information about the Department's public safety programs. Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. 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 www.healthykidsdental.org. Review the information in this section before contacting customer service. Michigan did accept federal funding to expand Medicaid under the ACA. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. If you cannot afford child care, payment assistance is available. Compare plans! Keeping your smile healthy is an important part of keeping your body healthy. 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 If you have any questions, please call theM.O.M. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. It is for the low income uninsured children of Michigan's working families. Medicare.Org Is A Non-Government Resource That Provides Information Regarding Medicare, Medicare Advantage, And More. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
. The Manual was created in Adobe Acrobat portable document format (PDF). Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Visit the DentaQuest Oral Health Library to learn more. 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 the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. Information is collected to monitor the general health and well-being of Michigan citizens. All Medicare plans come with standard vision, dental . Get benefit help and information for you and/or your child in your language. 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. For other years of approved Medicaid policy bulletins, click here. 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. 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. Dentists that take Medicaid can be hard to find, in fact, only 38% of dentists in the US accept Medicaid. Health Care Coverage information and resources. 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. Resources and information to assist in assuring firearm safety for families in the state of Michigan. If you are using a dial-up modem, we recommend you use the CD version of the Manual. The professional fee schedule format lists procedure codes, descriptions, and fee screens. Prior authorizations and medical conditions that may bypass these requirements, To request or view upcoming training sessions please refer to the Michigan Department of Health and Human Services website at, Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at, 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. Effective January 1, 2022 Page 1 of 36. Once Michigan resumes Medicaid eligibility reviews that were waived during the pandemic, some people may be disenrolled from Medicaid. participating dentist, Pregnant Women Dental EPO network member handbook. stream
Michigan Medicaid uses a managed care system to deliver medical and dental care, and the Medicaid dental benefit is carved out and administered by various dental plans contracted by the state. If you would like to receive a CD version of theMedicaid Provider Manual, you will need to submit a request to MDHHS. EPSDT is Medicaid's comprehensive child health program. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Medicare dual eligible special needs plans Plans that provide special coverage for those who have both Medicaid and Medicare . 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. Learn more about the Michigan UnitedHealthcare Community Plan plan for Michigan. Call Michigan ENROLLS at (888) 367-6557. Information about audits conducted by the Office of Audit. When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. All statesincluding the District of Columbiaprovide data each month about their Medicaid and Children's Health Insurance Programs (CHIP) eligibility and enrollment activity. For Provider "L" Letters, click here. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Step Two: Make an Appointment . Michigan has accepted federal Medicaid expansion 2,901,288 - Number of Michiganders covered by Medicaid/CHIP as of March 2022 989,279 - Increase in the number of Michiganders covered by Medicaid/CHIP fall 2013 to March 2022 53% - Reduction in the uninsured rate from 2010 to 2019 Click onThree dots symbol that is at the top right corner of the browser and click on Settings. On 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. 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 . Points of Light (POL) Initiative POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. Pregnant Medicaid members will get dental coverage from the first day of the month when Molina finds out about the pregnancy through the postpartum period. endobj
Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Molina Healthcare providesdental services to pregnant women. Using the Overview, you will be able to identify the chapters most relevant to you and your activities. Dual eligibility occurs when an individual who receives Medicare also qualifies for Medicaid-related assistance based on low income. 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. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Information on Safe Sleep for your baby, how to protect your baby's life. Information about the health care programs available through Medicaid and how to qualify. It includes pediatric dental coverage for children age 18 and under. MDHHS implemented the rate increase on October 1st, 2022, and it received CMS approval in November. A smaller, If you would like to receive a CD version of the. In 2017, 7.7 million people (more than one out of eight people with Medicare) were in the QMB program. Information is collected to monitor the general health and well-being of Michigan citizens. 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. 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. 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. Dental services must be provided at intervals that meet reasonable standards of dental practice, as determined by the state after . member handbook, Healthy Michigan Plan EPO network member handbook. 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. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Michigan Department of Health and Human Services BENEFIT PLANS 09/22/2022 Page 1 of 13 . Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. 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. 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. ), Archived Proposed Medicaid Policy Distributed for Public Comment and Consultation Summaries. If you need dental care right away, a stand-alone plan from Humana can provide comprehensive benefits . Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Remember to write down the date and time of the appointment. 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. Reasonable standards of dental practice, as determined by the Office of.!, please contact Meridian at 888-437-0606 have both Medicaid and Medicare ( more one... Lists of participating retailers and ATMs, and more participating retailers and ATMs, and developmental, and it CMS. Fact, only 38 % of dentists in the QMB program qualifies for assistance! & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and services... 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