Program Management

This section of the website is intended to help WISEWOMAN Program Coordinators efficiently and effectively administer their programs. Just click on the links below to access the resources.

Go directly to:

• Program Information

• Financial Resources

• Reports

• Correspondence from MDCH

• Forms

• Training

 

 

Program Information

• Program Description

• Eligibility

• Program Policies and Procedures

• MBCIS*WISEWOMAN Data User's Manual
  
  
• Discoverer Viewer User's Manual
  • Discoverer Viewer Reports by Category
    
    
• Annual Report

• Contact Information

 

Financial Resources

• Rate Schedule

• ICD-9 Codes

• Hold Codes

• Revenue Codes

• Place of Service Codes

• Procedure Code Reference Chart

• Billing and Reimbursement Policy

• Budget Instructions

• Health Advantage Contact Information

• WISEWOMAN Report Guidance

 

Reports

• Data Reports

• Quality Improvement

• Other

 

Correspondence from MDCH

• Memos and Letters

• WISEWOMAN Update

 

 

Forms

• English
• Spanish

English Forms

• Health History
  
  
• Health Risk Questions
  
  
• Healthy Lifestyle Goals
  
  
• Informed Consent
  
  
• Lifestyle Counseling Contact
  
  
• Medical Care Case Management
  
  
• Michigan Tobacco Quitline Fax Referral Form
  
  
• My Health Changes
  
  
• My Health Information
  
  
• Referral for Diagnostic Exam
  
  
• Screening Form
  
  
• WISEWOMAN Program Forms Request
  
  
• Worksheets

 

Spanish Forms

• Health History
  
  
• Health Risk Questions
  
  
• Healthy Lifestyle Goals
  
  
• Informed Consent
  
  
• My Health Information

 

 

Training

• Data Entry

• Program Description

• Stages of Change: A Model for Nutrition Counseling

• Stages of Change Model

• Facilitating Behavior Change

• Motivational Interviewing

• Motivational Interviewing Scripts

• Readiness Ruler

• Readiness Ruler Instructions

• Training Notes

• Evaluation
  • Initial Training Evaluation
  • Follow-Up Training Evaluation