Newsletter June 2022

Information Technology


Steve Grulke
Chief Information Officer

The Information Technology (IT) department is assisting with the Michigan Department of Health and Human
Services (MDHHS) reviews. MDHHS uses Health Services Advisory Group (HSAG) to complete the Performance
Measure Validation (PMV) and Compliance reviews. The IT portion of the compliance review is significantly longer
and more detailed than previous reviews. The previous review included three standards while the current review
increased to eleven standards. There are many new focus areas being targeted. One area that originated from the
Coronavirus Aid, Relief, and Economic Security (CARES) Act is to have availability of automated access to client
level data such as lab results, medication, and claims information. MSHN’s plan is to enhance the Regional
Electronic Management Information (REMI) system by working with the software vendor to develop a client portal
to expose this information to comply with the requirement.


IT staff have been supporting development of additional REMI software changes. While changes related to
Certified Community Behavioral Health Clinics (CCBHC) are winding down, IT staff have now redirected efforts
towards implementation for a new Opioid Health Home (OHH). OHH programs submit authorizations for services
yet claims payment is processed using a case rate paid on the first service of the month only (all cost and services
for the entire month). Paying on a case rate is new to MSHN, therefore, IT staff have been working with the
software vendor to ensure correct functionality. MDHHS has begun the process of developing the requirements for
the Electronic Visit Verification (EVV) that will begin next year. A process will be needed to gather EVV data from
that system and align it with the REMI data, that includes incorporating an EVV identifier when reporting affected
services. IT staff are gathering the specifications and aligning systems to provide the necessary assistance for
these programs.


For further information or questions, please contact Steve at Steve.Grulke@midstatehealthnetwork.org

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