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.
Click Here for the Community Provider Bulletin Board
- Specialized Treatment Programs and Services - Provider Information
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Information for Providers
Information for the General Public
- Access Crisis Intervention (ACI)
- Assertive Community Treatment (ACT)
- Children's Services
- Community Mental Health Liaisons (CMHL)
- Consumer Operated Service Programs
- DBT
- Disease Management Projects (DM)
- Emergency Room Enhancement (ERE)
- Employment Services
- Forensic Services
- Gambling Services
- Healthcare Home (HCH)
- Integrated Treatment for Co-occurring Disorders (ITCD)
- Prevention Services
- Projects for Assistance in Transition in Homelessness (PATH)
- Peer Support Services
- Recovery Support Services
- State Opioid Response (SOR)
- State Operated Psychiatric Hospitals and Facilities
- Tobacco Cessation
- Trauma Informed Care
- Youth, Psychosis, and System of Care
- Veteran's Services
- Provider Forms
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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.)
- DMH Extranet Site (for use by contracted DBH providers; includes access to Organizational Change form)
- Organization Information Change Form (for use by contracted DBH providers; includes access to Organizational Change form)
- Organization Information Change Form (for use by Certified Non-Contracted ADA Providers)
- DBH Personnel Contact Info for Pre-Organization Change Info
- Pre-Organization Change Process for DBH Staff Provider
- Pre-Organization Change Request Required Info
- DMH Extranet/Organization Change Training Webinar
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.
- MO HealthNet Managed Care Substance Abuse Screening & Referral Form
- MO HealthNet Managed Care Screening Referral Form Instructions
- MO HealthNet Managed Care Protocol for Pregnant Women
- MO HealthNet Managed Care Multi-Party Consent for Release of Information
- MO HealthNet Managed Care and MBHO Contacts
- CSTAR Transitional Housing Request Worksheet
Other
ACI Quarterly Report Form installation instructions
- Block Grant Information
- Diagnosis Mapping
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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.
- Medicaid Eligibility
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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: Medicaid Eligibility
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.
- Applying for MO HealthNet (Medicaid)
- DMH Coversheet for MO HealthNet
- Annual Reviews
- Disability Determinations
- Medication Training and Documents
- Spend Down Information
- Ticket to Work Health Assurance
- QMB/SLMB Coverage
- DMH Consumers in a State Mental Hospital
- Frequently Asked Questions
- DMH Medicaid Waiver Services
- Helpful Links
- Guidance for Substance Use Treatment
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- CSTAR Matrix Model
- Notice of Priority Admission to Substance Abuse Treatment
- Medication Assisted Treatment
- Priority Populations for Substance Abuse Treatment
- Pregnancy Monitoring Protocol
- Appropriate Use of Community Support for Consumer Employment
- This document is designed to provide guidance on billing appropriate community support interventions for individuals pursuing employment while receiving services in the Comprehensive Substance Treatment and Rehabilitation (CSTAR) program.
- Information for Providers
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- Map of Alcohol and Drug Use Service Areas
- Map of Psychiatric Service Areas
- Appropriate Use of Community Support for Consumer Employment
- Background Checks Utilizing the Family Care Safety Registry
- DRA False Claims Act Policy
- MO HealthNet Division Provider Bulletins
- Billing Services and Review Manual
- Billable Services for the DOC CMHT OSMI Programs
- Community Psychiatric Rehabilitation MO Healthnet Provider Manual
- Community Resource Guide
- Custody Diversion Protocol
- Deficit Reduction Act False Claims Act Policy
- Diagnosis Mapping - ICD-10/DSM 5 information and resources
- Intensive CPR in Residential Settings - introductory webinar - 33 minutes
- Keeping Up On The Codes Learning Opportunities - Free Webinars, PowerPoints and Information
- Proven Community-Based Mental Health Practices
- Psychiatric Services Catalog
- Background Screening for Employees and Volunteers
- Employee disqualification information
- Confidentiality