Dental services must be provided at intervals that meet reasonable standards of dental practice, as determined by the state after . 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 . Please select one of the states in which Molina Healthcare provides 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. Delta Dental is one of the Healthy Michigan Plan's benefit administrators. Visiting the dentist on a regular basis for cleanings, X-rays and other needed services will prevent pain and discomfort in the future when small problems, if left untreated, could turn into larger problems or even dental emergencies. Newer web browsers let you use more features and new technologies resulting in a better browsing experience. The postpartum period is 3 months following end of pregnancy. Many recipients enroll in a separate insurance policy in order to get those benefits. Information on the Food Assistance Program, eligibility requirements, and other food resources. MIChild has a higher income limit than U-19 Medicaid. 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. Meaning children with Medicaid must receive dental care that provides the following: Regular dental care maintenance, including teeth cleanings and checkups Tooth restorative care Michigan Medicaid Provider Manual >> Dental Chapter >> Section 2.1 Prior Authorization Requirements in Cases of Misutilization After your Medicaid case is opened, Michigan ENROLLS* will contact you about your Health Plan choices. Please identify the project number of the proposed Medicaid policy or consultation summary if known. oW~G\y^y"]&gasklV[rOd$P&(}sS"Oo. Low-income Households Water Assistance Program (LIHWAP). The state contracts with Delta Dental and Blue Cross Blue Shield of Michigan. Information on child support services for participants and partners. A smaller zipped copy(14MB) is also available. endstream
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. 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. E-mail: MSA-Forms@Michigan.gov. <>
Read here. We are also ramping up our efforts to educate consumers, health care providers and the public about positive oral health practices. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Can't find what you're looking for? Together, they provide a network of dentists for children ages 0-20. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. 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. NOTE: Comments will not be accepted for proposed Medicaid policy after the public comment period has closed. Children's Special Health Care Services information and FAQ's. Best Medicare dental coverage for seniors. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Information about injury and violence prevention programs in Michigan. November 22, 2022: Michigan Medicaid Coverage of the National Diabetes Prevention Program: Tribal Chairs and Health Directors: L 22-64: November 15, 2022: . Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. This dental insurance plan in Michigan offers a yearly maximum of $1,250 per individual. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Partial dual-eligibility places Medicare recipients into the following categories of Medicare Savings Programs: Medicaid Dental Coverage Options in Michigan In Michigan, adults who are dual-eligible recipients of both Medicare and Medicaid may qualify for coverage of certain dental services. Recipients who receive Medicaid-administered help with long-term care services may qualify for dental coverage as part of that programs package of benefits. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Low-income Households Water Assistance Program (LIHWAP). Information about audits conducted by the Office of Audit. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Each state has the ability to set the income and asset limits necessary to qualify for assistance, and these limits can change each year. Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities. Birth, Death, Marriage and Divorce Records. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. xR=o0-?$B"bHiHsHY:q|g>=!;H3D`B!p*(yAM _nH(.+E`:#J(9v6+\S+uK]{J5SH,T_loX^H7WdUea!mGBf,J!]m5HnT"gdIz~;M~a3! The following are provider letters issued in 2022. Information on child support services for participants and partners. This page contains policy bulletins issued in 2022. 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. Delta Dental is one of the Healthy Michigan Plan's benefit administrators. 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. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. <>
There are 191 Medicare Advantage plans available in . Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Information on communicable & chronic diseases. Information on the Safe Delivery Program, laws, and publications. stream
When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. 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. Click here to view HKD program 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. xf{ a8 YdD@ '[Mb90BB $[Uwu3Z3=l!B!B!B!B!B!B{>/OU{[}z_:Xzr{oTWWwz5,j~L'?+J/?={BK+Cu~7%B"Uz$IR^9NOUOW]'Mvp+J/?uofk j +rXPr{oTWt3grnO;j~LDy?:!{4$~ The Manual was created in Adobe Acrobat portable document format (PDF). Adults without children will not be charged the pediatric premium. A variety of reports & statistics for programs and services. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Call our customer service team at 866-558-0280(TTY users call 711)for help today. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. What you need to know. Get benefit help and information for you and/or your child in your language. Detroit February 22, 2023 With the public comment period now closed, reimbursement enhancements that will pump more than $85 million into dental care are on track for implementation effective April 1, 2023. Low-income Households Water Assistance Program (LIHWAP). 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 Safe Sleep for your baby, how to protect your baby's life. Any information we provide is limited to those plans we do offer in your area. MIChild is a health care program for children who are under age 19 administered by the Michigan Department of Health and Human Services. 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. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Information is collected to monitor the general health and well-being of Michigan citizens. Enroll now. On The low percentage of participation of Americans in Medicaid may be due to the facts that: Information on the Safe Delivery Program, laws, and publications. Information on child support services for participants and partners. Information & resources for Community and Faith-Based partners. 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. Be sure to tell the dental office that you are a Medicaid member. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Adult Behavioral Health & Developmental Disability Services. If you need help with transportation to a dental appointment for a covered dental service, click here for the guide to . 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. 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. Medicaid Certificate of Coverage and Member Handbook; Healthy Michigan Plan Certificate of Coverage and Member Handbook; Have a question? Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Information on DHS Applications and Forms grouped by category. 1 0 obj
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. Information on the Children's Foster Care program and becoming a Foster Parent. <>/Metadata 1981 0 R/ViewerPreferences 1982 0 R>>
Information about the health care programs available through Medicaid and how to qualify. Dual eligibility occurs when an individual who receives Medicare also qualifies for Medicaid-related assistance based on low income. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Information on the Children's Foster Care program and becoming a Foster Parent. Enrollment in the plan depends on the plan's contract renewal with Medicare. Information on American Indian Services, Employment and Training. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Medicaid Provider Manual
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 DHS Applications and Forms grouped by category. 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. 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. Health Care Coverage information and resources. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Keeping your smile healthy is an important part of keeping your body healthy. MDA Members: Click here to login. The governor called for significant investments in two critical areas: $68.7 million in adult dental Medicaid coverage, which will result in $243 million total when related federal funds are included. 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. Compare plans! We believe you will find the format and search capabilities of this Manual to be user-friendly and having all policies in a single document very convenient. 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. For Provider "L" Letters, click here. ; Your Provider will use your Health Plan card and mihealth card to . Adult Behavioral Health & Developmental Disability Services. It is for the low income uninsured children of Michigan's working families. It outlines everything you need to know about your Molina Healthcare of Michigan Medicaid Health Plan. 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 about audits conducted by the Office of Audit. Molina Healthcare providesdental services to pregnant women. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Remember to write down the date and time of the appointment. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. 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. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. 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.) Michigan did accept federal funding to expand Medicaid under the ACA. We use cookies on our website. Full dual-eligibility means Medicare recipients receive all Medicaid-related benefits. Please visit MyMolina.com if you would like to review your healthcare coverage. Health Care Coverage information and resources. Find a Healthy Michigan Plan
In most cases, recipients who receive medical services will have their copayments, coinsurance and deductible amounts paid for by their needs-based coverage. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. EPSDT is a mandatory service required under a state's Medicaid program. Legislation policy and planning information. 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. Low-income Households Water Assistance Program (LIHWAP). 4 0 obj
Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are notprovided. "We can clearly see the positive impact of Medicaid coverage of dental care . MDHHS News, Press Releases, Media toolkit, and Media Inquiries. 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. If you are hearing impaired, please call Molina Healthcare by dialing our TTY line at 711. You will receive the current published version of the manual that is available at that time. MI Health Link - MI Health Link is responsible for coverage of dental benefits for MI Health Link enrollees. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. It is easiest to navigate the manual using bookmarks. Programat (888) 898-7969, Monday through Friday, from 8 a.m. to 5 p.m., EST. Molina provides unlimited round-trip or one-way trips for covered, medically necessary services each calendar year. Birth, Death, Marriage and Divorce Records. information about the Department's public safety programs. 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. For Provider "L" Letters, click here. Medicare.Org Is Privately Owned And Operated By Health Network Group, LLC. What you need to know. endobj
There are two programs 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. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. 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. Gov. The simple answer is no in 2023, but government programs are notoriously challenging to navigate, and the critical line between medical and dental care is fuzzy. 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. In all of the states, these minimum requirements do not include dental for adults, only for those who are under the age of 21. POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. Children who are covered by Medicaid are entitled to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services when they go to the dentist. Adult Behavioral Health & Developmental Disability Services. Legislation policy and planning information. Information on treatment and services for juvenile offenders, success stories, and more. A variety of reports & statistics for programs and services. Delta Dental has affordable individual dental plans available for you. 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. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. 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. information about the Department's public safety programs. Additional factors, such as certain disabilities and marital status, can impact eligibility. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. 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. Healthy Kids Dental is a Medicaid health care program, available for low-income children under age 21. Michigan Medicaid does have benefits that will cover adults through its Healthy Michigan plan. If this information is unknown, reference the month, year, and subject of the bulletin or the consultation summary in your request. 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 Food Assistance Program, eligibility requirements, and other food resources. Medicaid is health insurance across the nation, which means all eligible citizens might enjoy advantages for medically required assistance. In all, 60% of the 4,090 enrollees . Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. 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.