Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. 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. can call the Michigan Medicaid Dental line for help with finding adentist at 1-800-642-3195 or, 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, Please enter all the mandatory fields for the form to be submitted, For questions or comments about your coverage, or for more information, please, Molina Healthcare Medical Insurance Marketplace, Molina Community Community Connector Program, Children's Special Healthcare Services Program, Maternal and Infant Health Program (MIHP). POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. Delta Dental of Michigan helps improve oral health by fostering public-private partnerships benefiting those who suffer from oral diseases. Information on treatment and services for juvenile offenders, success stories, and more. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Information about audits conducted by the Office of Audit. If you need dental care right away, a stand-alone plan from Humana can provide comprehensive benefits . Using the Overview, you will be able to identify the chapters most relevant to you and your activities. For best viewing experience adjust your personal computer settings to open all PDF files in Adobe Acrobat Reader. To view and utilize the link and search functions of the Manual, you will need to have Adobe Acrobat version 6.0 or higher. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Information on communicable & chronic diseases. 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 are hearing impaired, please call Molina Healthcare by dialing our TTY line at 711. 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. Healthy Kids Dentalis a Medicaid health care program, available for low-income children under age 21. Information about the health care programs available through Medicaid and how to qualify. That program grew to unprecedented levels during the pandemic from about 685,000 in February 2020, to 989,000 two years later, a 44-percent increase. After your Medicaid case is opened, Michigan ENROLLS* will contact you about your Health Plan choices. My Community Dental Centers offers dental services to medicaid enrollees and the uninsured in your local Michigan community. Child Welfare Medical and Behavioral Health Resources. Please reference the Member Handbook and Certificate of Coverage for more detailed information. All non-pregnant Medicaid members can call the Michigan Medicaid Dental line for help with finding a dentist at 1-800-642-3195 or Medicaid Dentistry. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. Resources: Verify Beneficiary Eligibility Dental Responsibility at a . 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. Michigan Medicaid Provider Manual >> Dental Chapter >> Section 2.1 Prior Authorization Requirements in Cases of Misutilization The modifier and age range fields are applicable to the fee screen and do not reflect coverage parameters. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. We do not offer every plan available in your area. We are also ramping up our efforts to educate consumers, health care providers and the public about positive oral health practices. Medicaid Provider Manual What you need to know. Speak with a Licensed Medicare Sales Agent 877-388-0596 - TTY 711. Medicare.Org Is A Non-Government Resource That Provides Information Regarding Medicare, Medicare Advantage, And More. Visiting the dentist on a regular basis for cleanings, X-rays and other needed services will prevent pain and discomfort in the future when small problems, if left untreated, could turn into larger problems or even dental emergencies. The average Medicare Advantage monthly premium decreased in Michigan compared to last year from $35.13 in 2021 down to $28.74 in 2022. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. If you have any questions, please call theM.O.M. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Once you find a dentist, call and make an appointment. 1) Institutional / Nursing Home Medicaid - This is an entitlement program; anyone who is eligible will receive assistance. In Livingston and Washtenaw counties, those who have Molina and McLaren have Delta Dental, while other managed care plans use their own dental coverage. Information on treatment and services for juvenile offenders, success stories, and more. All Medicare plans come with standard vision, dental . Call 1-800-905-8671 TTY 711, or use your preferred relay service for more information. Information & resources for Community and Faith-Based partners. Information is collected to monitor the general health and well-being of Michigan citizens. Low-income Households Water Assistance Program (LIHWAP). If you cannot afford child care, payment assistance is available. Pregnant Medicaid members can use this benefit to visit any Molina Healthcare provider. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are notprovided. participating dentist, Pregnant Women Dental EPO network member handbook. For Notices of Proposed Policy, click here. Ambulatory . Click onThree dots symbol that is at the top right corner of the browser and click on Settings. It is for the low income uninsured children of Michigan's working families. 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. Join or renew membership today by calling 800-589-2632 or apply online. Birth, Death, Marriage and Divorce Records. 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. Delta Dental of Michigan is a part of Delta Dental Plans Association. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. Legislation policy and planning information. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. 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. Medicare-Medicaid Full and Partial Dual Eligibility. For Provider "L" Letters, click here. Gov. oW~G\y^y"]&gasklV[rOd$P&(}sS"Oo. New Family Planning Eligibility Group, COVID-19 Response: Application Period for COVID Relief (CF) Facilities to Treat COVID-19 Residents Requiring Nursing Facility (NF) Care in Limited Circumstances, Submission of a State Plan Amendment (SPA) Request for the Home Help Program, Temporary Rate Increases for Incontinence Volume Purchase Contract, Non-routine Therapy Prior Authorization Requirements for Nursing Facility Residents, Michigan's Revised Statewide Transition Plan for Home and Community-Based Services Waiver Programs, Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Dental Periodicity Schedule, Coordination of Benefits for MI Choice services for participants who receive services for accidental bodily injury covered by personal injury protection (PIP) insurance through an automobile insurance company, COVID-19 Response: Updates to Bulletins MSA 20-76, MSA 21-43 and HASA 22-04, Nursing Facility Quality Measure Initiative Resident Satisfaction Survey Data, Notice of Intent to Submit a Section 1915(b) Waiver Renewal Application for the Healthy Kids Dental Program, Michigan Department of Health and Human Services (MDHHS) Request for comment on Behavioral Health Home and Community-Based Services (HCBS) for Heightened Scrutiny (HS) settings within the Ten Prepaid Inpatient Health Plan (PIHP) Regions, Medicaid Reimbursement for Vaccine Administration Services, Notice of September 14, 2022, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting, Request for Comment on Home and Community-Based Settings for Mi Choice Waiver Program, Michigan Department of Health and Human Services (MDHHS) Request for Comment on Home and Community-Based Settings for MI Choice Waiver Program, Clarification of Pharmacy Professional Dispensing Fees for COVID-19 Home Tests, Medicaid Coverage and Reimbursement of COVID-19 Testing and Treatment Services under the American Rescue Plan Act of 2021, Update to Emergency Medical Services Delivery of COVID-19 Related Services, Notice of June 15, 2022 Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting Notice, Attending Provider Field on the Institutional Hospital Claim Format, Home Help Agency Caregiver Wage Increase Requirements for Unapproved Home Help Agency Providers, Changes to Quality Assurance Supplement (QAS) Calculation and Payment Methodology for MI Health Link (MHL) for Calendar year (CY) 2022, Changes to the Quality Assurance Supplement (QAS) Calculation and Payment Methodology for MI Health Link (MHL) for Calendar Year (CY) 2022, Lead in Water Removal of Galvanized Plumbing and Blood Lead Reference Value Change State Plan Amendment (SPA) Request, Public Comment on Heightened Scrutiny Settings for Region 5-Mid-State Health Network, CMHSPs, PIHPs, Wraparound Services Providers, Guide to Distributing and Documenting Mandated Home Help Agency Caregiver Pay Increases, Direct Care Worker Premium Pay for April 1, 2020 through September 30, 2021, MI Choice Agencies, PIHPs/CMHSPs, Wraparound Services Providers. 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. Children's Special Health Care Services information and FAQ's. The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. Information on DHS Applications and Forms grouped by category. Healthy Michigan Plan and Pregnant Women Dental. 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. 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 . Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Molina Healthcare will provide the names of participating dentists in their area who are available to provide dental services. information about the Department's public safety programs. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Legislation policy and planning information. Get benefit help and information for you and/or your child in your language. It's an increase that will ultimately prove to be an expansion of dental care for 800,000 Medicaid participants in Michigan. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Best Medicare dental coverage for seniors. Get dental coverage as a pregnant member, during and for a full year after . Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. participating dentist, Healthy Michigan Plan Enroll now. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. 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 . The state of Michigan's Medicaid program covers dental care for you and your children. For additional pertinent coverage parameters, such as documentation and billing indicators, refer to the Medicaid Code and Rate Reference tool, which is accessible via the External Links menu within CHAMPS. Enroll in the Enhanced Dental and Vision package today. Information is collected to monitor the general health and well-being of Michigan citizens. stream % Legislation policy and planning information. Information on American Indian Services, Employment and Training. A variety of reports & statistics for programs and services. Molina Healthcare providesdental services to pregnant women. It outlines everything you need to know about your Molina Healthcare of Michigan Medicaid Health Plan. E-mail: [email protected]. 5 0 obj The best dental insurance for most seniors is a Medicare Advantage plan from AARP/UnitedHealthcare because of its large network of dentists. and program assignment factors (e.g., scope/coverage codes, etc. ET. We also recommend Aetna for low-cost dental coverage. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. This plan is available to anyone who has both Medical Assistance from the State and Medicare. 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. In 2021 down to $ 28.74 in 2022 for the low income uninsured children of Michigan.! As intended, lists of participating dentists in their area who are available to provide dental Services Acrobat Reader to. 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