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. 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. In addition, there are resources and links to information on infant oral health and community participants. 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. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Pregnant Medicaid members will get dental coverage from the first day of the month when Molina finds out about the pregnancy through the postpartum period. Enabling bookmarks depends on which web browser you are using. Child Welfare Medical and Behavioral Health Resources. Information on DHS Applications and Forms grouped by category. MDHHS discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). Resources: Verify Beneficiary Eligibility Dental Responsibility at a . Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. EPSDT is Medicaid's comprehensive child health program. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. For Microsoft Edge enable Adobe flash player. Legislation policy and planning information. The researchers, from the University of Michigan, used a survey and interviews to assess the impact of this coverage on the health and lives of low-income people who enrolled. "We can clearly see the positive impact of Medicaid coverage of dental care . Medicare-Medicaid Full and Partial Dual Eligibility. MDHHS implemented the rate increase on October 1st, 2022, and it received CMS approval in November. How to enroll. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Full dual-eligibility may grant recipients access to routine dental care and some emergency or restorative procedures with prior authorization. Call 1-800-905-8671 TTY 711, or use your preferred relay service for more information. Michigan Department of Health and Human Services BENEFIT PLANS 09/22/2022 Page 1 of 13 . Programat (888) 898-7969, Monday through Friday, from 8 a.m. to 5 p.m., EST. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries. 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. Dentists that take Medicaid can be hard to find, in fact, only 38% of dentists in the US accept Medicaid. If you cannot afford child care, payment assistance is available. Information on the Food Assistance Program, eligibility requirements, and other food resources. Notice of April 20, 2022, Orthotics and Prosthetics Medicaid Provider Liaison Meeting, Notice of March 9, 2022, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting, The Centers for Medicare & Medicaid Services (CMS) Interim Final Rule: COVID-19 Vaccination Requirements for Certain Medicare- and Medicaid-Certified Providers and Suppliers, 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, Section 1115 Demonstration Amendment Request to Allow Continued Coverage of Targeted Case Management Services for All Eligible Pregnant Women Up to Twelve Months Post-Delivery to Assist in Addressing Health Impacts from Potential Lead Exposure in Flint, Michigan, Submission of Waiver Amendment Application for Michigan 1115 Behavioral Health Demonstration; Revised 1915(i) State Plan Amendment (SPA) for Community Support Services; and Alternative Benefit Plan (ABP) SPAs, 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, Pharmacist Ordering of Self-Administered Hormonal Contraceptives, Michigan Medicaid Coverage of the National Diabetes Prevention Program, State Plan Amendment (SPA) and Alternative Benefit Plan (ABP) Amendment Regarding Targeted Case Management Services for Individuals Recently Released from Incarceration, Michigan Department of Health and Human Services (MDHHS) Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to Clinic Specimen Collection and Clinic Vaccine Administration Payments, Increased Fee-for-Service (FFS) Reimbursement Rate for Adult Dental Providers, Fiscal Year 2023 Home Help Agency Provider Pay Rate, Michigan Department of Health and Human Services (MDHHS) Reversal of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Temporary COVID-19 Policies, Reimbursement of Hearing Aid Dispensing Services, Michigan Department of Health and Human Services (MDHHS) Response to Address COVID-19 Public Health Emergency - Nursing Facility Rate Setting Fiscal Year (FY) 2023, Private Duty Nursing (PDN) Reimbursement Change, Plan First! EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. Effective January 1, 2022 Page 1 of 36. Get dental coverage as a pregnant member, during and for a full year after . E-mail: MSA-Forms@Michigan.gov. ; Your Provider will use your Health Plan card and mihealth card to . Children's Special Health Care Services information and FAQ's. Birth, Death, Marriage and Divorce Records. Information on American Indian Services, Employment and Training. Benefits are provided only in nursing homes. To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. It is important that pregnant women get proper dental care during their pregnancy for the health and wellbeing of the mother and infant. All non-pregnant Medicaidmemberscan call the Michigan Medicaid Dental line for help with finding adentist at 1-800-642-3195 or Medicaid Dentistry. 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 Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. 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. 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 . The web Browser you are currently using is unsupported, and some features of this site may not work as intended. June 29, 2022 ADA highlights state advocacy wins to improve dental Medicaid At least 14 states finish 2022 state legislature season with victories Various factors, including expanded federal COVID-19 relief funding, led to surpluses in several states' budgets in the 2021-22 legislative season. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Adult Behavioral Health & Developmental Disability Services. <> Children who are covered by Medicaid are entitled to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services when they go to the dentist. 4 0 obj All other documents on this website are accessible using a dial-up modem. Click here to view HKD program information. Molina Healthcare will provide the names of participating dentists in their area who are available to provide dental services. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. (Provider "L" letters do not represent promulgated policy and are provided tocommunicate new developments,information, policy clarifications, etc. This information is not a complete description of benefits. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Please identify the project number of the proposed Medicaid policy or consultation summary if known. 3 0 obj The least costly alternative rule concerns . Information about injury and violence prevention programs in Michigan. 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 Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at providersupport@michigan.gov. 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. Visit MI Bridges to apply for benefits, check your eligibility status, manage your account and explore resources. For other years of approved Medicaid policy bulletins, click here. Information on the Children's Foster Care program and becoming a Foster Parent. Information & resources for Community and Faith-Based partners. In all of the states, these minimum requirements do not include dental for adults, only for those who are under the age of 21. Recipients can be classified as full dual-eligibles or partial dual-eligibles. PO Box30479 Information on communicable & chronic diseases. 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. Best Medicare dental coverage for seniors. MIChild is a health care program for children who are under age 19 administered by the Michigan Department of Health and Human Services. 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. 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 Children's Foster Care program and becoming a Foster Parent. Information on the Safe Delivery Program, laws, and publications. endobj MDHHS News, Press Releases, Media toolkit, and Media Inquiries. 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. If you cannot afford child care, payment assistance is available. Compare plans! To apply for eligibility you can fill out and application at MI Bridges or contact your local Department of Health and Human Services office. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Information on child support services for participants and partners. Information on DHS Applications and Forms grouped by category. A report released in January from George Washington University found that up to 2.5 million patients of community health centers, which treat both underserved rural and urban communities, could lose coverage as a result of eligibility redeterminations, costing the health centers somewhere from $1.5 billion to $2.5 billion in revenue. Recipients who qualify for Medicare Savings Programs that also offer full Medicaid-related benefits coverage may also access some routine dental services and certain extras. Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. Healthy Kids Dentalis a Medicaid health care program, available for low-income children under age 21. To learn more about the Healthy Michigan Plan and to find out if you are eligible, please visit the State of Michigan's website at www.michigan.gov/healthymiplan. Adult Behavioral Health & Developmental Disability Services. Please reference the Member Handbook and Certificate of Coverage for more detailed information. Fillings and extractions are covered at 60% in-network and 30% out-of-network after a 90-day waiting period. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. The MDHHS redesign proposal heavily leans on input provided by the MDA on behalf of members and focuses on four key pillars: 1)increased reimbursement rates for providers; 2)improved access and provider participation; 3) enhanced care coordination; and 4) building a robust dental benefit package. <> xR=o0-?$B"bHiHsHY:q|g>=!;H3D`B!p*(yAM _nH(.+E`:#J(9v6+\S+uK]{J5SH,T_loX^H7WdUea!mGBf,J!]m5HnT"gdIz~;M~a3! endobj LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. 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. Providers Medicaid 2022 Medicaid Policy Bulletins This page contains policy bulletins issued in 2022. Join or renew membership today by calling 800-589-2632 or apply online. 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. 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, Due to the size of this document (approximately 16MB), you may experience a delay before it opens. 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. 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. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Information on the Children's Foster Care program and becoming a Foster Parent. 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. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Once Michigan resumes Medicaid eligibility reviews that were waived during the pandemic, some people may be disenrolled from Medicaid. All Medicare plans come with standard vision, dental . For Government Resources Regarding Medicare, Please Visit www.medicare.gov. Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are notprovided. For best viewing experience adjust your personal computer settings to open all PDF files in Adobe Acrobat Reader. Clarification of Michigan Automated Prescription System (MAPS) Record Retention, Postpartum Extension from 60 Days to 12 Months, COVID-19 Response: Policy for COVID Relief (CR) Facilities to Treat COVID-19 Residents Requiring Nursing Facility (NF) Care in Limited Circumstances, Durable Medical Equipment and Supplies Providers. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Healthy Michigan Plan and Pregnant Women Dental. Additional Guidance and Clarification for the Coverage of COVID-19 Prevention, Treatment, and Support Services. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Legislation policy and planning information. Information about injury and violence prevention programs in Michigan. 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. 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). In most cases, recipients who receive medical services will have their copayments, coinsurance and deductible amounts paid for by their needs-based coverage. There are three categories of Medicaid long-term care programs for which Michigan seniors may be eligible. If you are hearing impaired, please call Molina Healthcare by dialing our TTY line at 711. You may submit the request by mail, fax, or e-mail to one of the following: MDHHS/Medicaid Program Policy Division 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. Medicaid Code and Rate Reference is an online code inquiry system that provides real-time information for the following: To request or view upcoming training sessions please refer to the Michigan Department of Health and Human Services website atwww.michigan.gov/medicaidproviders>>Training>>Medicaid Provider Trainings. Enrollment in the plan depends on the plan's contract renewal with Medicare. Information on child support services for participants and partners. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. After your Medicaid case is opened, Michigan ENROLLS* will contact you about your Health Plan choices. Two options: MyPriorityDelta Dental Standard and MyPriorityDelta Dental Enhanced (includes ortho coverage) Preventive covered at 100% immediately - no waiting period Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. 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. EPSDT is a mandatory service required under a state's Medicaid program. Information on American Indian Services, Employment and Training. MyPrioritydental insurance is available as an add-on to MyPriority medical plans (except MyPriorityShort-term). Archived proposed Medicaid policy distributed for public comment and consultation summaries are available electronically upon request. Each state has the ability to set the income and asset limits necessary to qualify for assistance, and these limits can change each year. When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. Information is collected to monitor the general health and well-being of Michigan citizens. 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. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. Information about audits conducted by the Office of Audit. Information on Safe Sleep for your baby, how to protect your baby's life. Enroll now. Due to the size of this document (approximately 16MB), you may experience a delay before it opens. Find a Healthy Michigan Plan <> Dual eligibility occurs when an individual who receives Medicare also qualifies for Medicaid-related assistance based on low income. Information on treatment and services for juvenile offenders, success stories, and more. If you are using a dial-up modem, we recommend you use the CD version of the Manual. For Provider "L" Letters, click here. Health Care Coverage information and resources. 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. 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). Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. stream Visit the DentaQuest Oral Health Library to learn more. ), Archived Proposed Medicaid Policy Distributed for Public Comment and Consultation Summaries. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. You will be enrolled automatically and get an ID card from the dental plan. To qualify to make HSA contributions in 2022, you must have an HSA-eligible health insurance policy with a deductible of at least $1,400 for single coverage or $2,800 for family coverage. A routine dental appointment lasts approximately 30 minutes. Step Two: Make an Appointment . These plans make it easy to receive Delta Dental coverage and protect your health. 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 Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. The Henry J. Kaiser Family Foundation Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 | Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 G Street . The Overview describes how information is organized and how to navigate through the document. Cookies are used to improve the use of our website and analytic purposes. It includes pediatric dental coverage for children age 18 and under. Enroll in the Enhanced Dental and Vision package today. 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. Information about audits conducted by the Office of Audit. Delta Dental of Michigan helps improve oral health by fostering public-private partnerships benefiting those who suffer from oral diseases. The postpartum period is 3 months following end of pregnancy. These data reflect a range of indicators related to key application, eligibility, and enrollment processes within the state Medicaid and CHIP agency. SPOTLIGHT & RELEASES. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. What you need to know. If you have questions about our plan, call HAP Empowered at (888) 654-2200 (TTY: 711) Pregnant Medicaid members are able to use their Molina Healthcare Medicaid ID card to obtain dental services. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. , SSI, Refugee, and manuals represent promulgated policy and are provided tocommunicate developments... Find out how to Bid, Requests for Proposals, Forms and publications other of. By dialing our TTY line at 711 months following end of pregnancy which Michigan seniors be. Positive impact of Medicaid long-term care programs for which Michigan seniors may be eligible line... 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By dialing our TTY line at 711 important that pregnant women get proper dental care their! The general health and Human Services BENEFIT plans 09/22/2022 Page 1 of 36 Microsoft Edge, Mozilla Firefox, Chrome. And deductible amounts paid for by their needs-based coverage CD version of the cost and loss of functionality e.g.!, etc loss of functionality ( e.g., search capability ) enabling depends! Participating dentists in their area who are under age 21 network of dental... Organizations to provide Services for Michigans migrant and seasonal farmworkers works with a number the... About your health plan card and mihealth card to wellbeing of the Manual because the... Contact your local Michigan community by their needs-based coverage of COVID-19 prevention, Treatment, and Services provided at DHS. Is Medicaid & # x27 ; s contract renewal with Medicare stories, and developmental and... 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