[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-280681-105":53,"doc-detail-280681-en":126},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":119,"head_meta":121,"extra_data":123,"updated_unix":125},105,"en","discharge-planning-follow-up-procedure-p120501","Discharge Planning & Follow-Up Procedure - P12.05.01","","Procedure P12.05.01 defines policy-aligned discharge planning and follow-up for Southwest Michigan Behavioral Health (SWMBH) across substance use disorder services. It describes how SUD providers must notify members, issue closure/discharge letters, and coordinate follow-up assessments while ensuring proper eligibility determination and due process. SWMBH responsibilities include reviewing discharge messages for risk and conducting utilization management determinations, documenting decisions in the EHR/MCIS, and supporting continuity of medically necessary services.",{"@graph":63,"@context":118},[64,80,101],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":36,"@type":70,"position":76},"https://docshare.wps.com/template/forms/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/discharge-planning-follow-up-procedure-p120501/280681/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/discharge-planning-follow-up-procedure-p120501/280681.png","ImageObject",442,249,{"name":88,"@type":89},"Felix Montgomery","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/pdf","2026-10-22","2026-09-16",true,{"@type":98,"interactionType":99,"userInteractionCount":47},"InteractionCounter",{"@type":100},"ViewAction",{"@type":102,"mainEntity":103},"FAQPage",[104,110,114],{"name":105,"@type":106,"acceptedAnswer":107},"What triggers a provider treatment plan amendment during discharge planning?","Question",{"text":108,"@type":109},"Any change to amount, scope, or duration requires a treatment plan amendment with proper notice.","Answer",{"name":111,"@type":106,"acceptedAnswer":112},"What must the provider do when discharge occurs outside completion of the treatment plan?",{"text":113,"@type":109},"A discharge letter must be issued to the member, using the specified template or including the required language, plus the reason and closure date.",{"name":115,"@type":106,"acceptedAnswer":116},"How does SWMBH handle discharge-related messages and utilization management determinations?",{"text":117,"@type":109},"SWMBH staff review messages to determine risk; UM staff make service determinations based on medical necessity and eligibility criteria, document decisions in the EHR/MCIS, and discuss continued eligibility if services remain medically necessary.","https://schema.org",{"og:url":78,"og:type":120,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":122,"canonical":78},"index,follow",{"doc_id":124,"site_id":56},280681,1789554186,{"code":4,"msg":5,"data":127},{"doc_id":124,"user_id":128,"nickname":88,"user_avatar":129,"doc_module":9,"category_id":35,"category_name":36,"doc_title":59,"doc_description":61,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":47,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":135,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":125,"read_time":76},549768064778,"https://ap-avatar.wpscdn.com/davatar_6f874abed73319feea01a86fa6f0fab8","| Section:  \u003Cbr>Clinical Practices   | Procedure Name:  \u003Cbr>Discharge Planning &Follow-Up   | Procedure\\#:  \u003Cbr>P12.05.01   |\n| --- | --- | --- |\n| Overarching Policy:  \u003Cbr>12.05 Discharge Planning &Follow Up   |  |  |\n| Owner:  \u003Cbr>Director of UM   | Reviewed By:  \u003Cbr>Elizabeth Guisinger,LPC,CAADC  \u003Cbr>Joel Smith,LMSW   | Total Pages:  \u003Cbr>4   |\n| Required By:  \u003Cbr>□ BBA □ MDHHS □NCQA  \u003Cbr>□ Other (please specify):   | Final Approval By:  \u003Cbr>Alodyn  \u003Cbr>enGisinger an19,202412:30EST)  \u003Cbr>JoelA.Smith,1MSW(Jan J9,202413:49 EST)   | Date  \u003Cbr>Approved:  \u003Cbr>Jan 19,2024   |\n| Application:  \u003Cbr>区SWMBH Staff/Ops  \u003Cbr>区Participant CMHSPs  \u003Cbr>区SUD Providers  \u003Cbr>区MH/IDD Providers  \u003Cbr>□ Other (please specify):   | Line of Business:  \u003Cbr>☒Medicaid  \u003Cbr>□ Other(please specify):  \u003Cbr>区Healthy Michigan  \u003Cbr>区SUD Block Grant  \u003Cbr>区SUD Medicaid  \u003Cbr>□MI Health Link   | Effective Date:  \u003Cbr>1/15/2016   |\n\nPolicy:12.05 Discharge Planning &Follow Up  \nPurpose:Discharge Planning is considered an integral part of treatment,particularly in higher/short-termlevels of care.Consideration of the continuum of care and long-term recovery needs of thecustomer willbe considered at every step of treatment planning.Discharge Planning and FollowUp intends to improve the quality of care,improve outcomes and control costs by assuring plancoordination in which primary and specialty mental health,substance use disorder and healthproviders inform each other regarding their treatment of an individual and collaborationregarding the needs of the patient/individual and acting together to develop an integratedhealth aftercare plan and implement ongoing aftercare in amanner that eliminates barriers toand duplication of services.  \nScope:To describe a clear method for notifying Southwest Michigan Behavioral Health (SWMBH)of andimplementing member discharges from Substance Use Disorder(SUD)providers and assuringproper eligibility determination and due process notification is provided to the member asapplicable by appropriate staff.  \nResponsibilitlies:Community Mental Health Service Providers(CMHSP)and SWMBH contracted providerswillensure appropriate discharge planning and that follow-up care is coordinated withinappropriate timespans.If treatment is terminated prior to completion for any reason,providers will notify customers and coordinate SWMBH for authorization  \ndeterminations,appeal/grievance rights,and/or other treatment referrals,if necessary.SWMBH UM and Member Service staff will assure providers follow dischargeprocedures and alldocumentation and determinations have been followed anduploaded to the customer file.  \nDefinitions:None  \n# Procedure:\n\nA.Provider responsibilities:  \n1.Any change to amount,scope,or duration requires a treatment plan amendment with propernotice.  \n2.Any discharge that occurs outside of completion of the treatment plan as written requires adischarge letter from the provider to the member.  \na.The discharge letter shall either be the template (attachment P12.05.01.A)or containthe following language:  \ni.Since your substance use disorder benefits are managed by Southwest MichiganBehavioral Health (SWMBH),you may have treatment options or alternativesavailable to you.If you would like to discuss continuation of services,alternateservices or provider options,please call SWMBH at 1-800-781-0353.SWMBH staffwilltalk with you about what services you may qualify for at this time.SWMBHstaff will assist you with connecting with those services.Please contact SWMBHCustomer Service at 1-800-890-3712 if you have any questions or concerns.  \nb.The discharge letter should include the reason for closure and the date of closure.  \nc.The discharge letter may be provided in-person or by mail to the customer.  \n3.The provider will provide a closure letter to the member and upload a copy to the SWMBHSmartCare member's record 14 or more days before the set closure date when possible.  \na.If the effective date of the closure will be sooner due to specific ","cbCaioRJ3QNpPTBp","https://ap.wps.com/l/cbCaioRJ3QNpPTBp","pdf",211614,8,"English","# Procedure\n## A. Provider responsibilities\n## B. SWMBH Responsibilities\n## C. Sub-capped Substance Use Disorder Services","[{\"question\":\"What triggers a provider treatment plan amendment during discharge planning?\",\"answer\":\"Any change to amount, scope, or duration requires a treatment plan amendment with proper notice.\"},{\"question\":\"What must the provider do when discharge occurs outside completion of the treatment plan?\",\"answer\":\"A discharge letter must be issued to the member, using the specified template or including the required language, plus the reason and closure date.\"},{\"question\":\"How does SWMBH handle discharge-related messages and utilization management determinations?\",\"answer\":\"SWMBH staff review messages to determine risk; UM staff make service determinations based on medical necessity and eligibility criteria, document decisions in the EHR/MCIS, and discuss continued eligibility if services remain medically necessary.\"}]","Discharge Planning & Follow-Up Procedure - P12.05.01 | PDF"]