To be eligible for Michigan Medicaid, you must be a resident of the state of Michigan in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. A Non-Government Resource For Healthcare All Rights Reserved 2023. 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. Information on the Food Assistance Program, eligibility requirements, and other food resources. Information about injury and violence prevention programs in Michigan. Health Care Coverage information and resources. 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. information about the Department's public safety programs. Resources and information to assist in assuring firearm safety for families in the state of Michigan. 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. There are three categories of Medicaid long-term care programs for which Michigan seniors may be eligible. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Recipients can be classified as full dual-eligibles or partial dual-eligibles. You will receive the current published version of the manual that is available at that time. Any information we provide is limited to those plans we do offer in your area. 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. 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. If you would like to receive a CD version of theMedicaid Provider Manual, you will need to submit a request to MDHHS. For Microsoft Edge enable Adobe flash player. Speak with a Licensed Medicare Sales Agent 877-388-0596 - TTY 711. Gretchen Whitmer's 2022-23 budget proposal, unveiled this week, is good news for dentistry and the oral health of Michiganders. Meaning children with Medicaid must receive dental care that provides the following: Regular dental care maintenance, including teeth cleanings and checkups Tooth restorative care Due to the size of this document (approximately 16MB), you may experience a delay before it opens. 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. 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. Legislation policy and planning information. The average Medicare Advantage monthly premium decreased in Michigan compared to last year from $35.13 in 2021 down to $28.74 in 2022. Information on the Children's Foster Care program and becoming a Foster Parent. The overall average rate change for individual/family health coverage is a 5.5% increase for 2023. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Using your benefits. The professional fee schedule format lists procedure codes, descriptions, and fee screens. PO Box30479 (Provider "L" letters do not represent promulgated policy and are provided tocommunicate new developments,information, policy clarifications, etc. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. 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. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Healthy Michigan Plan and Pregnant Women Dental. 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. The state contracts with Delta Dental and Blue Cross Blue Shield of Michigan. Newer web browsers let you use more features and new technologies resulting in a better browsing experience. 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. Molina Healthcare will provide the names of participating dentists in their area who are available to provide dental services. In 2017, 7.7 million people (more than one out of eight people with Medicare) were in the QMB program. Call our customer service team at 866-558-0280(TTY users call 711)for help today. One is the normal Medicaid plan and the second is MIChild. MDHHS discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). 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 treatment and services for juvenile offenders, success stories, and more. Some of the common procedures of Medicaid coverage for adults in 2022 are: Each state has specific regulations about which dental specialty areas they possess. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. 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 . or Be sure to tell the dental office that you are a Medicaid member. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud 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. <> Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. participating dentist, Healthy Michigan Plan 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 The state of Michigan's Medicaid program covers dental care for you and your children. 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. Original Medicare Part A and Part B benefits do not provide coverage for routine dental care, so many recipients need to find solutions to help pay for dental services like checkups, X-rays, and teeth cleanings. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. 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. Pregnant Medicaid members can use this benefit to visit any Molina Healthcare provider. 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. Medicaid is health insurance across the nation, which means all eligible citizens might enjoy advantages for medically required assistance. stream Adult Behavioral Health & Developmental Disability Services. The Overview describes how information is organized and how to navigate through the document. The following are provider letters issued in 2022. 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 Foster Care program and becoming a Foster Parent. Once Michigan resumes Medicaid eligibility reviews that were waived during the pandemic, some people may be disenrolled from Medicaid. Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. 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. Delta Dental has affordable individual dental plans available for you. 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. Information on Safe Sleep for your baby, how to protect your baby's life. 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). Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services.
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