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BEM 232 24 of 33 DIRECT SUPPORT SERVICES BPB 2026-009 4-1-2026

BRIDGES ELIGIBILITY MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

and impulse control in the workplace. A measurable objective for this goal may be to participate in anger management activities assigned by the counselor in the assigned time frame. By tracking the number of assigned anger management activities, the client completes the objective can be measured and a decision made about progress or lack of progress on the goal. The DHS-840, Counseling Services Assessment and Treatment Plan Report, shall be completed monthly by the counselor and sub- mitted to the specialist within ten working days following the end of a month. The monthly report shall also include progress made toward treatment objectives and indicate if any changes were made in the treatment plan. This monthly submission affords the specialist the opportunity to closely monitor the client’s progress or lack of progress with the service. Medical/Psychological Treatment Recommendations When a counselor identifies the need for a Medicaid-covered ser- vice such as mental illness, the counselor and the specialist should work together to connect the client with the appropriate provider/service. When barriers are identified that result in the need for IQ or other outside testing, refer the client to a provider of service outlined under medical exams, immunizations and tests in this item when Medicaid does not cover the service. Counseling Service Termination When counseling services are terminated, the counselor must com- plete a DHS-841, Counseling Services Termination Summary, no later than ten working days following termination of services. The DHS-841 addresses the following: • Diagnosis/employability determination at termination. • Treatment summary. • Objectives and progress toward objectives. • Total number of sessions. • Number of sessions attended. • Cooperation in treatment. • Reason for closure. • Recommendation of employability and future self-sufficiency. Monitoring Service Provisions Ongoing communication between the specialist and the counselor provides the best assurance for a good working relationship and