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. Programat (888) 898-7969, Monday through Friday, from 8 a.m. to 5 p.m., EST. The following are provider letters issued in 2022. There are 191 Medicare Advantage plans available in . Information on American Indian Services, Employment and Training. My Community Dental Centers offers dental services to medicaid enrollees and the uninsured in your local Michigan community. Resources and information to assist in assuring firearm safety for families in the state of Michigan. All other documents on this website are accessible using a dial-up modem. Information about audits conducted by the Office of Audit. 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. Information & resources for Community and Faith-Based partners. Information on treatment and services for juvenile offenders, success stories, and more. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. The overall average rate change for individual/family health coverage is a 5.5% increase for 2023. MDHHS discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). Information about audits conducted by the Office of Audit. In all, 60% of the 4,090 enrollees . Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. PO Box30479 2 0 obj Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Catching a Breath Complex Case Management Flu Outreach Opioids Rescue Inhaler Overutilization Risk for Kidney Failure Smoking Cessation Transition of Care Call Member Services at 888-437-0606 (TTY: 711) memberservices.mi@mhplan.com The least costly alternative rule concerns . 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. Find a dentist, review benefits, download or print an ID card, and much more through Member Portal, available 24/7. endstream Visit MI Bridges to apply for benefits, check your eligibility status, manage your account and explore resources. <>/Metadata 1981 0 R/ViewerPreferences 1982 0 R>> Using your benefits. There is a map of the current POL communities and a search option to find dentists that will examine infants and young children. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Information on the Food Assistance Program, eligibility requirements, and other food resources. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. The study focuses on the impact of dental coverage offered through Michigan's Medicaid expansion, called the Healthy Michigan Plan. 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. The professional fee schedule format lists procedure codes, descriptions, and fee screens. ; Take your Health Plan card and mihealth card with you when you visit the doctor, pharmacy, hospital or other medical provider. The online version of the Manual isupdated quarterly to incorporate any policies transmitted via policy bulletins since the last Manual update. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. There are two coverage options: Pediatric-only coverage: Required by the Affordable Care Act if you have children age 18 or under. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Pregnant Women Dental (PWD) is an enhanced dental benefit for pregnant women enrolled in Medicaid and is provided by Delta Dental of Michigan and the Michigan Department of Health and Human Services. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. stream Legislation policy and planning information. Health Care Coverage information and resources. Information on the Children's Foster Care program and becoming a Foster Parent. Universal caseload, or task-based processing, is a different way of handling public assistance cases. 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. Molina Healthcare providesdental services to pregnant women. Information & resources for Community and Faith-Based partners. 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. Click onThree dots symbol that is at the top right corner of the browser and click on Settings. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. endobj Enabling bookmarks depends on which web browser you are using. Information on the Food Assistance Program, eligibility requirements, and other food resources. or Lansing,MI48909 Michigan Medicaid does have benefits that will cover adults through its Healthy Michigan plan. The simple answer is no in 2023, but government programs are notoriously challenging to navigate, and the critical line between medical and dental care is fuzzy. participating dentist, Pregnant Women Dental EPO network member handbook. Remember to write down the date and time of the appointment. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Adult Behavioral Health & Developmental Disability Services. 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. MDHHS implemented the rate increase on October 1st, 2022, and it received CMS approval in November. Click here to view HKD program information. Pregnant Medicaid members are able to use their Molina Healthcare Medicaid ID card to obtain dental services. The state contracts with Delta Dental and Blue Cross Blue Shield of Michigan. Medi-Cal Dental Schedule of Maximum Allowances 1. Medicaid Medicare Michigan health insurance marketplace 2023 guide Michigan continues to have one of the most robust health insurance exchanges in the country, with ten carriers offering coverage for 2023. Please visit MyMolina.com if you would like to review your healthcare coverage. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. <> The effect on dental care utilization from transitioning pediatric Medicaid benefits to managed care (March 2022); Comparative analysis of dental procedure mix in public and private dental benefits programs (October 2021); The effect of the great recession on the demand for general oral health care and orthodontic care (April 2019); The relationship between periodontal interventions and health . Childrens Special Health Care Services (CSHCS) Limited Refund of Payment Agreement Enrollment Fees, Updates to Hearing Aid Dispensing Services Package and Rates, Updates to COVID-19 Related Cost-Sharing Exemptions and Practitioner Reimbursement Rates, Coverage of Routine Patient Costs for Items and Services Associated with Participation in a Qualifying Clinical Trial, Electronic Service Verification Changes Affecting Payment, 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, Update to Attending Provider Field on the Institutional Claim Form, Hospital and Ambulatory Surgical Center Reimbursement Increase, Home Help Payments on the Date of Hospital Admission, Hearing Aid Dispensing Services Package and Rates, Coverage of Out-of-State Former Foster Care, Updates to the Coverage of Routine Patient Costs for Items and Services Associated with Participation in a Qualifying Clinical Trial, Enrollment Option for Medicare Provider Submission of Dual Eligible Cost-Sharing Only Claims, Update of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Medicaid Policy per the Release of the 2022 American Academy of Pediatrics (AAP) Periodicity Schedule, Revisions to Pneumatic Compressors and Appliances (Lymphedema Pumps), Reversal of Temporary COVID-19 Durable Medical Equipment, Prosthetics, Orthotics and Medical Supplies (DMEPOS) Policies, COVID-19 Response: Termination of Bulletin MSA 20-28, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), 1915(i) State Plan Home and Community-Based Services, Clarification of Stand-alone COVID-19 Vaccine Counseling, Signature Log and Proof of Delivery Requirements, 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, Update to Attending Provider Field on the Institutional Hospital Claim Form, Rate Update for Neonatal and Pediatric Critical Care and Intensive Care Services, Revisions to the Laboratory Chapter of the Medicaid Provider Manual, Spousal Impoverishment Rules; Patient Payment Amounts; and Estate Recovery, Updates to Coverage of Psychiatric Collaborative Care Model (CoCM) Services Policy, COVID-19 Response: Authorization of U.S. Food & Drug Administration (FDA) Emergency Use Authorization (EUA) of Pharmacists to Prescribe COVID-19 Oral Therapeutics, Updates to the MDHHS Medicaid Provider Manual, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates, Neonatal Intensive Care Unit (NICU) Return Transfers, Updates to the Medicaid Provider Manual; Code Updates; Changes to the MDHHS Health and Aging Services Administration, Disproportionate Share Hospital (DSH) Process Consolidation, Children's Special Health Care Services (CSHCS) Non-Emergency Medical Transportation, Children's Special Health Care Services (CSHCS) Eligibility for Adults over 21 Years of Age, Update of Blood Lead Reference Value (BLRV) and Recommendations on the Medical Management of Childhood Lead Exposure, Postpartum Extension from 60 Days to 12 Months, COVID-19 Response: Coverage of U.S. Food & Drug Administration (FDA) Emergency Use Authorization (EUA) COVID-19 Monoclonal Antibody Injections by Pharmacy Providers, COVID-19 Response: Update to Bulletin MSA 21-43, Current Procedural Terminology (CPT) and Healthcare Code Updates. 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. All statesincluding the District of Columbiaprovide data each month about their Medicaid and Children's Health Insurance Programs (CHIP) eligibility and enrollment activity. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Michigan Medicaid health insurance through Meridian only has a dental coverage program for those enrolled and under 19 or pregnant For others, there is no plan for Meridian dental care services. For best viewing experience adjust your personal computer settings to open all PDF files in Adobe Acrobat Reader. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. 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). On 4 0 obj This information is not a complete description of benefits. 3 0 obj Notice of April 20, 2022, Orthotics and Prosthetics Medicaid Provider Liaison Meeting, Notice of March 9, 2022, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting, The Centers for Medicare & Medicaid Services (CMS) Interim Final Rule: COVID-19 Vaccination Requirements for Certain Medicare- and Medicaid-Certified Providers and Suppliers, 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, Section 1115 Demonstration Amendment Request to Allow Continued Coverage of Targeted Case Management Services for All Eligible Pregnant Women Up to Twelve Months Post-Delivery to Assist in Addressing Health Impacts from Potential Lead Exposure in Flint, Michigan, Submission of Waiver Amendment Application for Michigan 1115 Behavioral Health Demonstration; Revised 1915(i) State Plan Amendment (SPA) for Community Support Services; and Alternative Benefit Plan (ABP) SPAs, 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, Pharmacist Ordering of Self-Administered Hormonal Contraceptives, Michigan Medicaid Coverage of the National Diabetes Prevention Program, State Plan Amendment (SPA) and Alternative Benefit Plan (ABP) Amendment Regarding Targeted Case Management Services for Individuals Recently Released from Incarceration, Michigan Department of Health and Human Services (MDHHS) Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to Clinic Specimen Collection and Clinic Vaccine Administration Payments, Increased Fee-for-Service (FFS) Reimbursement Rate for Adult Dental Providers, Fiscal Year 2023 Home Help Agency Provider Pay Rate, Michigan Department of Health and Human Services (MDHHS) Reversal of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Temporary COVID-19 Policies, Reimbursement of Hearing Aid Dispensing Services, Michigan Department of Health and Human Services (MDHHS) Response to Address COVID-19 Public Health Emergency - Nursing Facility Rate Setting Fiscal Year (FY) 2023, Private Duty Nursing (PDN) Reimbursement Change, Plan First! Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. 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. % Child Welfare Medical and Behavioral Health Resources. Cookies are used to improve the use of our website and analytic purposes. If you cannot afford child care, payment assistance is available. Michigan Medicaid - Michigan Dental Association Michigan Medicaid Home Government/Insurance/Advocacy Dental Benefits Michigan Medicaid Member's Only Content You must be a member to view this content. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries. The Healthy Michigan Plan (HMP) provides dental benefits to Michigan residents at a low cost to increase access to care for low-income populations who do not qualify for or who are not enrolled in other Medicare or Medicaid programs. 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.) Birth, Death, Marriage and Divorce Records. Unable to take your feedback now, Please try again later. The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. Best Medicare dental coverage for seniors. Adults without children will not be charged the pediatric premium. It is important that pregnant women get proper dental care during their pregnancy for the health and wellbeing of the mother and infant. The MDHHS redesign proposal heavily leans on input provided by the MDA on behalf of members and focuses on four key pillars: 1)increased reimbursement rates for providers; 2)improved access and provider participation; 3) enhanced care coordination; and 4) building a robust dental benefit package. The Healthy Michigan Plan (HMP) provides dental benefits to Michigan residents at a low cost to increase access to care for low-income populations who do not qualify for or who are not enrolled in other Medicare or Medicaid programs. The program gives coverage to Michiganders with incomes under 138 percent of the Federal Poverty Level about $12,880 for an individual or $27,750 for a family of four in 2022. [6] Medicare-Medicaid Full and Partial Dual Eligibility. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Updated October 20, 2022. For Notices of Proposed Policy, click here. 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