1915(i) State plan Home and Community Based Services Administration and Operation

Michigan

“The §1915(i) State Plan Amendment ABA service will operate within the §1915(b) Managed Specialty Services & Supports Program (MSS&SP), which also includes the concurrent §1915(c) Habilitation Supports Waiver. For more than a decade, the PIHPs have been responsible per the approved §1915(b)/(c) waivers and the MDCH/PIHP contract for 1) determining eligibility for mental health State Plan, additional [(b)(3)] and §1915(c) home and community based services (HCBS); 2) maintaining a provider network of qualified providers; 3) assuring the delivery of all medically necessary mental health State Plan, additional and 1915(c) HCBS to Medicaid beneficiaries; 4) maintaining the mandated organization structure and administrative services for managed care plan, including Customer Service, Grievance & Appeals, Quality Assessment & Performance Improvement Program (QAPIP) and Service & Utilization Management.”

State Policies & Initiatives: 
Medicaid & Employment
Systems: 
  • Medicaid Agencies
Topics: 
  • Home and Community Based Services (HCBS)
Date Enacted: 
09/30/2016
CITATIONS: