1. Local Health Department Contract Deliverables CSHCS Contact: Courtney Lawler Quality Management Analyst Quality and Program Services Section

2. FY 2013 Comprehensive Planning, Budgeting and Contracting (CPBC) Agreement CPBC Program Specific Assurances and Requirements (Oct. 1, 2012 – Sept. 30, 2013) Narrative Progress Report (Oct. 1, 2012 – Sept. 30, 2013) Care Coordination / Case Management Logs (Quarterly Reporting Cycle)

3. Annual Narrative Progress Report Required Components Successes & Challenges Technical Assistance (TA) Requests Duplicated # of Diagnostic Evaluations Unduplicated # of Clients Assisted with Enrollment Unduplicated # of Clients Assisted with Renewal *Allocation of MCH funds * Required only if applicableHandout: Attachment III – Program Specific Assurances and Requirements

4. Narrative Progress Report Evaluation Categories Handout: Local Health Department Annual Narrative Report Evaluation Form 1. Completion of Annual Narrative Report Components2. Strengths of Report 3. Areas of Improvement4. Comments or Questions5. Technical Assistance Resolution or Follow-up

5. Quarterly Care Coordination & Case Management Logs CC/CM Log Client name CSHCS ID number Date(s) of service Type of service (POC, CC, CM) Type of client (Title V, Title V/XIX, Title XIX) DCH-0412 Supplemental Attachment Summary of CC & CM Services No Client Specific Information Reporting lines 1-15 Financial Status Report Submit electronically in an encrypted manner (i.e. EZ- Link- patient: “LHD name, Logs FSR”) Submit via EGrAMS - Project CC-Fix Submit via EGrAMS Project CC-Fix

6. CSHCS Reporting Documentation Children's Special Health Care Services Case Management/Care Coordination Log CM/CC Reimbursement Form Supplemental Attachment to the CPBC FSR

7. CSHCS Reporting Timeline January 30, 2013 CC/CM Log Due ( via EZ-Link) April 30, 2013 CC/CM Log Due ( via EZ-Link) July 30, 2013 CC/CM Log Due ( via EZ-Link) October 30, 2013 CC/CM Log Due ( via EZ-Link) November 15, 2013 Narrative Progress Report Due

8. Billable Services Update Level I Care Coordination for clients enrolled in an MHP A Plan of Care (POC) completed by the LHD that includes information provided by the MHP is billable as a Level I POC, as long as there are unique elements in the POC from the LHD. Level II Care Coordination and sharing of client information with an MHP On a temporary basis, client information sharing (i.e. POC, historic client information) from the LHD to the MHP is billable for one unit of Level II Care Coordination per client. Handout: 2013 Alert 5: Billable Services Update

9. Contact Information Courtney Lawler Quality Management Analyst Quality and Program Services Section Children’s Special Health Care Services Lawlerc1@michigan.gov Phone: (517) 241-7182