Information about the health care programs available through Medicaid and how to qualify. 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. 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. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. In all of the states, these minimum requirements do not include dental for adults, only for those who are under the age of 21. Information is collected to monitor the general health and well-being of Michigan citizens. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Universal caseload, or task-based processing, is a different way of handling public assistance cases. "We can clearly see the positive impact of Medicaid coverage of dental care . Health Care Coverage information and resources. Due to the size of this document (approximately 16MB), you may experience a delay before it opens. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. 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. The electronic Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Healthy Michigan Plan, Children's Special Health Care Services, Maternity Outpatient Medical Services (MOMS), and other healthcare programs administered by the Michigan Department of Health and Human Services (MDHHS). 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. 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 . 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. Information on American Indian Services, Employment and Training. oW~G\y^y"]&gasklV[rOd$P&(}sS"Oo. Information about audits conducted by the Office of Audit. MDA Members: Click here to login. EPSDT is a mandatory service required under a state's Medicaid program. Information on the Food Assistance Program, eligibility requirements, and other food resources. or information about the Department's public safety 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. 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 . Information on the Children's Foster Care program and becoming a Foster Parent. 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. Using the Overview, you will be able to identify the chapters most relevant to you and your activities. It is important that pregnant women get proper dental care during their pregnancy for the health and wellbeing of the mother and infant. How to enroll. 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. The overall average rate change for individual/family health coverage is a 5.5% increase for 2023. Pregnant Medicaid members are able to use their Molina Healthcare Medicaid ID card to obtain dental services. Keeping your smile healthy is an important part of keeping your body healthy. There are two programs in the state of Michigan. Medicare-Medicaid Full and Partial Dual Eligibility. For Microsoft Edge enable Adobe flash player. Information on communicable & chronic diseases. (Provider "L" letters do not represent promulgated policy and are provided tocommunicate new developments,information, policy clarifications, etc. 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.) The state of Michigan's Medicaid program covers dental care for you and your children. 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. Michigan Medicaid health insurance through Meridian only has a dental coverage program for those enrolled and under 19 or pregnant For others, there is no plan for Meridian dental care services. EDITOR'S NOTE: This article was first posted in March 2022 but has been updated to reflect the passage of the Consolidated Appropriations Act, 2023 (the omnibus spending bill). information about the Department's public safety programs. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Click onThree dots symbol that is at the top right corner of the browser and click on Settings. You may submit the request by mail, fax, or e-mail to one of the following: MDHHS/Medicaid Program Policy Division Enrollment in the plan depends on the plan's contract renewal with Medicare. 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). Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Lansing,MI48909 Information on treatment and services for juvenile offenders, success stories, and more. Call Michigan ENROLLS at (888) 367-6557. It is easiest to navigate the manual using bookmarks. 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 . Click here to view HKD program information. Information on the Food Assistance Program, eligibility requirements, and other food resources. 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. If you receive NH Medicaid benefits and you need assistance finding a NH Medicaid dentist, contact the NH DHHS Customer Service Center toll-free at 1-844-ASK-DHHS (1-844-275-3447) (TDD Relay Access: 1-800-735-2964), Monday through Friday, 8:00 a.m. to 4:00 p.m. One is the normal Medicaid plan and the second is MIChild. Health Care Coverage information and resources. Check eligibility, explore benefits, and enroll today. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Molina provides unlimited round-trip or one-way trips for covered, medically necessary services each calendar year. The online version of the Manual isupdated quarterly to incorporate any policies transmitted via policy bulletins since the last Manual update. 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. Find a Healthy Michigan Plan If you are using a dial-up modem, we recommend you use the CD version of the Manual. EPSDT is Medicaid's comprehensive child health program. There is only an income test. It outlines everything you need to know about your Molina Healthcare of Michigan Medicaid Health Plan. oral surgeons that accept medicaid in michiganirina emelyanova pasternak 26th February 2023 / in coastal carolina football camp 2022 / by / in coastal carolina football camp 2022 / by Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. You can contribute up to $3,650 for single coverage or $7,300 for family coverage in 2022, plus $1,000 in catch-up contributions if you're 55 or older. Birth, Death, Marriage and Divorce Records. Enroll now. Call 1-800-905-8671 TTY 711, or use your preferred relay service for more information. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. 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 about the health care programs available through Medicaid and how to qualify. Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. 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 assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. These data reflect a range of indicators related to key application, eligibility, and enrollment processes within the state Medicaid and CHIP agency. Information about injury and violence prevention programs in Michigan. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. If you need help with transportation to a dental appointment for a covered dental service, click here for the guide to . <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Residents of Michigan should verify the current years limits in order to determine which eligibility category they fall under. After your Medicaid case is opened, Michigan ENROLLS* will contact you about your Health Plan choices. Dual eligibility occurs when an individual who receives Medicare also qualifies for Medicaid-related assistance based on low income. 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. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Information on Safe Sleep for your baby, how to protect your baby's life. Low-income Households Water Assistance Program (LIHWAP). 1) Institutional / Nursing Home Medicaid - This is an entitlement program; anyone who is eligible will receive assistance. 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. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. 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. 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. The findings about Michigan Medicaid expansion coverage's impact on dental health are similar to other findings on health outcomes made by the University of Michigan Institute for Healthcare Policy and Innovation ( IHPI) team, said senior author John Ayanian. 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. Information on the Food Assistance Program, eligibility requirements, and other food resources. Additional Guidance and Clarification for the Coverage of COVID-19 Prevention, Treatment, and Support Services. ; Your Provider will use your Health Plan card and mihealth card to . Delta Dental has affordable individual dental plans available for you. 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. Medicaid Certificate of Coverage and Member Handbook; Healthy Michigan Plan Certificate of Coverage and Member Handbook; Have a question? Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Review the information in this section before contacting customer service. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. 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. 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. Medicare dual eligible special needs plans Plans that provide special coverage for those who have both Medicaid and Medicare . In addition, there are resources and links to information on infant oral health and community participants. A smaller, If you would like to receive a CD version of the. Dentists that take Medicaid can be hard to find, in fact, only 38% of dentists in the US accept Medicaid. For Government Resources Regarding Medicare, Please Visit www.medicare.gov. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Pregnant Medicaid members can use this benefit to visit any Molina Healthcare provider. View the complete dataset on Data.Medicaid.gov. <> <> 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. Medicare recipients in Michigan who qualify may be able to enroll in both Medicare and Medicaid, or a Medicaid-managed program, that provides some dental care benefits. If you cannot afford child care, payment assistance is available. endobj 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. 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. 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