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. Can't find what you're looking for? Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. "We can clearly see the positive impact of Medicaid coverage of dental care . All other documents on this website are accessible using a dial-up modem. Be sure to tell the dental office that you are a Medicaid member. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Call our customer service team at 866-558-0280(TTY users call 711)for help today. Recipients can be classified as full dual-eligibles or partial dual-eligibles. endobj 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. The program focuses on prevention, early diagnosis, and treatment of medical conditions. 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. Information on DHS Applications and Forms grouped by category. A variety of reports & statistics for programs and services. The following are provider letters issued in 2022. (Provider "L" letters do not represent promulgated policy and are provided tocommunicate new developments,information, policy clarifications, etc. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. The overall average rate change for individual/family health coverage is a 5.5% increase for 2023. If you cannot afford child care, payment assistance is available. 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. 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. 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. Children's Special Health Care Services information and FAQ's. There are two programs in the state of Michigan. What you need to know. Michigan Department of Health and Human Services BENEFIT PLANS 09/22/2022 Page 1 of 13 . stream In Livingston and Washtenaw counties, those who have Molina and McLaren have Delta Dental, while other managed care plans use their own dental coverage. What you need to know. MIChild is a health care program for children who are under age 19 administered by the Michigan Department of Health and Human Services. Dental services must be provided at intervals that meet reasonable standards of dental practice, as determined by the state after . Molina Dental Services under Medicaid isprovided to members at no cost. 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. Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. Dual eligibility occurs when an individual who receives Medicare also qualifies for Medicaid-related assistance based on low income. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. participating dentist, Healthy Michigan Plan Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Adult Behavioral Health & Developmental Disability Services. Full dual-eligibility means Medicare recipients receive all Medicaid-related benefits. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Recipients who receive Medicaid-administered help with long-term care services may qualify for dental coverage as part of that programs package of benefits. 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. The professional fee schedule format lists procedure codes, descriptions, and fee screens. 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. endobj endstream Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. 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. The modifier and age range fields are applicable to the fee screen and do not reflect coverage parameters. Residents of Michigan should verify the current years limits in order to determine which eligibility category they fall under. The online version of the Manual isupdated quarterly to incorporate any policies transmitted via policy bulletins since the last Manual update. Information on treatment and services for juvenile offenders, success stories, and more. For other years of approved Medicaid policy bulletins, click here. Information & resources for Community and Faith-Based partners. According to the American Dental Association, 36% of lower-income Americans have lived through untreated cavities. 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. There is only an income test. 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. 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. EPSDT is key to ensuring that children and adolescents receive appropriate preventive, dental, mental health, and developmental, and specialty services. Medicaid Provider Manual Childrens Special Health Care Services (CSHCS) Limited Refund of Payment Agreement Enrollment Fees, Updates to Hearing Aid Dispensing Services Package and Rates, Updates to COVID-19 Related Cost-Sharing Exemptions and Practitioner Reimbursement Rates, Coverage of Routine Patient Costs for Items and Services Associated with Participation in a Qualifying Clinical Trial, Electronic Service Verification Changes Affecting Payment, 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, Update to Attending Provider Field on the Institutional Claim Form, Hospital and Ambulatory Surgical Center Reimbursement Increase, Home Help Payments on the Date of Hospital Admission, Hearing Aid Dispensing Services Package and Rates, Coverage of Out-of-State Former Foster Care, Updates to the Coverage of Routine Patient Costs for Items and Services Associated with Participation in a Qualifying Clinical Trial, Enrollment Option for Medicare Provider Submission of Dual Eligible Cost-Sharing Only Claims, Update of the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Medicaid Policy per the Release of the 2022 American Academy of Pediatrics (AAP) Periodicity Schedule, Revisions to Pneumatic Compressors and Appliances (Lymphedema Pumps), Reversal of Temporary COVID-19 Durable Medical Equipment, Prosthetics, Orthotics and Medical Supplies (DMEPOS) Policies, COVID-19 Response: Termination of Bulletin MSA 20-28, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS), 1915(i) State Plan Home and Community-Based Services, Clarification of Stand-alone COVID-19 Vaccine Counseling, Signature Log and Proof of Delivery Requirements, 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, Update to Attending Provider Field on the Institutional Hospital Claim Form, Rate Update for Neonatal and Pediatric Critical Care and Intensive Care Services, Revisions to the Laboratory Chapter of the Medicaid Provider Manual, Spousal Impoverishment Rules; Patient Payment Amounts; and Estate Recovery, Updates to Coverage of Psychiatric Collaborative Care Model (CoCM) Services Policy, COVID-19 Response: Authorization of U.S. Food & Drug Administration (FDA) Emergency Use Authorization (EUA) of Pharmacists to Prescribe COVID-19 Oral Therapeutics, Updates to the MDHHS Medicaid Provider Manual, Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates, Neonatal Intensive Care Unit (NICU) Return Transfers, Updates to the Medicaid Provider Manual; Code Updates; Changes to the MDHHS Health and Aging Services Administration, Disproportionate Share Hospital (DSH) Process Consolidation, Children's Special Health Care Services (CSHCS) Non-Emergency Medical Transportation, Children's Special Health Care Services (CSHCS) Eligibility for Adults over 21 Years of Age, Update of Blood Lead Reference Value (BLRV) and Recommendations on the Medical Management of Childhood Lead Exposure, Postpartum Extension from 60 Days to 12 Months, COVID-19 Response: Coverage of U.S. Food & Drug Administration (FDA) Emergency Use Authorization (EUA) COVID-19 Monoclonal Antibody Injections by Pharmacy Providers, COVID-19 Response: Update to Bulletin MSA 21-43, Current Procedural Terminology (CPT) and Healthcare Code Updates. 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