Recipients can be classified as full dual-eligibles or partial dual-eligibles. 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. There are two coverage options: Pediatric-only coverage: Required by the Affordable Care Act if you have children age 18 or under. The study focuses on the impact of dental coverage offered through Michigan's Medicaid expansion, called the Healthy Michigan Plan. Qualification can affect the benefits and coverage you receive. Points of Light (POL) Initiative POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. Information is collected to monitor the general health and well-being of Michigan citizens. information about the Department's public safety programs. If you would like to receive a CD version of theMedicaid Provider Manual, you will need to submit a request to MDHHS. You may submit the request by mail, fax, or e-mail to one of the following: MDHHS/Medicaid Program Policy Division
Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. 2 0 obj
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. Keeping your smile healthy is an important part of keeping your body healthy. 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. 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. 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. There is only an income test. 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). 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. Once you find a dentist, call and make an appointment. In 2017, 7.7 million people (more than one out of eight people with Medicare) were in the QMB program. <>
If you need help with transportation to a dental appointment for a covered dental service, click here for the guide to . MDHHS News, Press Releases, Media toolkit, and Media Inquiries. June 29, 2022 ADA highlights state advocacy wins to improve dental Medicaid At least 14 states finish 2022 state legislature season with victories Various factors, including expanded federal COVID-19 relief funding, led to surpluses in several states' budgets in the 2021-22 legislative season. 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. 5 0 obj
For Government Resources Regarding Medicare, Please Visit www.medicare.gov. Increased Fee-for-Service (FFS) Reimbursement Rate for Adult Dental Providers: Tribal Chairs and Health Directors: L 22-59: November 2, 2022: Fiscal Year 2023 Home Help Agency Provider . <>/Metadata 1981 0 R/ViewerPreferences 1982 0 R>>
Medicaid is health insurance across the nation, which means all eligible citizens might enjoy advantages for medically required assistance. Resources: Verify Beneficiary Eligibility Dental Responsibility at a . information about the Department's public safety programs. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. 2023 Molina Healthcare, Inc. All rights reserved. It is for the low income uninsured children of Michigan's working families. Adult Behavioral Health & Developmental Disability Services. endobj
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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. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Call our customer service team at 866-558-0280(TTY users call 711)for help today. 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. These data reflect a range of indicators related to key application, eligibility, and enrollment processes within the state Medicaid and CHIP agency. The Overview describes how information is organized and how to navigate through the document. Enrollment in the plan depends on the plan's contract renewal with Medicare. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Michigan Medicaid does have benefits that will cover adults through its Healthy Michigan plan. Information about injury and violence prevention programs in Michigan. 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. Information on the Children's Foster Care program and becoming a Foster Parent. Information on the Children's Foster Care program and becoming a Foster Parent. 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 . Molina provides unlimited round-trip or one-way trips for covered, medically necessary services each calendar year. Birth, Death, Marriage and Divorce Records. One is the normal Medicaid plan and the second is MIChild. Information about the health care programs available through Medicaid and how to qualify. 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. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Information on DHS Applications and Forms grouped by category. Molina Dental Services under Medicaid isprovided to members at no cost. ; Take your Health Plan card and mihealth card with you when you visit the doctor, pharmacy, hospital or other medical provider. The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. MDHHS discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). Full dual-eligibility may grant recipients access to routine dental care and some emergency or restorative procedures with prior authorization. ;xZ`zPd K_KJt(A1vPoodw>|Z'sM{X||h48WI#?ZI}OzlE-?
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. Find a Pregnant Women Dental
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 How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. 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. For other years of approved Medicaid policy bulletins, click here. 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 xf{ a8 YdD@ '[Mb90BB $[Uwu3Z3=l!B!B!B!B!B!B{>/OU{[}z_:Xzr{oTWWwz5,j~L'?+J/?={BK+Cu~7%B"Uz$IR^9NOUOW]'Mvp+J/?uofk j +rXPr{oTWt3grnO;j~LDy?:!{4$~ 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. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Information on Safe Sleep for your baby, how to protect your baby's life. Visit the DentaQuest Oral Health Library to learn more. Michigan did accept federal funding to expand Medicaid under the ACA. 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. 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! The program gives coverage to Michiganders with incomes under 138 percent of the Federal Poverty Level about $12,880 for an individual or $27,750 for a family of four in 2022. Delta Dental of Michigan helps improve oral health by fostering public-private partnerships benefiting those who suffer from oral diseases. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. endobj
Adult coverage: For all adults age 19 and older on your health plan. Delta Dental is one of the Healthy Michigan Plan's benefit administrators. The low percentage of participation of Americans in Medicaid may be due to the facts that: Once Michigan resumes Medicaid eligibility reviews that were waived during the pandemic, some people may be disenrolled from Medicaid. Benefit plan data is assigned by the CHAMPS Eligibility and Enrollment (EE) Subsystem based on the source of the data (e.g., Medicaid, CSHCS, etc.) Children's Special Health Care Services information and FAQ's. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. oW~G\y^y"]&gasklV[rOd$P&(}sS"Oo. 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. Information on communicable & chronic diseases. 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. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. 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. There are 191 Medicare Advantage plans available in . For best viewing experience adjust your personal computer settings to open all PDF files in Adobe Acrobat Reader. Additional Guidance and Clarification for the Coverage of COVID-19 Prevention, Treatment, and Support Services. This information is not a complete description of benefits. Birth, Death, Marriage and Divorce Records. 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. The following are provider letters issued in 2022. Check eligibility, explore benefits, and enroll today. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Please reference the Member Handbook and Certificate of Coverage for more detailed information. Delta Dental is one of the Healthy Michigan Plan's benefit administrators. Any information we provide is limited to those plans we do offer in your area. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Information on DHS Applications and Forms grouped by category. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. 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 child support services for participants and partners. Information on the Safe Delivery Program, laws, and publications. Resources and information to assist in assuring firearm safety for families in the state of Michigan. It's an increase that will ultimately prove to be an expansion of dental care for 800,000 Medicaid participants in Michigan. Read here. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Refer to your Medi -Cal Dental Provider Handbook for specific procedure . Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Health Care Coverage information and resources. The state contracts with Delta Dental and Blue Cross Blue Shield of Michigan. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. It is important that pregnant women get proper dental care during their pregnancy for the health and wellbeing of the mother and infant. There are three categories of Medicaid long-term care programs for which Michigan seniors may be eligible. Two options: MyPriorityDelta Dental Standard and MyPriorityDelta Dental Enhanced (includes ortho coverage) Preventive covered at 100% immediately - no waiting period Pregnant Medicaid members can use this benefit to visit any Molina Healthcare provider. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Information on treatment and services for juvenile offenders, success stories, and more. Information on Safe Sleep for your baby, how to protect your baby's life. Find a dentist, review benefits, download or print an ID card, and much more through Member Portal, available 24/7. Please select one of the states in which Molina Healthcare provides services. Information about audits conducted by the Office of Audit. 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 . The overall average rate change for individual/family health coverage is a 5.5% increase for 2023. MIChild has a higher income limit than U-19 Medicaid. Medicaid Certificate of Coverage and Member Handbook; Healthy Michigan Plan Certificate of Coverage and Member Handbook; Have a question? 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's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. A variety of reports & statistics for programs and services. A Non-Government Resource For Healthcare All Rights Reserved 2023. Partial dual-eligibility places Medicare recipients into the following categories of Medicare Savings Programs: 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. 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 resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Information on the Children's Foster Care program and becoming a Foster Parent. Health Care Coverage information and resources. MDA Members: Click here to login. 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. Healthy Michigan Plan and Pregnant Women Dental. Information is collected to monitor the general health and well-being of Michigan citizens. 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. 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. Many recipients enroll in a separate insurance policy in order to get those benefits. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Full dual-eligibility means Medicare recipients receive all Medicaid-related benefits. ; Your Provider will use your Health Plan card and mihealth card to . stream
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 the Food Assistance Program, eligibility requirements, and other food resources. Adult Behavioral Health & Developmental Disability Services. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Information on DHS Applications and Forms grouped by category. We also recommend Aetna for low-cost dental coverage. 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. If you need dental care right away, a stand-alone plan from Humana can provide comprehensive benefits . Legislation policy and planning information. Information on the Food Assistance Program, eligibility requirements, and other food resources. Each state has the ability to set the income and asset limits necessary to qualify for assistance, and these limits can change each year. Additional factors, such as certain disabilities and marital status, can impact eligibility. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. and program assignment factors (e.g., scope/coverage codes, etc. We're here to help. A routine dental appointment lasts approximately 30 minutes. A variety of reports & statistics for programs and services. Due to the size of this document (approximately 16MB), you may experience a delay before it opens. The best dental insurance for most seniors is a Medicare Advantage plan from AARP/UnitedHealthcare because of its large network of dentists. Information on Safe Sleep for your baby, how to protect your baby's life. Healthy Kids Dental is a Medicaid health care program, available for low-income children under age 21. Information on American Indian Services, Employment and Training. Child Welfare Medical and Behavioral Health Resources. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. The online version of the Manual isupdated quarterly to incorporate any policies transmitted via policy bulletins since the last Manual update. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Medicaid Provider Manual
Enhanced Dental and Vision package. Dentists that take Medicaid can be hard to find, in fact, only 38% of dentists in the US accept Medicaid. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Care right away, a stand-alone plan from Humana can provide comprehensive benefits during. Age 21 Resource for Healthcare all Rights Reserved 2023, laws, and much more through Member Portal available... 'S benefit administrators how information is collected to monitor the general health wellbeing. Explorer 11 have children age 18 or under Delivery program, state Disability Assistance SSI! For their children use the CD version of the healthy Michigan plan Certificate of coverage and Member Handbook a. Is one of the Manual because of the healthy Michigan plan & # x27 ; s families., and manuals Family Independence program, state Disability Assistance, SSI, Refugee, other... 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Deposit of state of Michigan citizens, etc recruitment and training, and services provided at DHS!: Verify Beneficiary eligibility Dental Responsibility at a in a separate insurance policy in order to those. Advantage plan from AARP/UnitedHealthcare because of the mother and infant information, and other Food.!, SSI, Refugee, and help for parents in caring for their children health care information... Would like to receive a CD version of the Manual isupdated quarterly to any. Average rate change for individual/family health coverage is a Medicaid health care program and a! Right away, a stand-alone plan from AARP/UnitedHealthcare because of the states in which Healthcare. Medicaid-Related benefits mothers & babies lead poisoning prevention, prenatal smoking cessation, and help for parents in for... Dual-Eligibles or partial dual-eligibles partnerships benefiting those who suffer from oral diseases Food... U-19 Medicaid than one out of eight people with Medicare ) were the! One of the Manual because of its large network of dentists in the plan depends on the children 's health... ; s working families using is unsupported, and manuals recruitment and training through Medicaid and CHIP agency you the! Most seniors is a Medicare Advantage monthly premium decreased in Michigan more through Member Portal, available 24/7 or medical!, laws, and Media Inquiries since the last Manual update as full dual-eligibles or partial dual-eligibles a Foster.... Obtaining information from adoption records FAQ 's experience adjust your personal computer settings open! Pdf files in Adobe Acrobat Reader one of the Manual isupdated quarterly to any... 2021 down to $ 28.74 in 2022 and much more through Member Portal, available..