Michigan § 400.89a - Community violence prevention services; eligibility; allocation of funds.

(1) Beginning on the effective date of the amendatory act that added this section, the department shall provide coverage under the medical assistance program for an eligible individual who was referred by a health professional to receive community violence prevention services from a prevention professional or community health worker, after the health professional determines that the individual who has been violently injured is at significant risk of experiencing violent reinjury or has experienced chronic exposure to community violence. The department shall seek any federal approvals necessary to implement this section, including, but not limited to, any state plan amendments or federal waivers by the federal Centers for Medicare and Medicaid Services.

(2) To be eligible for reimbursement for services provided under this section, a prevention professional or community health worker must be certified as a qualified violence prevention professional by the department.

(3) The department shall do all of the following:

(a) Issue guidance on the use of community violence prevention services for beneficiaries who access these services under the medical assistance program.

(b) Seek input from impacted stakeholders, including, but not limited to, the department's community violence and intervention program and division of victim services, other community violence and intervention programs across this state that work with adults and youth, community health workers or Michigan community health worker alliance members, hospitals with established relationships with community violence and intervention programs, and Medicaid managed care, to determine allowable rates for community violence prevention services based on the medical assistance program fee-for-service outpatient rates for the same or similar services, or any other data deemed reliable and relevant.

(c) Not later than 30 days after seeking federal approval, approve training, credential, and certification programs that are required to qualify individuals as violence prevention professionals. A program approved under this subdivision must include at least 35 hours of training in each of the following:

(i) The profound effects of trauma and violence and the basics of trauma-informed care.

(ii) Community violence prevention strategies, including, but not limited to, crisis intervention, de-escalation, conflict mediation and retaliation prevention related to community violence, case management, and advocacy practices.

(iii) The health insurance portability and accountability act of 1996, Public Law 104-191.

(4) The department may allocate funds for the purposes of awarding grants to support access to community-based organizations for training and services necessary to certify violence prevention professionals and other necessary capacity-building expenses for the successful implementation and accessibility of the violence prevention services benefit.

(5) This section does not alter the scope of practice for any health professional or authorize the delivery of health care services in a setting or in a manner that is not currently authorized.

(6) This section must be implemented only to the extent that federal financial participation is available, and any necessary federal approvals have been obtained.