Fees payable to providers by Medi-Cal Dental for covered services shall be the LESSER of: a. provider's billed amount b. the maximum allowance set forth in the schedule below 2. 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. 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. 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. Michigan Medicaid Provider Manual >> Dental Chapter >> Section 2.1 Prior Authorization Requirements in Cases of Misutilization Information about the health care programs available through Medicaid and how to qualify. Delta Dental of Michigan helps improve oral health by fostering public-private partnerships benefiting those who suffer from oral diseases. We also recommend Aetna for low-cost dental coverage. Information on treatment and services for juvenile offenders, success stories, and more. Information on Safe Sleep for your baby, how to protect your baby's life. In Livingston and Washtenaw counties, those who have Molina and McLaren have Delta Dental, while other managed care plans use their own dental coverage. For Government Resources Regarding Medicare, Please Visit www.medicare.gov. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Visit MI Bridges to apply for benefits, check your eligibility status, manage your account and explore resources. Full dual-eligibility may grant recipients access to routine dental care and some emergency or restorative procedures with prior authorization. If you cannot afford child care, payment assistance is available. 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. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries. endobj E-mail: MSA-Forms@Michigan.gov. A variety of reports & statistics for programs and 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 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. A smaller zipped copy(14MB) is also available. 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. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Once you find a dentist, call and make an appointment. Resources and information to assist in assuring firearm safety for families in the state of Michigan. In all, 60% of the 4,090 enrollees . 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. To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. Child Welfare Medical and Behavioral Health Resources. 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). Keeping your web browser up to date is very important. Medicare recipients in Michigan who qualify may be able to enroll in both Medicare and Medicaid, or a Medicaid-managed program, that provides some dental care benefits. These data reflect a range of indicators related to key application, eligibility, and enrollment processes within the state Medicaid and CHIP agency. 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. 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. It is for the low income uninsured children of Michigan's working families. Medicare dual eligible special needs plans Plans that provide special coverage for those who have both Medicaid and Medicare . 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. endobj Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. The documents will be e-mailed to you. Children's Special Health Care Services information and FAQ's. Additional factors, such as certain disabilities and marital status, can impact eligibility. This information is not a complete description of benefits. member handbook, Healthy Michigan Plan EPO network member handbook. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Universal caseload, or task-based processing, is a different way of handling public assistance cases. 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$~ Review the information in this section before contacting customer service. endobj The modifier and age range fields are applicable to the fee screen and do not reflect coverage parameters. Molina provides unlimited round-trip or one-way trips for covered, medically necessary services each calendar year. When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. Medicaid coverage so you can receive quality services at no cost. 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. The following are provider letters issued in 2022. 2 0 obj MIChild has a higher income limit than U-19 Medicaid. How to enroll. Call 1-800-905-8671 TTY 711, or use your preferred relay service for more information. Find a dentist, review benefits, download or print an ID card, and much more through Member Portal, available 24/7. Adults without children will not be charged the pediatric premium. There is only an income test. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Information on the Children's Foster Care program and becoming a Foster Parent. Information on American Indian Services, Employment and Training. Legislation policy and planning information. We do not offer every plan available in your area. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. NOTE: Comments will not be accepted for proposed Medicaid policy after the public comment period has closed. All non-pregnant Medicaidmemberscan call the Michigan Medicaid Dental line for help with finding adentist at 1-800-642-3195 or Medicaid Dentistry. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Pregnant Medicaid members can use this benefit to visit any Molina Healthcare provider. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Information on communicable & chronic diseases. 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. Dual eligibility occurs when an individual who receives Medicare also qualifies for Medicaid-related assistance based on low income. Click here to view HKD program information. Join or renew membership today by calling 800-589-2632 or apply online. 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. Adult Behavioral Health & Developmental Disability Services. In most cases, recipients who receive medical services will have their copayments, coinsurance and deductible amounts paid for by their needs-based coverage. Can't find what you're looking for? Enhanced Dental and Vision package. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Michigan Department of Health and Human Services BENEFIT PLANS 09/22/2022 Page 1 of 13 . 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. The least costly alternative rule concerns . Points of Light(POL) Initiative Information on the Food Assistance Program, eligibility requirements, and other food resources. Please select one of the states in which Molina Healthcare provides services. Information is collected to monitor the general health and well-being of Michigan citizens. Medicare.Org Is A Non-Government Resource That Provides Information Regarding Medicare, Medicare Advantage, And More. 6 0 obj Programat (888) 898-7969, Monday through Friday, from 8 a.m. to 5 p.m., EST. Information & resources for Community and Faith-Based partners. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. Due to the size of this document (approximately 16MB), you may experience a delay before it opens. If you have any questions, please call theM.O.M. Information about injury and violence prevention programs in Michigan. Many recipients enroll in a separate insurance policy in order to get those benefits. Click onThree dots symbol that is at the top right corner of the browser and click on Settings. Michigan Medicaid - Michigan Dental Association Michigan Medicaid Home Government/Insurance/Advocacy Dental Benefits Michigan Medicaid Member's Only Content You must be a member to view this content. The Overview describes how information is organized and how to navigate through the document. 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 the Food Assistance Program, eligibility requirements, and other food resources. Molina Healthcare providesdental services to pregnant women. PO Box30479 There is a $50 deductible per person, but preventative care provided in-network is excluded from this fee. Newer web browsers let you use more features and new technologies resulting in a better browsing experience. Find a Pregnant Women Dental What you need to know. Information on American Indian Services, Employment and Training. Information is collected to monitor the general health and well-being of Michigan citizens. Handbook and a health Plan card, can impact eligibility please call.! 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