Behavioral Health Home Enrollment Documents

Creation date: 10/1/2020 4:51 PM    Updated: 8/14/2024 9:16 AM    behavioral health home bhh coordination bhh enrollment document
To be enrolled and participate in the Behavioral Health Home (BHH) program beneficiaries must meet eligibility requirements, including being enrolled in Medicaid or Healthy Michigan Plan, MiChild and who have a select serious mental illness or serious emotional disturbance (SMI/SED) diagnosis.  To enroll an individual in BHH services through the NMRE, a Health Home Partner is required to submit the following information. 

1. MDHHS 5515 Consent to Share Behavioral Health Information for Care Coordination Purposes (updated version)
2. BHH Health Home Enrollment Consent
3. Individualized Care Plan - Follow MDHHS care plan requirements as indicated in the handbook.
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