Behavioral Health Home Enrollment Documents

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
2. BHH Health Home Enrollment Consent
3. Individualized Care Plan - Follow MDHHS care plan requirements as indicated in the handbook.
Creation date: 10/1/2020 4:51 PM      Updated: 5/4/2022 8:25 AM
MDHHS-5515 updated 9.29.20.docx
40 KB
BHH Enrollment consent updated 1.4.20.docx
76 KB
BHH Client Care Plan Template.docx
27 KB