Information for Providers

 

This page is intended for Providers of treatment and/or support services. Here Providers will be able to find or link to FYI Fridays, Training Opportunities/Guidance documents, Forms, Resources, Program specific pages and more.

 

Block Grant Information

Diagnosis Mapping

Posted below are three documents that contain the CPS Adult CPR, CPS Youth CPR, CPS DLA, CPS Youth DLA, ADA CSTAR, ADA CSTAR Detox, and ADA Pre and Post Test Counseling (HIV, TB) diagnosis group mapping. This mapping includes the DSM-5 and ICD-10 codes.

CIMOR requires ICD-10 Diagnoses in Episodes of Care for admissions effective 10/1/2015 and later, and for billing in Medicaid eligible programs for dates of service 10/1/2015 and later. DSM-5 diagnoses may be added to CIMOR, and mapping to ICD-10 will be available if there is a one-to-one relationship.

Rapid Medicaid Eligibility

In order to help DMH Agencies and Providers in assisting consumers with applying and keeping their Medicaid (MO HealthNet) coverage, the DMH Medicaid Unit has created this page to provide easy access to needed documents, answered frequently asked questions, and generally provide information about Missouri’s Medicaid program.  

Department of Mental Health agencies and providers may contact us at DMH.MedicaidEligibility@dmh.mo.gov with any questions about Medicaid Eligibility, case status, MO HealthNet policy, or other matters relating to DMH consumers and MO HealthNet.

Guidance for Substance Use Treatment

 

Provider Forms

Forms

For more information, please phone us at (573) 751-4942 or e-mail us at adamail@dmh.mo.gov.

Allocation Transfer Request Forms

Clinical Utilization Forms 

Requests for clinical utilization review of services provided after October 1, 2007, must be completed in CIMOR. These forms are being made available to facilitate intra-agency communication of clinical review information and should not be submitted to the Division for review. 

Compulsive Gambling Treatment Forms

CIMOR

CPS Status Report

Organization Change Forms

Form to be used by providers to change their organization's information (site addresses, services provided, director name, etc.)

SCL Referral Packets

  • Adult SCL Referral Packet - This packet is for adult placements only. Please contact your respective regional office for approval and any additional requirements.
  • Youth SCL Referral Packet - This packet is for youth placement only. Please contact your respective regional office for approval and any additional requirements prior to placement.

Women's & Children's CSTAR Program Forms

MO HealthNet Managed Care Protocol for Pregnant Women. The following forms are available for use by the Women & Children’s CSTAR programs that are participating in the Substance Abuse Treatment Referral Protocol for Pregnant Women Under MO HealthNet Managed Care.

Other

ACI Quarterly Report Form installation instructions

Metabolic Syndrome Screening and Monitoring Tool

CPS Status Report

CPS Status Report - Spanish Translation

Provider Resources
Programs and Services

Programs

Assertive Community Treatment

Assertive Community Treatment (ACT) is a way of providing many types of service to people with very serious mental illnesses. ACT teams provide services directly to people in their community. People who get ACT services receive the round-the-clock staffing of a psychiatric unit, but within the comfort of their own home and community. ACT team members are trained in the areas of psychiatry, social work, nursing, substance use disorders, and supported employment so they have the skills they need to meet the many needs of the people they serve. The ACT team provides these services 24 hours a day, seven days a week, each day of the year.  For more information visit: Assertive Community Treatment.

Emergency Room Enhancement

Health care professionals throughout Missouri have seen an increase in the number of individuals seeking help for behavioral health concerns in hospital emergency departments (EDs), where they are often stabilized and released or discharged without being offered assistance in obtaining preventative follow-up care within their community. This practice leads to an increase of return ED visits among this high-utilizing population.  For more information visit: Emergency Room Enhancement Program.

Healthcare Home

Missouri's CMHC Healthcare Homes (HCH) are designed to integrate care for chronic health conditions into the CMHC setting. The CMHC HCHs assist individuals in accessing needed health services and supports, in learning to manage their health conditions, and in improving individuals’ general health by monitoring health conditions, healthcare needs and intervening when health conditions are not properly controlled or managed.  For more information visit: CMHC Healthcare Homes.

Recovery Support Services

Recovery support programs offer services such as care coordination, recovery coaching, spiritual counseling, group support, recovery housing and transportation, before, during, after, and in coordination with other substance use disorder service providers.  For more information visit: Recovery Support Services.

Substance Awareness Traffic Offenders Program (SATOP)

The Substance Awareness Traffic Offenders’ Program (SATOP) serves more than 16,000 individuals annually who are required to complete the program as a result of an administrative suspension or revocation of one’s driver license due to a Driving While Intoxicated (DWI) or Driving Under the Influence (DUI) offense, court order, condition of probation, or plea bargain. SATOP is also required of individuals charged with minor in possession and zero tolerance offenses.  For more information visit: SATOP.

Directory of SATOP Agencies by County.   

Services

Certified Community Behavioral Health Clinics (CCBHCs)

Employment Services

The opportunity to work should be open to everyone served by the Division, despite recent substance use, hospitalizations, clinical diagnosis or mental health symptoms.  Individuals with substance use, mental health disorders and/or criminal justice backgrounds have strengths, talents and abilities that are frequently overlooked. The Division seeks to integrate clinical and vocational supported employment services though state-wide partnerships with the Division of Vocational Rehabilitation, agencies providing employment programs, community mental health centers, ADA providers and state-operated facilities. The goal is to help individuals who are interested in employment, participate in the competitive labor market, hired to do a job of their preference, with the appropriate level of professional help needed to be successful.  For more information visit: Employment Services.

Housing

The Department of Mental Health (DMH) believes that housing is a key to helping Missourians with disabilities and their families attain self-determination and independent living.  The DMH coordinates both state and federal funds to provide direct rental assistance to individuals and families with disabilities who are homeless or experiencing housing crisis.  DMH funds recovery housing and housing for special populations.  For more information visit: Housing Resources.

Justice Involved Initiatives

Peer Support Services

Peer support services are delivered by individuals who have been successful in recovery from mental and/or substance use disorders who help others experiencing similar situations. Through shared understanding, respect, and mutual empowerment, peer support services help people become and stay engaged in the recovery process and reduce the likelihood of relapse. Peer support services can effectively extend the reach of treatment beyond the clinical setting into the everyday environment of those seeking a successful, sustained recovery process.  For more information visit: Peer Support Services.

Prevention Services

The Division of Behavioral Health provides services through a network of contractors who operate alcohol and drug use prevention programs. The Division monitors these providers and their staff, who must meet certification standards. Preventing substance use not only prevents the tragic consequences of addiction, but allows for better use of the limited resources available. Therefore, the Division strives to reduce the number of persons needing treatment through an extensive prevention effort.  For more information visit: Prevention.

Tobacco Cessation

The Department of Mental Health believes that overall health is essential to mental health and that recovery includes wellness. Reducing or preventing tobacco use among consumers of DMH services is critical to both mental and physical health and wellbeing. Tobacco cessation should be an active goal of every mental health provider.  For more information visit: Tobacco Cessation.