Community Mental Health offers walk in or call crisis 24 Hours a Day (Walk-in services are for those in immediate crisis and cannot wait for an appointment). Visit our Walk-in Clinics Map to get directions to your nearest CMH Building. Crisis services provides crisis intervention, assessment, and screening for voluntary and involuntary psychiatric hospitalization, or learn the four signs of mental crisis.
The Utilization Management team consists of highly skilled master level - licensed clinicians who provide:
About Utilization Management (UM)...
The purpose of the Utilization Management Unit is to facilitate the provision of quality, efficient behavioral health care services to consumers and providers through monitoring, evaluating and directing processes and behaviors, which impact the delivery of services. The overall goal of utilization management is to provide oversight and monitor treatment patterns of the delivery systems to ensure maximum efficiency.
Each are required to have a comprehensive written Utilization Management Plan that integrates the DWMHA UM Program Description, standard operating procedures, clinical protocols, Medical Necessity Criteria and standard information systems and reporting formats.
Staff performing UM functions are not given financial incentives and are not otherwise rewarded to make UM decisions to reduce the provision of care which is deemed medically necessary or to encourage decisions that result in underutilization of care or services. Instead, DWMHA, Access Center, COPE or MCPN UM staff must review the initial and continued medical necessity on an individualized basis. If it is determined that the medical necessity criteria for a specific service is not met, all efforts will be made to link the individual to the services they need.
DWMHA’s Chief Medical Officer, Carmen McIntyre, MD, provides medical oversight and is involved in approval of level of care criteria, practice protocols, and clinical policies. Annually, the DWMHA’s UM Program Description is reviewed and evaluated for overall program effectiveness and its impact is documented within the annual Quality Improvement Program evaluation. The UM Annual Program Evaluation and UM Program Description are also approved on annual basis by the Board of Directors and the UM Committee.
MCG – Medical Necessity Criteria Software for Behavioral Health Care
This new software will be installed and equip UM, Care Coordinators and provider staff with the implementation of guidelines in Behavioral Health Care and help with management of behavioral health care services and ensure behavioral health parity requirements. MCG manages specific psychological, behavioral, and pharmacologic therapies for behavioral health challenges at five levels of care across 15 diagnostic groups.
MI-Health Link Continued Stay Reviews: (313) 344-9035
Substance Use Disorders Reauthorizations: (313) 344-9004
Community Hospital Liaison: Annette McCain (313) 344-9099 x3029
State Hospital Liaison: Yolanda Baker (313) 344-9099 x3025
UM Provider Appeals: Tasha Bridges (313)344-9099 x3328