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. 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. 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. Refer to your Medi -Cal Dental Provider Handbook for specific procedure . 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. Benefits are provided only in nursing homes. 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. Information on child support services for participants and partners. Additionally, the states agency contracts with private insurers to administer benefits and each insurer may have a different process for prior authorization or approval of service, so recipients should contact their provider to confirm which services are covered for their qualifying category. 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. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. Recipients can be classified as full dual-eligibles or partial dual-eligibles. ;xZ`zPd K_KJt(A1vPoodw>|Z'sM{X||h48WI#?ZI}OzlE-? 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. information about the Department's public safety programs. 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. stream <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> If you are hearing impaired, please call Molina Healthcare by dialing our TTY line at 711. EPSDT is a mandatory service required under a state's Medicaid program. Molina provides unlimited round-trip or one-way trips for covered, medically necessary services each calendar year. Gov. Universal caseload, or task-based processing, is a different way of handling public assistance cases. In Livingston and Washtenaw counties, those who have Molina and McLaren have Delta Dental, while other managed care plans use their own dental coverage. 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. For Microsoft Edge enable Adobe flash player. (Provider "L" letters do not represent promulgated policy and are provided tocommunicate new developments,information, policy clarifications, etc. Points of Light (POL) Initiative POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. If you receive NH Medicaid benefits and you need assistance finding a NH Medicaid dentist, contact the NH DHHS Customer Service Center toll-free at 1-844-ASK-DHHS (1-844-275-3447) (TDD Relay Access: 1-800-735-2964), Monday through Friday, 8:00 a.m. to 4:00 p.m. Information about injury and violence prevention programs in Michigan. 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. Delta Dental is one of the Healthy Michigan Plan's benefit administrators. ), Archived Proposed Medicaid Policy Distributed for Public Comment and Consultation Summaries. 2023 Molina Healthcare, Inc. All rights reserved. The Manual was created in Adobe Acrobat portable document format (PDF). Medicaid coverage so you can receive quality services at no cost. The study focuses on the impact of dental coverage offered through Michigan's Medicaid expansion, called the Healthy Michigan Plan. The program focuses on prevention, early diagnosis, and treatment of medical conditions. We are also ramping up our efforts to educate consumers, health care providers and the public about positive oral health practices. Medicare.Org Is A Non-Government Resource That Provides Information Regarding Medicare, Medicare Advantage, And More. 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. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. 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. There are two programs in the state of Michigan. Keeping your web browser up to date is very important. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. For other years of approved Medicaid policy bulletins, click here. 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. Ambulatory . Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. 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. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. Inability to access dental care can result in poor oral health. Adult Behavioral Health & Developmental Disability 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. <> There is a $50 deductible per person, but preventative care provided in-network is excluded from this fee. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Information about the health care programs available through Medicaid and how to qualify. 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. Learn more about the Michigan UnitedHealthcare Community Plan plan for Michigan. Dental services must be provided at intervals that meet reasonable standards of dental practice, as determined by the state after . MI Health Link - MI Health Link is responsible for coverage of dental benefits for MI Health Link enrollees. This dental insurance plan in Michigan offers a yearly maximum of $1,250 per individual. 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 . Information on treatment and services for juvenile offenders, success stories, and more. We also recommend Aetna for low-cost dental coverage. 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 about audits conducted by the Office of Audit. Once you find a dentist, call and make an appointment. 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 about injury and violence prevention programs in Michigan. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Cookies are used to improve the use of our website and analytic purposes. Information on child support services for participants and partners. 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 resources in your community and volunteer recruitment and training, and services provided at local DHS offices. 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. There are three categories of Medicaid long-term care programs for which Michigan seniors may be eligible. Adult Behavioral Health & Developmental Disability Services. Information on treatment and services for juvenile offenders, success stories, and more. Molinas dental benefit includes cleanings, fillings and other preventive services. endobj Medicare.Org Is Privately Owned And Operated By Health Network Group, LLC. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. 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 . Residents of Michigan should verify the current years limits in order to determine which eligibility category they fall under. Infant Oral Health Training and Resource Materials for Medical Providers, On-Line Oral Health Training for Medical Providers, 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. Points of Light(POL) Initiative To enable bookmarks in Internet Explorer: Now, open the PDF in IE and all the bookmarks are available. For pregnant women, oral health complications are associated with poor pregnancy outcomes like low birth weight and preterm birth.State Medicaid programs are required to cover dental services for children under 21, but services for adults, including pregnant women, are optional. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. SPOTLIGHT & RELEASES. Delta Dental of Michigan helps improve oral health by fostering public-private partnerships benefiting those who suffer from oral diseases. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. The state of Michigan's Medicaid program covers dental care for you and your children. The average Medicare Advantage monthly premium decreased in Michigan compared to last year from $35.13 in 2021 down to $28.74 in 2022. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Updated October 20, 2022. Information on the Safe Delivery Program, laws, and publications. 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. Together, they provide a network of dentists for children ages 0-20. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. All non-pregnant Medicaidmemberscan call the Michigan Medicaid Dental line for help with finding adentist at 1-800-642-3195 or Medicaid Dentistry. Additional factors, such as certain disabilities and marital status, can impact eligibility. Low-income Households Water Assistance Program (LIHWAP). Enrollment in the plan depends on the plan's contract renewal with Medicare. ). 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. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. 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. To find out more about Healthy Kids Dental, the dental benefits your child may be eligible to receive and to locate a dentist in your area, please visit www.healthykidsdental.org. 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. Gretchen Whitmer's 2022-23 budget proposal, unveiled this week, is good news for dentistry and the oral health of Michiganders. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. If you are pregnant, you can find a Molina dentalprovider by visiting MolinaHealthcare.com, select Medicaid, then Find a Provider to view the Molina dentistsnear you. CMS approved the Healthy Michigan demonstration that allows the state to require premiums (not to exceed 2 percent of the individual's income) for New Adult beneficiaries with incomes over 100 percent of the FPL, and copayment liability (if applicable) for all New Adult beneficiaries 0-133 percent of the FPL billed on an aggregated basis after the first six months of enrollment. Information on American Indian Services, Employment and Training. This page contains policy bulletins issued in 2022. A variety of reports & statistics for programs and services. Information on DHS Applications and Forms grouped by category. 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. Click here to view HKD program information. 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. %PDF-1.7 For Provider "L" Letters, click here. Low-income Households Water Assistance Program (LIHWAP). 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 Children who are covered by Medicaid are entitled to Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) services when they go to the dentist. endstream EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. Information on Safe Sleep for your baby, how to protect your baby's life. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Child Welfare Medical and Behavioral Health Resources. MDHHS discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). Information on Safe Sleep for your baby, how to protect your baby's life. Keeping your smile healthy is an important part of keeping your body healthy. Legislation policy and planning information. Step Two: Make an Appointment . The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Information on American Indian Services, Employment and Training. When you join a Health Plan, the Health Plan will send you a plan handbook and a health plan card. The state contracts with Delta Dental and Blue Cross Blue Shield of Michigan. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. 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. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. According to the American Dental Association, 36% of lower-income Americans have lived through untreated cavities. Information on the Food Assistance Program, eligibility requirements, and other food resources. Information on communicable & chronic diseases. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Please identify the project number of the proposed Medicaid policy or consultation summary if known. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. <> Newer web browsers let you use more features and new technologies resulting in a better browsing experience. endobj The postpartum period is 3 months following end of pregnancy. Unable to take your feedback now, Please try again later. Information & resources for Community and Faith-Based partners. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Using your benefits. Molina Healthcare providesdental services to pregnant women. It is important that pregnant women get proper dental care during their pregnancy for the health and wellbeing of the mother and infant. Information on American Indian Services, Employment and Training. POL establishes referral mechanisms between medical and dental practices within a community for infant oral health. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Information on the Safe Delivery Program, laws, and publications. All statesincluding the District of Columbiaprovide data each month about their Medicaid and Children's Health Insurance Programs (CHIP) eligibility and enrollment activity. Additional Guidance and Clarification for the Coverage of COVID-19 Prevention, Treatment, and Support Services. If you have any questions, please call theM.O.M. 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. You will be enrolled automatically and get an ID card from the dental plan. 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. 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. 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. Contracts with delta dental and Blue Cross Blue Shield of Michigan should verify the current years limits in to. Improve oral health practices on the direct deposit of state of Michigan benefit administrators the use of our and! Other resources for healthy children & families, including immunization, lead poisoning prevention,,! 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