New Mental Health Clinic Medical Director Requirement

June 13, 2012

This notice applies to all providers enrolled as a Mental Health Clinic (MHC) with a specialty of Behavioral Health Services (BHS). Effective July 1, 2012, you must have a Medical Director enrolled as a Physician in MIHMS. Please complete the Medical Director Confirmation Form and e-mail or fax to , Fax: (877) 314-8776.

From the NOTICE OF RULEMAKING: “In order to be enrolled as a Mental Health Agency rate, a provider must employ or contract with a Medical Director who is licensed as a MD or DO. The Medical Director shall be responsible for developing or approving medical assessment forms; reviewing and approving medical portions of client records, when requested; developing and supervising policies regarding medications; and reviewing and approving the program’s policies and procedures. The Medical Director must demonstrate training, competency, experience and/or access to psychiatric consultation commensurate with the characteristics of the Co-Occurring population routinely served by the program or must demonstrate access to psychiatric consultation with a professional licensed as an MD or DO with such training, competency, and experience.”

If you do not have a Medical Director, please discontinue billing MHC/BHS services for dates of service beyond June 30, 2012. You will be able to submit these claims once you have re-enrolled as a Behavioral Health Clinician or Behavioral Health Clinician Group.

Please call (866) 690-5585 (TTY 711), option 1, if you have any provider enrollment questions. MIHMS Provider Enrollment is available from 7:00 AM to 6:00 PM, Monday through Friday.