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.
- DBH Initiatives, Programs, & Services
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- Access Crisis Intervention (ACI)
- Assertive Community Treatment (ACT)
- ACT - Information for Providers
- Children's Services
- Community Mental Health Liaisons (CMHL)
- Consumer Operated Service Programs
- Disease Management Projects (DM)
- Emergency Room Enhancement (ERE)
- Employment Services
- Family Support Provider Program
- Forensic Services
- Gambling Services
- Healthcare Home (HCH)
- Integrated Treatment for Co-Occuring Disorders (ITCD) - Information for Providers
- 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 you may e-mail us at dbhmail@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
- 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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- Guidance on CIMOR Data Collection and Reporting for Substance Abuse Treatment (ADA CIMOR Guidance)
- 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.
- Resources for Providers
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- Appropriate Use of Community Support for Consumer Employment
- Background Screening for Employees and Volunteers
- Background Checks Utilizing the Family Care Safety Registry
- Billing Services and Review Manual
- Billable Services for the DOC CMHT OSMI Programs
- Block Grant Applications and Reports
- Community Psychiatric Rehabilitation MO Healthnet Provider Manual
- Community Resource Guide
- Confidentiality
- Custody Diversion Protocol
- Deficit Reduction Act False Claims Act Policy
- Diagnosis Mapping - ICD-10/DSM 5 information and resources
- DRA False Claims Act Policy
- DBH service area maps and service area contact click here.
- Employee disqualification information
- Language Matters
- Learning Opportunities - Free Webinars, PowerPoints and Information
- Map of Alcohol and Drug Use Service Areas
- Map of Psychiatric Service Areas
- MO HealthNet Division Provider Bulletins
- Intensive CPR in Residential Settings - introductory webinar - 33 minutes
- Keeping Up On The Codes
- Proven Community-Based Mental Health Practices
- Psychiatric Services Catalog
- Provider Bulletin Board Info - Under Construction
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- Block Grant
- Certification
- CIMOR Provider Information
- CIMOR EMT Event Reporting
- CIMOR Guidance on Data Collection and Reporting for Substance Abuse Treatment (ADA CIMOR Guidance)
- Civil Involuntary Detention
- Eating Disorders Council
- Helpful Links
- Keeping up on the Codes - changes in CPT codes
- Manuals
- Medicaid Eligibility
- Mental Illness Facts
- Person-Centered Planning
- Provider Forms
- Recovery - Information & Tools
- Reporting Abuse and Neglect
- State Operated Facilities
- Regulation Drafts
- State Advisory Council
- Trauma Initiatives
Protection and Advocacy MOU Information
Protection & Advocacy MOU - The Memorandum of Understanding (MOU) between Missouri Department of Mental Health and Missouri Protection & Advocacy recognizes the legal rights and responsibilities of each agency and formalizes the cooperative relationship. The MOU clarifies that Missouri Protection & Advocacy has authority to access consumers at community agencies for providing information about P & A services; to explain legal rights obtained through applicable State and Federal laws; to complete an application for P & A services; to investigate allegations of abuse, neglect, death, or other violations of rights; to advocate for the legal rights of consumers, and to monitor compliance with respect to the rights and safety of consumers.
DMH Protection & Advocacy MOU presentation
Enhanced Psychosocial Rehabilitation (PSR) Information
Letter from Dr. Parks requesting letter of intent to provide PSR services at a higher rate
We have received a number of questions concerning our recommendation of group size no greater than 8 for the enhanced rate. We have further researched this issue. Our original directive of 8 came from the SAMSHA-IMR fidelity scale. WRAP standards indicate that 5-8 is appropriate for the group portions of the program.
We have, however, recognized that Procovery allows 15. There may be other manualized or curriculum based approaches that have different group size guidelines. Thus, in order to give providers greater flexibility, we suggest that you indicate in your proposal what approach you are planning to adopt, including group sizes recommended for the practice. If you are not using an established program, we will expect a limit of 8 persons per group.