Programat (888) 898-7969, Monday through Friday, from 8 a.m. to 5 p.m., EST. The documents will be e-mailed to you. What you need to know. Some of the common procedures of Medicaid coverage for adults in 2022 are: Each state has specific regulations about which dental specialty areas they possess. 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. Low-income Households Water Assistance Program (LIHWAP). A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Get benefit help and information for you and/or your child in your language. Information on treatment and services for juvenile offenders, success stories, and more. %PDF-1.7 Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Any information we provide is limited to those plans we do offer in your area. Medi-Cal Dental Schedule of Maximum Allowances 1. Information on American Indian Services, Employment and Training. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. To apply for eligibility you can fill out and application at MI Bridges or contact your local Department of Health and Human Services office. 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. Using the Overview, you will be able to identify the chapters most relevant to you and your activities. My Community Dental Centers offers dental services to medicaid enrollees and the uninsured in your local Michigan community. Once you find a dentist, call and make an appointment. There are two programs in the state of Michigan. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Join or renew membership today by calling 800-589-2632 or apply online. Information about audits conducted by the Office of Audit. 1 0 obj To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. In addition, there are resources and links to information on infant oral health and community participants. Medicaid Medicare Michigan health insurance marketplace 2023 guide Michigan continues to have one of the most robust health insurance exchanges in the country, with ten carriers offering coverage for 2023. Dentists that take Medicaid can be hard to find, in fact, only 38% of dentists in the US accept Medicaid. Healthy Kids Dental is a Medicaid health care program, available for low-income children under age 21. See the list of preventive services covered at no cost to you. The MDHHS redesign proposal heavily leans on input provided by the MDA on behalf of members and focuses on four key pillars: 1)increased reimbursement rates for providers; 2)improved access and provider participation; 3) enhanced care coordination; and 4) building a robust dental benefit package. Best Medicare dental coverage for seniors. Effective January 1, 2022 Page 1 of 36. The low percentage of participation of Americans in Medicaid may be due to the facts that: endstream 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. Medicare dual eligible special needs plans Plans that provide special coverage for those who have both Medicaid and Medicare . Cookies are used to improve the use of our website and analytic purposes. A Non-Government Resource For Healthcare All Rights Reserved 2023. Legislation policy and planning information. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Information on child support services for participants and partners. 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. Speak with a Licensed Medicare Sales Agent 877-388-0596 - TTY 711. If you cannot afford child care, payment assistance is available. It outlines everything you need to know about your Molina Healthcare of Michigan Medicaid Health Plan. Medicare-Medicaid Full and Partial Dual Eligibility. Please reference the Member Handbook and Certificate of Coverage for more detailed information. If you cannot afford child care, payment assistance is available. It is important that pregnant women get proper dental care during their pregnancy for the health and wellbeing of the mother and infant. Adult Behavioral Health & Developmental Disability Services. There are three categories of Medicaid long-term care programs for which Michigan seniors may be eligible. The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. Information on the Safe Delivery Program, laws, and publications. 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. Birth, Death, Marriage and Divorce Records. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. The modifier and age range fields are applicable to the fee screen and do not reflect coverage parameters. Gretchen Whitmer's 2022-23 budget proposal, unveiled this week, is good news for dentistry and the oral health of Michiganders. 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. If you would like to view historical versions of proposed Medicaid policy that were released for public comment or you would like to obtain a consultation summary of any bulletin, e-mail msadraftpolicy@michigan.govwith your request. Ambulatory . Many recipients enroll in a separate insurance policy in order to get those benefits. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. A smaller, If you would like to receive a CD version of the. 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 Information on treatment and services for juvenile offenders, success stories, and more. View the complete dataset on Data.Medicaid.gov. information about the Department's public safety programs. To be eligible, you must have an annual household income (before taxes) that is below the following amounts: Select Household Size and program assignment factors (e.g., scope/coverage codes, etc. Please visit MyMolina.com if you would like to review your healthcare coverage. Legislation policy and planning information. Michigan Medicaid Provider Manual >> Dental Chapter >> Section 2.1 Prior Authorization Requirements in Cases of Misutilization Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. 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. However, if you decide to print, it is suggested printing be limited to only those chapters relevant to your practice or interest, and that printing be done in black and white. 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. Child Welfare Medical and Behavioral Health Resources. Can't find what you're looking for? 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. Meaning children with Medicaid must receive dental care that provides the following: Regular dental care maintenance, including teeth cleanings and checkups Tooth restorative care oW~G\y^y"]&gasklV[rOd$P&(}sS"Oo. Medicaid Provider Manual Information on DHS Applications and Forms grouped by category. Health Care Coverage information and resources. Meridian and Aetna Better Health have Dentaquest, Blue Cross Complete has HMI Dental and UnitedHealthCare has their own dental plan (call 1-800-903-5253). Information on DHS Applications and Forms grouped by category. For Notices of Proposed Policy, click here. For Government Resources Regarding Medicare, Please Visit www.medicare.gov. Information on DHS Applications and Forms grouped by category. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Information on the Food Assistance Program, eligibility requirements, and other food resources. All Medicare plans come with standard vision, dental . Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. The program focuses on prevention, early diagnosis, and treatment of medical conditions. Medicaid Certificate of Coverage and Member Handbook; Healthy Michigan Plan Certificate of Coverage and Member Handbook; Have a question? Click here to view HKD program information. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. The professional fee schedule format lists procedure codes, descriptions, and fee screens. Information on the Children's Foster Care program and becoming a Foster Parent. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Molina Healthcare will provide the names of participating dentists in their area who are available to provide dental services. In most cases, recipients who receive medical services will have their copayments, coinsurance and deductible amounts paid for by their needs-based coverage. 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. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Inability to access dental care can result in poor oral health. 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. For other years of approved Medicaid policy bulletins, click here. endobj ), Archived Proposed Medicaid Policy Distributed for Public Comment and Consultation Summaries. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Recipients who qualify for Medicare Savings Programs that also offer full Medicaid-related benefits coverage may also access some routine dental services and certain extras. 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. Information on American Indian Services, Employment and Training. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. Information about audits conducted by the Office of Audit. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Newer web browsers let you use more features and new technologies resulting in a better browsing experience. information about the Department's public safety programs. 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. 4 0 obj Resources and information to assist in assuring firearm safety for families in the state of Michigan. Step Two: Make an Appointment . Find a dentist, review benefits, download or print an ID card, and much more through Member Portal, available 24/7. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty 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 . ET. Get dental coverage as a pregnant member, during and for a full year after . Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Keeping your web browser up to date is very important. If this information is unknown, reference the month, year, and subject of the bulletin or the consultation summary in your request. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. E-mail: MSA-Forms@Michigan.gov. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Information on American Indian Services, Employment and Training. Children's Special Health Care Services information and FAQ's. If you have questions about our plan, call HAP Empowered at (888) 654-2200 (TTY: 711) <> Information about the health care programs available through Medicaid and how to qualify. 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. 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. An important fact to keep in mind is that states are not required by federal law to offer dental services as part of their needs-based health care programs for low-income residents. 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 on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. 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. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. 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. % For Microsoft Edge enable Adobe flash player. Low-income Households Water Assistance Program (LIHWAP). According to the American Dental Association, 36% of lower-income Americans have lived through untreated cavities. How to enroll. In 2017, 7.7 million people (more than one out of eight people with Medicare) were in the QMB program. Pregnant Medicaid members are able to use their Molina Healthcare Medicaid ID card to obtain dental services. 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. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. For other years of approved Medicaid policy bulletins, click here. Two options: MyPriorityDelta Dental Standard and MyPriorityDelta Dental Enhanced (includes ortho coverage) Preventive covered at 100% immediately - no waiting period In all of the states, these minimum requirements do not include dental for adults, only for those who are under the age of 21. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Information on the Food Assistance Program, eligibility requirements, and other food resources. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Please select one of the states in which Molina Healthcare provides services. We are also ramping up our efforts to educate consumers, health care providers and the public about positive oral health practices. The following are provider letters issued in 2022. For Provider "L" Letters, click here. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. In all, 60% of the 4,090 enrollees . Information on treatment and services for juvenile offenders, success stories, and more. The postpartum period is 3 months following end of pregnancy. PO Box30479 The web Browser you are currently using is unsupported, and some features of this site may not work as intended. We use cookies on our website. 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. 5 0 obj Please contactMedicare.govor 1-800-MEDICARE (TTY users should call1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. 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).

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