Provider Forms

GCCMH Benefit Plans

 TitleDescription
Adults with Developmental Disabilities LOCA description of the level of care for Adults with Developmental Disabilites.
Adults with Severe Mental Illness LOCA description of the level of care for Adults with Severe Mental Illness and Co-Occurring Disorders
Benefit Plans - Adult DDA grid that shows the maximum number of units allowed by level of care for each service code for DD adults.
Benefit Plans - Adult MI-CODA grid that shows the maximum number of units allowed by level of care for each service code for MI or COD Adults.
Benefit Plans - Children DDA grid that shows the maximum number of units allowed by level of care for each service code for DD children.
Benefit Plans - Children SED-CODA grid that shows the maximum number of units allowed by level of care for each service code for SED and COD children.
Children LOCA description of the level of care for Children with Severe Emotional Disorders or Developmental Disabilities.
SC/TCM ModelsBasic information about Targeted Case Management, B3 Supports Coordination and Habilitation Supports Waiver Supports Coordination.
Service Authorization PackagesA listing of initial and ongoing service authorization packages for all eligibility groups.

Handouts and Administrative Clinical Forms

Genesee County Community Mental Health
420 W. Fifth Avenue
Flint, MI 48503

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