee PolicyC_Mission of the Compliance Program PolicyC_Regulatory Standards PolicyC_Freedom of Information ActC_Anti-Kickback and Stark Law PolicyC_Breach Notification and ManagementC_Code of Conduct Distribution and Training PolicyC_Compliance Monitoring and Auditing PolicyC_Conflict of Interest Policy - Board and OfficersC_Enforcement and Discipline PolicyC_Responsibilities For Reporting Non-Compliance PolicyC_Compliance Review and Investigation PolicyC_Deficit Reduction Act (DRA) PolicyC_Appeal Process for Compliance DecisionsC_Social Security Number PrivacyCR_Advance Directive-Durable Power of Attorney-Plan for Difficult Times PolicyCR_Cultural Sensitivity PolicyCR_Customer Services PolicyCR_Enrollee-Recipient Rights PolicyCR_Inclusion-Prevention of Relapse PolicyCR_Independent Facilitation PolicyCR_Limited English Proficiency PolicyCR_Notice of Privacy Practices CR_Recipient Rights for Individuals Receiving Substance Use Services PolicyCR_Consumer Grievance and Appeal PolicyCR_Customer Education and Marketing Orientation PolicyCR_Accessibility and Accommodation PolicyFM_Budgeting General Accounting and Financial Reporting PolicyFM_Capitation Payments PolicyFM_Expense Monitoring and Management PolicyFM_Financial Audits PolicyFM_Internal Service Fund PolicyFM_Procurement of Goods and Services PolicyFM_MA Capitation Allocation Methodology PolicyFM_Medicaid Savings Plan PolicyFM_Purchasing PolicyFM_Insurance Reinsurance and Management of Risk Pools PolicyFM_Service Unit and Consumer Centered Cost Analysis and Rate Setting Policy FM_Supervision of Audit and Financial Consulting Relationships PolicyFM_Revenue Analysis and Monitoring PolicyFM_Risk Analysis Risk Modeling and Underwriting PolicyFM_Banking and Investment PolicyG_Policy Procedure Development and Maintenance PolicyG_Board Members Per Diem-Travel PolicyG_Training-Board Member PolicyIM_Business Continuity PolicyIM_Information Management Systems PolicyIM_Information Security PolicyIM_QI-Claims Adjudication PolicyIM_Designated Record Set PolicyIM_Legal Health Record PolicyIM_Technology and ComputingIM_Records Retention and Disposal Schedule PolicyIM_Sequestering A Record Policy.pdf P_Active Managment PolicyP_Adverse Incidents PolicyP_Agency Vehicles-Travel PolicyP_Americans with Disability Act PolicyP_Anti-Nepotism PolicyP_Break Time for Nursing Mothers PolicyP_Care of Property PolicyP_Dress Code PolicyP_Drug Free Workplace Act Of 1988P_Equal Employment Opportunity PolicyP_Exit Interview PolicyP_Family Medical Leave Act PolicyP_First Aid Kits PolicyP_Holidays PolicyP_Infection Control PolicyP_Initial Employment (Probationary) Period PolicyP_Job Abandonment PolicyP_Job Descriptions PolicyP_Jury Duty PolicyP_Layoff PolicyP_Liability Insurance PolicyP_Military Leave (Temporary) PolicyP_Non-FMLA Work Absence PolicyP_Obtaining Full Licensure PolicyP_On Call Status PolicyP_Orientation Of New Employees PolicyP_Outside Employment PolicyP_Overtime Compensation PolicyP_Paid Time Off PolicyP_Pay Periods PolicyP_Performance Evaluation PolicyP_Personal Solicitations Policy P_Personnel Files-Access to Personnel Files PolicyP_Personnel Policies PolicyP_Personnel Selection Appointment PolicyP_Personnel Conduct PolicyP_Political Activities PolicyP_Progressive Discipline PolicyP_Public Presentation and Media PolicyP_Reclassification PolicyP_Re-Employment of a Former Employee PolicyP_Retirement PolicyP_Separation From Employment PolicyP_Service Recognition PolicyP_Smoke Free Environment PolicyP_Supervisor Expectations PolicyP_Transitional Work Program PolicyP_Travel Expense PolicyP_Workers Compensation PolicyP_Working Hours PolicyP_Employee Assistance Services PolicyP_Personnel and Visitor Identification Badge PolicyP_Unexpected Loss of a NorthCare Network Staff Member PolicyP_Workplace Violence PolicyP_Inclement Weather Unexpected Office Closure PolicyP_Volunteers Students and Interns PolicyP_Compensation-Pay Philosophy PolicyP_Deductions-Mandatory and Involuntary PolicyP_Non-Discrimination and Harassment PolicyP_Personal Mail and Appointments PolicyP_Staff Morale and Inter-Agency Relations PolicyP_Training-Personnel PolicyP_NorthCare Personnel and Visitor Parking Policy PNM_Credentialing - Privileging PolicyPNM_Credentialing Program PolicyPNM_Credentialing - Standard Application PolicyPNM_Network Provider Communication PolicyPNM_Network Provider Selection PolicyPNM_Out of Network Providers PolicyPNM_Provider Directory PolicyPNM_Sanctions PolicyPNM_Training-Network Providers PolicyPNM_Contractual Relationships and Delegation PolicyPNM_Network Provider Grievance and Appeals PolicyPNM_Background Check PolicyPNM_Coordination Communication Consent to Share Information Policy PNM_Network Capacity and Analysis PolicyPNM_Integration-Coordination of Behavioral and Physical HealthcarePNM_Privacy of Protected Health Information (PHI)PNM_Network Provider Oversight Monitoring and Evaluation PolicyPNM_Qualifications Supervision of Non-Credentialed Staff PolicyPNM_Notification of Change in Provider Network and PIHP Admin Personnel PolicyPNM_Credentialing Oversight and Monitoring PolicyPNM_Provider Registration and Permissions - ElmerPNM_Disclosure of Ownership Control Criminal Convictions PolicyPNM_Credentialing Committee and Staff ResponsibilitiesPNM_MHL Provider Appeals PolicyPNM_Network Management Reciprocity PolicyQI_Data Quality Management PolicyQI_Performance-Quality Improvement Projects PolicyQI_Quality Management PolicyQI_Collaboration with Community Organziations PolicyQI_Incident, Event and Death Reporting and Monitoring PolicyQI_Medicaid Service Verification PolicyPlan-QAPIP Plan UM_Service Authorization Policy UM_A_Transition from Inpatient Psychiatric Services Policy UM_Pre-Admission Screening Policy UM_MHL Program-Authorizations Policy UM_Community Integration Policy UM_Peer Review Policy Public Summary of FOIA Procedures and GuidelinesG_Freedom of Information Act FormsNC FOIA Notice to Extend Response Time FormNC FOIA Notice of Denial FormNC FOIA Detailed Cost Itemization FormNC FOIA Appeal of Excess Fee FormNC FOIA Appeal of Denial of Records FormNC FOIA Request for Public Records FormAccess (A)Clinical Practices (CP)Compliance (C) Customer Services/Recipient Rights (CR) Financial Management (FM) Governance (G) Information Management (IM) Personnel (P) Provider Network Management (PNM) Quality Assessment and Performance Improvement (QI)Utilization Management (UM)Freedom of Information Act (FOIA)
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