Information about audits conducted by the Office of Audit. Information about injury and violence prevention programs in Michigan. Benefits are provided only in nursing homes. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Keeping your web browser up to date is very important. Review the information in this section before contacting customer service. The postpartum period is 3 months following end of pregnancy. SPOTLIGHT & RELEASES. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Join or renew membership today by calling 800-589-2632 or apply online. Recipients who receive Medicaid-administered help with long-term care services may qualify for dental coverage as part of that programs package of benefits. 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 on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. If you would like to receive a CD version of theMedicaid Provider Manual, you will need to submit a request to MDHHS. stream Lansing,MI48909 It is important that pregnant women get proper dental care during their pregnancy for the health and wellbeing of the mother and infant. 2 0 obj See the list of preventive services covered at no cost to you. 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. According to the American Dental Association, 36% of lower-income Americans have lived through untreated cavities. Learn more about the Michigan UnitedHealthcare Community Plan plan for Michigan. To apply for eligibility you can fill out and application at MI Bridges or contact your local Department of Health and Human Services office. To enable bookmarks in Internet Explorer: Now, open the PDF in IE and all the bookmarks are available. Find a Pregnant Women Dental 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. Medicaid is health insurance across the nation, which means all eligible citizens might enjoy advantages for medically required assistance. Information on the Safe Delivery Program, laws, and publications. A smaller zipped copy(14MB) is also available. The Manual was created in Adobe Acrobat portable document format (PDF). We're here to help. For Notices of Proposed Policy, click here. 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 Using the Overview, you will be able to identify the chapters most relevant to you and your activities. If you are pregnant, you can find a Molina dentalprovider by visiting MolinaHealthcare.com, select Medicaid, then Find a Provider to view the Molina dentistsnear you. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Medicare dual eligible special needs plans Plans that provide special coverage for those who have both Medicaid and Medicare . Unable to take your feedback now, Please try again later. To be eligible, you must have an annual household income (before taxes) that is below the following amounts: Select Household Size Recipients can be classified as full dual-eligibles or partial dual-eligibles. What you need to know. Information on American Indian Services, Employment and Training. 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. There are 191 Medicare Advantage plans available in . 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. The overall average rate change for individual/family health coverage is a 5.5% increase for 2023. Information on DHS Applications and Forms grouped by category. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Michigan Medicaid does have benefits that will cover adults through its Healthy Michigan plan. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Enroll in the Enhanced Dental and Vision package today. MyPrioritydental insurance is available as an add-on to MyPriority medical plans (except MyPriorityShort-term). Information on the Children's Foster Care program and becoming a Foster Parent. Birth, Death, Marriage and Divorce Records. Children's Special Health Care Services information and FAQ's. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Please visit MyMolina.com if you would like to review your healthcare coverage. Check eligibility, explore benefits, and enroll today. The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid. Information on the Food Assistance Program, eligibility requirements, and other food resources. PO Box30479 Information on communicable & chronic diseases. Information on treatment and services for juvenile offenders, success stories, and more. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. 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. Low-income Households Water Assistance Program (LIHWAP). 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: Verify Beneficiary Eligibility Dental Responsibility at a . There are three categories of Medicaid long-term care programs for which Michigan seniors may be eligible. Medicaid Provider Manual 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. Delta Dental is one of the Healthy Michigan Plan's benefit administrators. 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. You will be enrolled automatically and get an ID card from the dental plan. Molina Healthcare will provide the names of participating dentists in their area who are available to provide dental services. 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. What you need to know. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. The documents will be e-mailed to you. Universal caseload, or task-based processing, is a different way of handling public assistance cases. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Delta Dental has affordable individual dental plans available for you. 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. EPSDT is a mandatory service required under a state's Medicaid program. Information on the Children's Foster Care program and becoming a Foster Parent. 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. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Ambulatory . One is the normal Medicaid plan and the second is MIChild. Molinas dental benefit includes cleanings, fillings and other preventive services. Health Care Coverage information and resources. View the complete dataset on Data.Medicaid.gov. All Medicare plans come with standard vision, dental . 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. 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. If you cannot afford child care, payment assistance is available. After your Medicaid case is opened, Michigan ENROLLS* will contact you about your Health Plan choices. Medicare.Org Is Privately Owned And Operated By Health Network Group, LLC. This information is not a complete description of benefits. %PDF-1.7 Coverage effective across all 50 states and D.C. as of Oct. 1 Beginning in October, all 50 states and D.C. will prioritize dental coverage for Medicaid enrollees who are pregnant or postpartum through at least 60 days after pregnancy, the Centers for Medicare & Medicaid Services announced Sept. 22. 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). Information on child support services for participants and partners. Using your benefits. 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. Many recipients enroll in a separate insurance policy in order to get those benefits. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. ). 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. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. Information on communicable & chronic diseases. 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. For other years of approved Medicaid policy bulletins, click here. 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 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 . 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. 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Order to get those benefits your Health plan choices for individual/family Health coverage is a 5.5 % increase for....