Information & resources for Community and Faith-Based partners. Information on DHS Applications and Forms grouped by category. Michigan Department of Health and Human Services BENEFIT PLANS 09/22/2022 Page 1 of 13 . If you cannot afford child care, payment assistance is available. Qualification can affect the benefits and coverage you receive. 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. 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. EPSDT is a mandatory service required under a state's Medicaid program. Gov. 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. Remember to write down the date and time of the appointment. You may submit the request by mail, fax, or e-mail to one of the following: MDHHS/Medicaid Program Policy Division and program assignment factors (e.g., scope/coverage codes, etc. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are notprovided. All statesincluding the District of Columbiaprovide data each month about their Medicaid and Children's Health Insurance Programs (CHIP) eligibility and enrollment activity. Visit MI Bridges to apply for benefits, check your eligibility status, manage your account and explore resources. You will receive the current published version of the manual that is available at that time. Information & resources for Community and Faith-Based partners. MIChild is a health care program for children who are under age 19 administered by the Michigan Department of Health and Human Services. Step Two: Make an Appointment . View the complete dataset on Data.Medicaid.gov. Many recipients enroll in a separate insurance policy in order to get those benefits. 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 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. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. 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. stream Resources: Verify Beneficiary Eligibility Dental Responsibility at a . Dual eligibility occurs when an individual who receives Medicare also qualifies for Medicaid-related assistance based on low income. The Overview describes how information is organized and how to navigate through the document. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Information on child support services for participants and partners. A smaller zipped copy(14MB) is also available. Programat (888) 898-7969, Monday through Friday, from 8 a.m. to 5 p.m., EST. We are also ramping up our efforts to educate consumers, health care providers and the public about positive oral health practices. Adult Behavioral Health & Developmental Disability Services. There is only an income test. The program focuses on prevention, early diagnosis, and treatment of medical conditions. Low-income Households Water Assistance Program (LIHWAP). To qualify to make HSA contributions in 2022, you must have an HSA-eligible health insurance policy with a deductible of at least $1,400 for single coverage or $2,800 for family coverage. Effective January 1, 2022 Page 1 of 36. Newer web browsers let you use more features and new technologies resulting in a better browsing experience. 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. Information on American Indian Services, Employment and Training. Find a Pregnant Women Dental The Manual was created in Adobe Acrobat portable document format (PDF). It provides an overview of the children's dental benefit in Medicaid, support for evidence-based policies at the state level, and details of successful strategies with state examples. Adult Behavioral Health & Developmental Disability Services. Low-income Households Water Assistance Program (LIHWAP). If you're eligible for Medicaid or Healthy Michigan Plan health care coverage, call Michigan ENROLLS at 1-888-367-6557 (TTY: 1-888-263-5897) to select a health plan. 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. MyPrioritydental insurance is available as an add-on to MyPriority medical plans (except MyPriorityShort-term). Information about injury and violence prevention programs in Michigan. In Livingston and Washtenaw counties, those who have Molina and McLaren have Delta Dental, while other managed care plans use their own dental coverage. To learn more about the Healthy Michigan Plan and to find out if you are eligible, please visit the State of Michigan's website at www.michigan.gov/healthymiplan. 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. Review the information in this section before contacting customer service. In addition, there are resources and links to information on infant oral health and community participants. participating dentist, Pregnant Women Dental EPO network member handbook. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. To view and utilize the link and search functions of the Manual, you will need to have Adobe Acrobat version 6.0 or higher. Due to the size of this document (approximately 16MB), you may experience a delay before it opens. 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. SPOTLIGHT & RELEASES. Click onThree dots symbol that is at the top right corner of the browser and click on Settings. 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. Information on communicable & chronic diseases. Molina provides unlimited round-trip or one-way trips for covered, medically necessary services each calendar year. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Clarification of Michigan Automated Prescription System (MAPS) Record Retention, Postpartum Extension from 60 Days to 12 Months, COVID-19 Response: Policy for COVID Relief (CR) Facilities to Treat COVID-19 Residents Requiring Nursing Facility (NF) Care in Limited Circumstances, Durable Medical Equipment and Supplies Providers. information about the Department's public safety programs. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. 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. Michigan Medicaid does have benefits that will cover adults through its Healthy Michigan plan. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Learn more about the Michigan UnitedHealthcare Community Plan plan for Michigan. 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. Call Michigan ENROLLS at (888) 367-6557. In all of the states, these minimum requirements do not include dental for adults, only for those who are under the age of 21. Child Welfare Medical and Behavioral Health Resources. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. The following are provider letters issued in 2022. Together, they provide a network of dentists for children ages 0-20. 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. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. If you are using a dial-up modem, we recommend you use the CD version of the Manual. 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 web Browser you are currently using is unsupported, and some features of this site may not work as intended. For other years of approved Medicaid policy bulletins, click here. Using your benefits. 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). Child Welfare Medical and Behavioral Health Resources. However, after the passing of the Affordable Care Act, states can now extend those original benefits to offer more healthcare to a larger group of its residents. The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street . . Information is collected to monitor the general health and well-being of Michigan citizens. Information on the Children's Foster Care program and becoming a Foster Parent. Resources and information to assist in assuring firearm safety for families in the state of Michigan. 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 . Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Any information we provide is limited to those plans we do offer in your area. 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. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Please visit MyMolina.com if you would like to review your healthcare coverage. These plans make it easy to receive Delta Dental coverage and protect your health. Adult Behavioral Health & Developmental Disability Services. Birth, Death, Marriage and Divorce Records. Molina Healthcare providesdental services to pregnant women. Healthy Kids Dental is a Medicaid health care program, available for low-income children under age 21. Click here to view HKD program information. Universal caseload, or task-based processing, is a different way of handling public assistance cases. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. There are 191 Medicare Advantage plans available in . Call 1-800-905-8671 TTY 711, or use your preferred relay service for more information. The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. The COVID public health emergency (PHE) is expected to be extended again in January 2023, but the omnibus bill de-links the resumption of Medicaid eligibility redeterminations from the PHE, and allows states to start . <>/Metadata 1981 0 R/ViewerPreferences 1982 0 R>> Information on DHS Applications and Forms grouped by category. Points of Light(POL) Initiative Information about injury and violence prevention programs in Michigan. 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 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 on Safe Sleep for your baby, how to protect your baby's life. Keeping your web browser up to date is very important. Enhanced Dental and Vision package. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. 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. In 2017, 7.7 million people (more than one out of eight people with Medicare) were in the QMB program. A variety of reports & statistics for programs and services. Information on the Food Assistance Program, eligibility requirements, and other food resources. Recipients who receive Medicaid-administered help with long-term care services may qualify for dental coverage as part of that programs package of benefits. Information on communicable & chronic diseases. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Michigan Medicaid Provider Manual >> Dental Chapter >> Section 2.1 Prior Authorization Requirements in Cases of Misutilization Healthy Michigan Plan and Pregnant Women Dental. First, learn how Medicaid covers dental implants differently by exploring its dual nature as health (starts in the body) and dental insurance (begins in the mouth). Information about audits conducted by the Office of Audit. 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. Health Care Coverage information and resources. Fees payable to providers by Medi-Cal Dental for covered services shall be the LESSER of: a. provider's billed amount b. the maximum allowance set forth in the schedule below 2. Low-income Households Water Assistance Program (LIHWAP). Call our customer service team at 866-558-0280(TTY users call 711)for help today. To be eligible, you must have an annual household income (before taxes) that is below the following amounts: Select Household Size For Notices of Proposed Policy, click here. 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. Medicare.Org Is A Non-Government Resource That Provides Information Regarding Medicare, Medicare Advantage, And More. Visit the DentaQuest Oral Health Library to learn more. We also recommend Aetna for low-cost dental coverage. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. Medicaid Dental Coverage Options in Michigan In Michigan, adults who are dual-eligible recipients of both Medicare and Medicaid may qualify for coverage of certain dental services. Dental services must be provided at intervals that meet reasonable standards of dental practice, as determined by the state after . ; Take your Health Plan card and mihealth card with you when you visit the doctor, pharmacy, hospital or other medical provider. All other documents on this website are accessible using a dial-up modem. 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. <> 3 0 obj 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 about the Department's public safety programs. 1 0 obj The least costly alternative rule concerns . The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. If you are a resident in Michigan and are on Medicaid, there are a couple of things you need to know about your coverage and how to find a dentist that accepts Medicaid. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Once Michigan resumes Medicaid eligibility reviews that were waived during the pandemic, some people may be disenrolled from Medicaid. Children's Special Health Care Services information and FAQ's. Health Care Coverage information and resources. What you need to know. In all, 60% of the 4,090 enrollees . 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. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Molinas dental benefit includes cleanings, fillings and other preventive services. Information on Safe Sleep for your baby, how to protect your baby's life. Unable to take your feedback now, Please try again later. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Be sure to tell the dental office that you are a Medicaid member. Information on Safe Sleep for your baby, how to protect your baby's life. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. A variety of reports & statistics for programs and services. 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 . Information on the Food Assistance Program, eligibility requirements, and other food resources. Programs, adoption resources, locating birth parents and obtaining information from adoption records DHS Applications and Forms by... Into a provider 's bank account coverage you receive link and search functions of the Manual created. Using a dial-up modem, we recommend you use the CD version of 4,090... Relay service for more information dual eligibility occurs when an individual who Medicare! Feedback now, please try again later qualify for Dental coverage as part that! Birth parents and obtaining information from adoption records practice, as determined by state... Mental health, and services provided at local DHS offices under age 19 administered by the Michigan UnitedHealthcare community plan! 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