Information about audits conducted by the Office of Audit. 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. Low-income Households Water Assistance Program (LIHWAP). 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. 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). Child Welfare Medical and Behavioral Health Resources. LoginAsk is here to help you access Michigan Medicare Region Map quickly and handle each specific case you encounter. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Keeping your web browser up to date is very important. Information is collected to monitor the general health and well-being of Michigan citizens. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. The Michigan Medicaid Network State Director manages and oversees compliance with our Network responsibilities as provided within the State Medicaid contractual requirements as outlined below: Step 3: Then you can look up dentist in four ways: 1. DETROIT, Oct. 6, 2022 /PRNewswire/ Meridian, a Michigan-based provider of government-sponsored health plans, announced today the results of a six-month program that offered services from Papa, a curated platform of companionship and support, to Medicaid members age 45 and over with a high rate of emergency department utilization. UnitedHealthcare Dual Complete Special Needs Plan. Medicaid.gov. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. This site contains information for: Individuals - People looking to apply for benefits, learn more about Medicaid programs, or find help Providers - Health care providers who are enrolled with Medicaid or would like to enroll and need more information about billing, Medicaid programs, and help resources 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. Low-income Households Water Assistance Program (LIHWAP). Legislation policy and planning information. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. information about the Department's public safety programs. The call is free. 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. Adult Behavioral Health & Developmental Disability Services. To open these files, you need the free AdobeAcrobatReader. This list is updated nightly. Universal caseload, or task-based processing, is a different way of handling public assistance cases. And, now it's easier to find one that's right for you. 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. Low-income Households Water Assistance Program (LIHWAP). Information is collected to monitor the general health and well-being of Michigan citizens. Children's Special Health Care Services information and FAQ's. If you cannot afford child care, payment assistance is available. Centers For Medicare And Medicaid Services (CMS) [2/15/2017] | Flickr www.flickr.com. Category Information about audits conducted by the Office of Audit. Resources and information to assist in assuring firearm safety for families in the state of Michigan. This option provides an immediate real time response to each eligibility request. 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. Please select your line of business and enter a CPT to lookup authorization for services. Information on communicable & chronic diseases. * Indicates a required field. Medicaid Provider Manual Learn about our responses to Coronavirus and find the latest program guidance. It is easiest to navigate the manual using bookmarks. The Manual was created in Adobe Acrobat portable document format (PDF). A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Information on treatment and services for juvenile offenders, success stories, and more. Information on the Food Assistance Program, eligibility requirements, and other food resources. Centers for medicare and medicaid services (cms) [2/15/2017]. Child Welfare Medical and Behavioral Health Resources. Verifying Eligibility with the mihealth card: Eligibility Inquiry - Beneficiary SearchOptions: The following searchoptionsare availableusing theCHAMPSEligibility Inquiryand/or 270/271 transaction: 1. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. URGENT: Learn about our responses to Coronavirus and find the latest program guidance. Information is collected to monitor the general health and well-being of Michigan citizens. The Maternal Infant Health Program (MIHP) requirements are outlined in detail in both Medicaid Policy and the MIHP Program Operations Manual. Who are you? A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. QPP participation status lookup tool You can use your 10-digit National Provider Identifier (NPI) number to see if you need to submit data to MIPS. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. If you cannot afford child care, payment assistance is available. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Information on child support services for participants and partners. www.Michigan.gov/Coronavirus>> Resources >> For Health Professionals. Legislation policy and planning information. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. medicaid portion. Low-income Households Water Assistance Program (LIHWAP). and program assignment factors (e.g., scope/coverage codes, level of care codes, etc.). ALL inpatient confinements require PA and usually ALL services provided by non-participating providers require PA. or Authorizations. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. ), ,including the payer name, payer ID, coverage type code, group number, policy number, and policy holder ID. The Provider & Pharmacy Directory outlines your plan's network of Primary Care Physicians, Specialists, Hospitals, Skilled Nursing Facilities, Outpatient Facilities, Pharmacies and Supplemental Provider contacts. Information on the Safe Delivery Program, laws, and publications. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Instructions on how to obtain a user ID/password and to subscribe to CHAMPS: Clearinghouses registered with CHAMPS. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Michigans stay at home order has been lifted, learn about each phase of theMI Safe Start Plan, Resuming Standard Operations for Case Management and Home and Community Based Services. Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are notprovided. Resources > Search Providers. Legislation policy and planning information. 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 Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. information about the Department's public safety programs. 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. Information on the Children's Foster Care program and becoming a Foster Parent. If you are searching for a Pharmacy, use the Specialty dropdown and select 'Pharmacy' and click 'Find'. X12 270/271 (Batch) HIPAA Transaction: This transaction allows users to submit a batch file at any time and receive a response file within 24 hours. Medicaid is a state and federally funded program that provides health coverage to eligible low-income adults (including pregnant women), children, adults age 65 and older and people with disabilities. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Medicaid Health Plan (MHP) Primary Care Physician (PCP), including the PCP name, telephone number, and NPI. If you're pregnant or enrolled in the Healthy Michigan Plan, you can also find a dentist. NOTICE: This information may be sensitive and/or private, thus subject to HIPAA . Welcome to Michigan Medicaid. Learn about our responses to Coronavirus and find the latest program guidance. 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. 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. Please utilize the Provider Verification tool in CHAMPS to verify if the provider is enrolled and active with Medicaid before submitting a new claim. Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, https://dev.michigan.local/som/json?sc_device=json, Due to the size of this document (approximately 16MB), you may experience a delay before it opens. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Find, select or change your primary care physician. McLaren Health Plan Medicaid customer service is available Monday through Friday from 8 a.m. to 6 p.m. at 888-327-0671 (TTY: 711). Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. If, after reviewing MIHP requirements and expectations, your organization wishes to apply to become an MIHP provider, please send the agency contact information to mihp@michigan.gov You will then be invited to a New Provider Inquiry meeting. Page Last Modified: 12/01/2021 05:40 PM Help with File Formats and Plug-Ins Our representatives are available 24 hours a day. Our directory is updated weekly. 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 web Browser you are currently using is unsupported, and some features of this site may not work as intended. Top 10 Medicaid Provider Specialties in Michigan: Family Doctor (2511 providers) Internist (2318 providers) Pediatrician (Kids / Children Specialist) (1485 providers) Obstetrician / Gynecologist (OBGYN) (862 providers) Emergency Doctor (832 providers) Radiologist (691 providers) Surgeon (656 providers) Psychiatrist (585 providers) Information on the Food Assistance Program, eligibility requirements, and other food resources. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Contact the provider to verify that they accept the Medical ID and the service is covered. However, this does NOT guarantee payment. 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 American Indian Services, Employment and Training. Health Care Coverage information and resources. Free transportation services are a covered benefit. The service you are attempting to use is temporarily unavailable due to maintenance operations. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. UPHP Notice of Nondiscrimination Accessibility Statement UPHP News About UPHP Pharmacy Contact Us Login Sitemap Services Medicare Medicaid Providers Upper Peninsula Health Plan 906-225-7500 or 800-835-2556 Emergency Relief: Home, Utilities & Burial, Formula Updates and Shortage Information for WIC Clients, General Information For Families About CSHCS, Supplemental Nutrition Assistance Program Education, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, 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, 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, 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, Trauma Facility Verification and Designation, MI Interagency Migrant Services Committee, Students in Energy Efficiency-Related Field, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy. Select your state. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Information on Safe Sleep for your baby, how to protect your baby's life. Child Welfare Medical and Behavioral Health Resources. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Information on DHS Applications and Forms grouped by category. Find a Molina Healthcare provider near you today You can find our providers in hospitals and clinics near you. Information about injury and violence prevention programs in Michigan. In 2022 the dates are March 15th and May 12th. City City. Enter City and State, or Zip Code. PO Box30479 Are You a Member? Universal caseload, or task-based processing, is a different way of handling public assistance cases. Child Welfare Medical and Behavioral Health Resources. Information on American Indian Services, Employment and Training. We began in 1961 as a nursing home company called Extendicare and became known as Humana in 1974. Search for the highest-quality providers using the Blue Distinction filter. PO Box 30479 Lansing, MI 48909 or E-mail: MSA-Forms@Michigan.gov Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. 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 the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. Provider Enrollment All providers who serve Michigan Medicaid beneficiaries are required to be screened and enrolled in the Community Health Automated Medicaid Processing System (CHAMPS). Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. We are a Medicare-Medicaid plan for dual-eligible members ages 21 and over. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. The followingoptions are available for enrolled MI Medicaid Providersto verifyeligibilityfor the, To access the CHAMPS system you must log onto. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Michigan Preferred Drug List (PDL)/Single PDL Effective 10/01/2022 Preferred Agents do not require prior authorization, except as noted in the chart at the bottom of the page Learn more. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Payment of claims is dependent on eligibility, covered benefits, provider contracts, correct coding and billing practices. 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 on DHS Applications and Forms grouped by category. Monday 10/24/2022 05:18 PM CST. Michigan Health Specialists Providers - Michigan Health. Priority Health Choice, Inc. provider directory Read the Priority Health Choice, Inc. drug list Find doctors, hospitals, pharmacies and urgent care centers (website) Review the Michigan Medicaid Health Plan Common Formulary (website) Healthy Michigan plan details Healthy Michigan Plan Certificate of Coverage and Member Handbook E-mail: MSA-Forms@Michigan.gov. A variety of reports & statistics for programs and services. Call Michigan Medicine Customer Service. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Choose the correct option. Information on DHS Applications and Forms grouped by category. Meridian Health Plan of Michigan, Inc. is rated 4 out of 5 in NCQA's Medicaid Health Insurance Plan Ratings 2016-2017 and NCQA's Medicaid Health Insurance Plan Ratings 2017-2018. . Enabling bookmarks depends on which web browser you are using. Authorization Lookup. Information about audits conducted by the Office of Audit. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 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. Information on American Indian Services, Employment and Training. You can call Member Engagement Center and ask us to make a note in our system that you would like materials in Spanish, large print, braille, or audio now and in the future. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. This tool is for general information only. MDHHS discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). >> Medicaid Provider Manual Each Michigan Department of Health and Human Services (MDHHS) office must furnish information in writing and orally, as appropriate, to any requesting individual, acknowledging that non-emergency medical transportation (NEMT) is ensured to and from Medicaid (MA) covered services. Information is collected to monitor the general health and well-being of Michigan citizens. Information on communicable & chronic diseases. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Select your plan. Beneficiary ID number or Client Identification Number (CIN) (MIChild Inquiries only), 2. If you cannot afford child care, payment assistance is available. Information & resources for Community and Faith-Based partners. Are You an Agent? Select your plan. Providers must verify eligibility using one of the options indicated on this page prior to rendering services. Health MICHIGAN HEALTH SPECIALISTS KHALID AHMED, MD. Michigan Medicare Region Map will sometimes glitch and take you a long time to try different solutions. Information on treatment and services for juvenile offenders, success stories, and more. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. To open these files, you need the free AdobeAcrobatReader. Search for Primary Care Providers, hospitals, pharmacies and more using the Search Tool below. The followingoptions are available for enrolled MI Medicaid Providersto verifyeligibilityfor the Medicaid, Healthy Michigan Plan,CSHCS,MOMS, and MIChild programs: Michigan Public Health Institute is now able to accept Real-Time/Batch HIPAA 270/271 transactions from all Providers, Billing Agents, and Clearinghouses registered with CHAMPS. Medicaid Only; Healthy Michigan; MIChild; Children's Special Health Care Services; Service Area; For Members. 2. These SNP plans provide benefits beyond Original Medicare, and may include transportation to medical appointments and vision exams. Maggie Noger, PA-C. Alexis Leach PA-C. Joyce Stevens, MD. CSHCS restriction data, including qualifying diagnosis code(s) and authorized provider list if the provider submitting the inquiry is authorized for the date of service. Information on the Children's Foster Care program and becoming a Foster Parent. Information on Safe Sleep for your baby, how to protect your baby's life. DEFINITIONS 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. Expectations are clearly specified for all program areas, including but not limited to provider staffing, certification and recertification, interventions, billing, provider-specific performance reporting, coordination with medical providers and Medicaid . Newer web browsers let you use more features and new technologies resulting in a better browsing experience. Information on the Safe Delivery Program, laws, and publications. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Download a copy here: 2022 Arabic: 2022 Download a copy here: 2023 Arabic: 2023 Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Information on the Children's Foster Care program and becoming a Foster Parent. The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. Information & resources for Community and Faith-Based partners. 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. At Aetna Better Health of Michigan, we see our providers as our allies in providing high-quality health care services to a vulnerable population. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. 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