Children's Behavior Health Eligibility Specialist

MPHI is a Michigan-based and nationally engaged, non-profit public health institute. We are a team of teams, process and content experts, dedicated to building a world where tomorrow is healthier than today.

About the role

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.

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)).
• Support 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.
• Utilize the Waiver Support Application (WSA) to track enrollment pool for waiver applications.
• Complete level of care documentation gathering and review for ICF/IID placement.
• Assist with consultation on referrals for CWP, TEFRA, 1915(i), Habilitation Supports Waiver and other State Plan services, as needed.
• Contact families, as needed, to address questions related to eligibility for applicable behavioral health waiver programs and ICF/IID.
• Assist with response to inquiries about Waiver Support Application (WSA), CWP, Habilitation Supports Waiver (HSW), and TEFRA eligibility and benefit requirements.
• Consult 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.
• Participate in site review preparation and follow-up activities to support waiver programs and ICF/IID.
• Participate in applicable research activities and/or program and policy workgroups/initiatives to support program functions.
• Prepare reports, as requested, regarding status of screening processes and enrollment pool for eligibility.
• Provide 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.
• Provide support/back up assigned duties related to CWP, SEDW, and the Michigan Intensive Child and Adolescent Services (MICAS) array.
• Support training initiatives, develop and maintain training guides and resources.
• Track historical guidance and communications.
• Perform other duties as assigned to support bureau goals.
• Attend meetings, as necessary to support job functions.
• Always represent the best interests of MDHHS and MPHI.

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.

Skills

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

Work Environment

Standard office environment. Minimal travel may be required.

Pay

$66,539.20 - $99,320

Schedule

Posted through: 8-10-26. Location: Hybrid – Lansing, MI Office.