Title:

Children's Behavior Health Eligibility Specialist $66,539.20 - $99,320 /

Posted Thru:

8-10-26

Location:

Hybrid -

Lansing, MI Office Application Requirement:

Cover Letter Required with

Application Purpose:

Assist the Michigan Department of Health and Human Services in determining eligibility and appropriate service provision options for children and youth with complex behavioral health needs who are at risk for admission to an Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) and/or other out-of-home treatment.

Duties and Responsibilities:

Complete screening reviews and make eligibility determinations based on applicable requirements for children's behavioral health services including Home Care Children (Tax Equity and Fiscal Responsibility Act (TEFRA)).\nSupport Children's Waiver Program Specialist and Analyst with reviewing applications for children and families applying for the Children's Waiver Program (CWP) to verify compliance with federal and state requirements, and complete the approval process\nUtilize the Waiver Support Application (WSA) to track enrollment pool for waiver applications.\nComplete level of care documentation gathering and review for ICF/IID placement.\nAssist with consultation on referrals for

CWP, TEFRA, 1915

(i), Habilitation Supports Waiver and other State Plan services, as needed.\nContact families, as needed, to address questions related to eligibility for applicable behavioral health waiver programs and ICF/IID.\nAssist with response to inquiries about Waiver Support Application (WSA), CWP, Habilitation Supports Waiver (HSW), and TEFRA eligibility and benefit requirements.\nConsult with Community Mental Health Services Program (CMHSP) staff, Prepaid Inpatient Health Plan (PIHP) staff, and other partners as necessary to address questions related to waiver and/or TEFRA eligibility and ICF/IID.\nParticipate in site review preparation and follow-up activities to support waiver programs and ICF/IID.\nParticipate in applicable research activities and/or program and policy workgroups/initiatives to support program functions.\nPrepare reports, as requested, regarding status of screening processes and enrollment pool for eligibility.\nProvide training, technical assistance and/or presentations, as requested, to partners to present information about processes for eligibility, determination and available resources. Determine when technical assistance (TA) is necessary and refer to appropriate area within MDHHS to support the necessary TA.\nProvide support/back up assigned duties related to CWP, SEDW, and the Michigan Intensive Child and Adolescent Services (MICAS) array.\nSupport training initiatives, develop and maintain training guides and resources.\nTrack historical guidance and communications.\nPerform other duties as assigned to support bureau goals.\nAttend meetings, as necessary to support job functions.\nAlways represent the best interests of MDHHS and MPHI.\nAll other duties as assigned.

Qualifications/Requirements:

Education:

Minimum of a graduate degree in Social Work, Psychology, Counseling, Nursing, Public Health, or other human services discipline. Possession of professional licensure is preferred.

Experience:

Two or more years of professional work experience with demonstrated knowledge with Michigan's specialty behavioral health care system, including Medicaid.

Important Skills and Characteristics:

Knowledge of programs administered through Prepaid Inpatient Health Plans (PIHPs) and CMHSPs. Analysis of policies/programs/laws related to public/behavioral health.\nKnowledge of Medicaid Provider Manual, including programs and policies related to Michigan's public behavioral health system.\nEffective interpersonal skills, including efficient written and oral communication.\nProficient use of Microsoft Office applications (i.e. Word, Excel, PowerPoint, Outlook).\nAbility to facilitate meetings with internal and external partners/subject matter experts.\nAbility to manage projects and meet competing deadlines.\nAbility to maintain confidentiality.

Work Environment and Physical Requirements:

Standard office environment. Minimal travel may be required.

RESPONSIBILITY FOR THE WORK OF OTHERS

No assigned responsibility.

REQUIRED COMMUNICATION

Will meet with manager as needed or requested for project assignments and/or to review status of work assignments. Will meet with other bureau staff, contracted staff, and/or internal/external partners to collaborate on projects as needed. Will attend scheduled staff and bureau meetings, in person as required. \"For purposes of employment standards, this classification is \"Exempt\" from the overtime provisions of the Fair Labor Standards Act.\" MPHI works with you to promote health for everyone. Together, we will build a world where tomorrow is healthier than today! 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Childrens Behavior Health Eligibility Specialist