MDHHS requires providers to be certified to implement MIHP. First, prospective providers must meet the following eligibility criteria: (1) enroll as a Medicaid provider, (2) have experience delivering services to the target population, (3) be linked to relevant local services and health care organizations, (4) have the organizational capacity to do outreach to the target population and local medical providers, and (5) have a contract on file for review by MDHHS if the provider is contracting with another agency to offer services.
The full certification process can take up to three years. To become certified, prospective providers must:
- Attend an inquiry meeting where prospective providers receive information about the application process.
- Submit the MIHP application to MDHHS.
- Send the MIHP program coordinator, registered nurse, and licensed social worker to the orientation for new providers. This orientation provides information on MIHP operations, required forms, services, and the certification process.
- Host an MIHP representative for a provisional certification review.
- Within four to five months of provisional certification, host an MIHP consultant for a technical assistance visit, where the consultant will assess billing and program charts and how the model is being implemented, and discuss any challenges the new provider has faced.
- Undergo a certification review nine months after provisional certification status is granted. If the new provider passes this review, the provider is granted conditional certification-1.
- Undergo a second certification review nine months after being granted conditional certification-1. If the provider passes this review, the provider is granted conditional certification-2.
- Undergo a third certification review nine months after receiving conditional certification-2. If the provider passes this review, the provider is granted full certification and is placed in a rotation schedule for the MIHP provider recertification process.
Certification criteria are available on the MIHP Operations Guide on the MIHP website.
Recertification occurs every 18 months or every three years depending on the provider’s competency level as demonstrated in previous reviews. No information is available on what occurs during the recertification process.