Health Care Coverage information and resources. This information is not a complete description of benefits. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Michigan did accept federal funding to expand Medicaid under the ACA. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. Medicaid Certificate of Coverage and Member Handbook; Healthy Michigan Plan Certificate of Coverage and Member Handbook; Have a question? To enable bookmarks in Internet Explorer: Now, open the PDF in IE and all the bookmarks are available. Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at providersupport@michigan.gov. What you need to know. Unable to take your feedback now, Please try again later. November 22, 2022: Michigan Medicaid Coverage of the National Diabetes Prevention Program: Tribal Chairs and Health Directors: L 22-64: November 15, 2022: . Additionally, the states agency contracts with private insurers to administer benefits and each insurer may have a different process for prior authorization or approval of service, so recipients should contact their provider to confirm which services are covered for their qualifying category. Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps. Coverage for dependentsCoverage for dependents HAP's networks and service areas HAP's networks and service areas Nationwide and worldwide coverageNationwide and worldwide coverage Prescription coveragePrescription coverage Referrals and authorizationsReferrals and authorizations In all of the states, these minimum requirements do not include dental for adults, only for those who are under the age of 21. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Benefits are provided only in nursing homes. Resources and information to assist in assuring firearm safety for families in the state of Michigan. The electronic Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Healthy Michigan Plan, Children's Special Health Care Services,Maternity Outpatient Medical Services (MOMS), and other healthcare programs administered by the Michigan Department of Health and Human Services (MDHHS). Information & resources for Community and Faith-Based partners. oral surgeons that accept medicaid in michiganirina emelyanova pasternak 26th February 2023 / in coastal carolina football camp 2022 / by / in coastal carolina football camp 2022 / by Information about the health care programs available through Medicaid and how to qualify. If you cannot afford child care, payment assistance is available. Information about audits conducted by the Office of Audit. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. In addition, there are resources and links to information on infant oral health and community participants. Speak with a Licensed Medicare Sales Agent 877-388-0596 - TTY 711. The state of Michigan's Medicaid program covers dental care for you and your children. information about the Department's public safety programs. Check eligibility, explore benefits, and enroll today. We want to help you be your healthiest, which is why we offer optional coverage for vision exams and eyeglasses and preventive dental services like cleanings and exams. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. Molina Dental Services under Medicaid isprovided to members at no cost. A variety of reports & statistics for programs and services. Legislation policy and planning information. Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities. xR=o0-?$B"bHiHsHY:q|g>=!;H3D`B!p*(yAM _nH(.+E`:#J(9v6+\S+uK]{J5SH,T_loX^H7WdUea!mGBf,J!]m5HnT"gdIz~;M~a3! MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities. Enroll in the Enhanced Dental and Vision package today. Information about audits conducted by the Office of Audit. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Medicare recipients in Michigan who qualify may be able to enroll in both Medicare and Medicaid, or a Medicaid-managed program, that provides some dental care benefits. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. EDITOR'S NOTE: This article was first posted in March 2022 but has been updated to reflect the passage of the Consolidated Appropriations Act, 2023 (the omnibus spending bill). After your Medicaid case is opened, Michigan ENROLLS* will contact you about your Health Plan choices. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Low-income Households Water Assistance Program (LIHWAP). EPSDT is a mandatory service required under a state's Medicaid program. If you do not have this software, or a lower version, you can click on the Adobe Acrobat Reader Icon below to download the software free of charge. Dental services must be provided at intervals that meet reasonable standards of dental practice, as determined by the state after . Compare plans! If you have questions about our plan, call HAP Empowered at (888) 654-2200 (TTY: 711) SPOTLIGHT & RELEASES. It's an increase that will ultimately prove to be an expansion of dental care for 800,000 Medicaid participants in Michigan. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are notprovided. MIChild has a higher income limit than U-19 Medicaid. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. participating dentist, Pregnant Women Dental EPO network member handbook. In Livingston and Washtenaw counties, those who have Molina and McLaren have Delta Dental, while other managed care plans use their own dental coverage. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Effective January 1, 2022 Page 1 of 36. Click onThree dots symbol that is at the top right corner of the browser and click on Settings. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. These services are optional, so any state can change the rules that govern coverage, which dental services are included with routine care, and who can qualify for those services based on income, age and other demographic factors. Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. Once you find a dentist, call and make an appointment. Medicare.Org Is Privately Owned And Operated By Health Network Group, LLC. Delta Dental of Michigan is a part of Delta Dental Plans Association. The documents will be e-mailed to you. According to the American Dental Association, 36% of lower-income Americans have lived through untreated cavities. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. . EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. It is easiest to navigate the manual using bookmarks. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. A variety of reports & statistics for programs and services. Healthy Kids Dentalis a Medicaid health care program, available for low-income children under age 21. Adult Behavioral Health & Developmental Disability Services. Please visit MyMolina.com if you would like to review your healthcare coverage. Adult Behavioral Health & Developmental Disability Services. Full dual-eligibility means Medicare recipients receive all Medicaid-related benefits. Enrollment in the plan depends on the plan's contract renewal with Medicare. A smaller, If you would like to receive a CD version of the. The researchers, from the University of Michigan, used a survey and interviews to assess the impact of this coverage on the health and lives of low-income people who enrolled. [6] For Microsoft Edge enable Adobe flash player. Information on American Indian Services, Employment and Training. Any information we provide is limited to those plans we do offer in your area. Information about injury and violence prevention programs in Michigan. For Government Resources Regarding Medicare, Please Visit www.medicare.gov. EPSDT is Medicaid's comprehensive child health program. A variety of reports & statistics for programs and services. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Universal caseload, or task-based processing, is a different way of handling public assistance cases. The governor called for significant investments in two critical areas: $68.7 million in adult dental Medicaid coverage, which will result in $243 million total when related federal funds are included. The online version of the Manual isupdated quarterly to incorporate any policies transmitted via policy bulletins since the last Manual update. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. This page contains policy bulletins issued in 2022. Pregnant Medicaid members are able to use their Molina Healthcare Medicaid ID card to obtain dental services. Benefit plan data is assigned by the CHAMPS Eligibility and Enrollment (EE) Subsystem based on the source of the data (e.g., Medicaid, CSHCS, etc.) Get dental coverage as a pregnant member, during and for a full year after . Find a dentist, review benefits, download or print an ID card, and much more through Member Portal, available 24/7. Its important to remember the appointment access standards for your patients. Detroit February 22, 2023 With the public comment period now closed, reimbursement enhancements that will pump more than $85 million into dental care are on track for implementation effective April 1, 2023. View the complete dataset on Data.Medicaid.gov. Meaning children with Medicaid must receive dental care that provides the following: Regular dental care maintenance, including teeth cleanings and checkups Tooth restorative care Information on the Safe Delivery Program, laws, and publications. Significant examples of our commitment to improving the oral health of the underserved include administration of Healthy Kids Dental, the Healthy Michigan Plan, Pregnant Women Dental . The web Browser you are currently using is unsupported, and some features of this site may not work as intended. information about the Department's public safety programs. Health Care Coverage information and resources. PO Box30479
Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. <>
Once Michigan resumes Medicaid eligibility reviews that were waived during the pandemic, some people may be disenrolled from Medicaid. If you would like to view historical versions of proposed Medicaid policy that were released for public comment or you would like to obtain a consultation summary of any bulletin, e-mail msadraftpolicy@michigan.govwith your request. The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. Medicare.Org Is A Non-Government Resource That Provides Information Regarding Medicare, Medicare Advantage, And More. To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. Using the Overview, you will be able to identify the chapters most relevant to you and your activities. We use cookies on our website. Information on child support services for participants and partners. If you cannot afford child care, payment assistance is available. For Provider "L" Letters, click here. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Information on Safe Sleep for your baby, how to protect your baby's life. or
The program focuses on prevention, early diagnosis, and treatment of medical conditions. To be eligible, you must have an annual household income (before taxes) that is below the following amounts: Select Household Size Maximum Household Income per year Information on child support services for participants and partners. Additional factors, such as certain disabilities and marital status, can impact eligibility. Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities. You can contribute up to $3,650 for single coverage or $7,300 for family coverage in 2022, plus $1,000 in catch-up contributions if you're 55 or older. For best viewing experience adjust your personal computer settings to open all PDF files in Adobe Acrobat Reader. The Michigan Department of Health and Human Services (MDHHS) released their final proposed policy in December to increase Medicaid payment rates for dental services provided in ambulatory surgical centers and outpatient hospitals. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Information is collected to monitor the general health and well-being of Michigan citizens. We're here to help. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Please contactMedicare.govor 1-800-MEDICARE (TTY users should call1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. Dual eligibility occurs when an individual who receives Medicare also qualifies for Medicaid-related assistance based on low income. For Notices of Proposed Policy, click here. member handbook, Healthy Michigan Plan EPO network member handbook. LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. endobj
CMS approved the Healthy Michigan demonstration that allows the state to require premiums (not to exceed 2 percent of the individual's income) for New Adult beneficiaries with incomes over 100 percent of the FPL, and copayment liability (if applicable) for all New Adult beneficiaries 0-133 percent of the FPL billed on an aggregated basis after the first six months of enrollment. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. endobj
Adults without children will not be charged the pediatric premium. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities. Low-income Households Water Assistance Program (LIHWAP). Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. My Community Dental Centers offers dental services to medicaid enrollees and the uninsured in your local Michigan community. There are two programs in the state of Michigan. Information on communicable & chronic diseases. Information on communicable & chronic diseases. Medicaid dental coverage for populations under the age of 21 must include the following: Relief of pain and infections Restoration of teeth Maintenance of dental health This means Medicaid will cover preventative services such as check-ups, cleanings, x-rays and sealants. The least costly alternative rule concerns . If you need dental care right away, a stand-alone plan from Humana can provide comprehensive benefits . Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. To be eligible, you must have an annual household income (before taxes) that is below the following amounts: Select Household Size Keeping your web browser up to date is very important. Medicare dual eligible special needs plans Plans that provide special coverage for those who have both Medicaid and Medicare . Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. <>
Resources and information to assist in assuring firearm safety for families in the state of Michigan. If you cannot afford child care, payment assistance is available. Visit the DentaQuest Oral Health Library to learn more. Information about audits conducted by the Office of Audit. Information on communicable & chronic diseases. Can't find the answer you're looking for? A routine dental appointment lasts approximately 30 minutes. A report released in January from George Washington University found that up to 2.5 million patients of community health centers, which treat both underserved rural and urban communities, could lose coverage as a result of eligibility redeterminations, costing the health centers somewhere from $1.5 billion to $2.5 billion in revenue. Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, Emergency Relief: Home, Utilities & Burial, Adult Behavioral Health & Developmental Disability, https://dev.michigan.local/som/json?sc_device=json, Due to the size of this document (approximately 16MB), you may experience a delay before it opens. Information on treatment and services for juvenile offenders, success stories, and more. Information on treatment and services for juvenile offenders, success stories, and more. Pregnant Medicaid members can use this benefit to visit any Molina Healthcare provider. NOTE: Comments will not be accepted for proposed Medicaid policy after the public comment period has closed. The Michigan Domestic & Sexual Violence Prevention and Treatment Board administers state and federal funding for domestic violence shelters and advocacy services, develops and recommends policy, and develops and provides technical assistance and training. Medicare-Medicaid Full and Partial Dual Eligibility. The Overview describes how information is organized and how to navigate through the document. If you would like to receive a CD version of theMedicaid Provider Manual, you will need to submit a request to MDHHS. 5 0 obj
You will receive the current published version of the manual that is available at that time. We believe you will find the format and search capabilities of this Manual to be user-friendly and having all policies in a single document very convenient. Join or renew membership today by calling 800-589-2632 or apply online. Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. PWD uses the Healthy Michigan Plan dental benefits and network, and provides dental benefits for women for the duration of their pregnancy, as well as the 12-month period following the due date. On Information is collected to monitor the general health and well-being of Michigan citizens. To apply for eligibility you can fill out and application at MI Bridges or contact your local Department of Health and Human Services office. We appreciate your feedback about our website. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. From late 2013 until the spring of 2022, total enrollment in Medicaid and CHIP in Michigan grew by 52% with enrollment up by nearly a million people. ;xZ`zPd K_KJt(A1vPoodw>|Z'sM{X||h48WI#?ZI}OzlE-?
Gretchen Whitmer's 2022-23 budget proposal, unveiled this week, is good news for dentistry and the oral health of Michiganders. When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. can call the Michigan Medicaid Dental line for help with finding adentist at 1-800-642-3195 or, To find out more about Healthy Kids Dental, the dental benefits your child may be eligible to receive and to locate a dentist in your area, please visit, Please enter all the mandatory fields for the form to be submitted, For questions or comments about your coverage, or for more information, please, Molina Healthcare Medical Insurance Marketplace, Molina Community Community Connector Program, Children's Special Healthcare Services Program, Maternal and Infant Health Program (MIHP). and program assignment factors (e.g., scope/coverage codes, etc. Points of Light(POL) Initiative Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps. If you are pregnant, you can find a Molina dentalprovider by visiting MolinaHealthcare.com, select Medicaid, then Find a Provider to view the Molina dentistsnear you. What you need to know. Low-income Households Water Assistance Program (LIHWAP). <>
It includes pediatric dental coverage for children age 18 and under. To be eligible for this benefit program, you must be a resident of Michigan and meet all of the following: 18 years of age and under; and Uninsured (and ineligible for Medicaid). We also recommend Aetna for low-cost dental coverage. Comprehensive dental through Delta Dental Routine vision coverage powered by EyeMed SM Routine hearing exams by TruHearing SM Enjoy prescription coverage on our Approved Drug List or download the 2023 Formulary. Meridian and Aetna Better Health have Dentaquest, Blue Cross Complete has HMI Dental and UnitedHealthCare has their own dental plan (call 1-800-903-5253). Universal caseload, or task-based processing, is a different way of handling public assistance cases. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries. Refer to your Medi -Cal Dental Provider Handbook for specific procedure . One is the normal Medicaid plan and the second is MIChild. Two options: MyPriorityDelta Dental Standard and MyPriorityDelta Dental Enhanced (includes ortho coverage) Preventive covered at 100% immediately - no waiting period The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. Michigan Medicaid does have benefits that will cover adults through its Healthy Michigan plan. Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Healthy Kids Dental is a Medicaid health care program, available for low-income children under age 21. Call Michigan ENROLLS at (888) 367-6557. However, if you decide to print, it is suggested printing be limited to only those chapters relevant to your practice or interest, and that printing be done in black and white. Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Informed Consent for Abortion for Patients, Informed Consent for Abortion for Providers, Go to Child Welfare Medical and Behavioral Health Resources, Go to Children's Special Health Care Services, General Information For Families About CSHCS, Go to Emergency Relief: Home, Utilities & Burial, Supplemental Nutrition Assistance Program Education, Go to Low-income Households Water Assistance Program (LIHWAP), Go to Children's & Adult Protective Services, Go to Children's Trust Fund - Abuse Prevention, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Go to Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Go to Birth, Death, Marriage and Divorce Records, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Go to Contractor and Subrecipient Resources, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, MI Interagency Migrant Services Committee, Go to Protect MiFamily -Title IV-E Waiver, Students in Energy Efficiency-Related Field, Go to Community & Volunteer Opportunities, Go to Reports & Statistics - Health Services, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Go to Reports & Statistics - Human Services. (Provider "L" letters do not represent promulgated policy and are provided tocommunicate new developments,information, policy clarifications, etc. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. For pregnant women, oral health complications are associated with poor pregnancy outcomes like low birth weight and preterm birth.State Medicaid programs are required to cover dental services for children under 21, but services for adults, including pregnant women, are optional. stream
Supplemental Medicaid Bulletins- bulletins that have not been incorporated into the manual and must still be retained for reference will appear on the Supplemental Bulletin List. Additional Guidance and Clarification for the Coverage of COVID-19 Prevention, Treatment, and Support Services. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. An important fact to keep in mind is that states are not required by federal law to offer dental services as part of their needs-based health care programs for low-income residents. Call our customer service team at 866-558-0280(TTY users call 711)for help today. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Ambulatory . Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. You will receive the current published version of the manual that is available at that time. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Qualification can affect the benefits and coverage you receive. The overall average rate change for individual/family health coverage is a 5.5% increase for 2023. All statesincluding the District of Columbiaprovide data each month about their Medicaid and Children's Health Insurance Programs (CHIP) eligibility and enrollment activity. Legislation policy and planning information. POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. If you cannot afford child care, payment assistance is available. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Seasonal farmworkers information from adoption records your local Department of health and Human Services.. To issue paper policy bulletins as necessary, paper manuals are notprovided Association, 36 % of lower-income Americans lived! 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