The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Refer to your Medi -Cal Dental Provider Handbook for specific procedure . 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. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Can't find the answer you're looking for? The overall average rate change for individual/family health coverage is a 5.5% increase for 2023. Information on Safe Sleep for your baby, how to protect your baby's life. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Additional factors, such as certain disabilities and marital status, can impact eligibility. Information & resources for Community and Faith-Based partners. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Information on American Indian Services, Employment and Training. Michigan did accept federal funding to expand Medicaid under the ACA. A routine dental appointment lasts approximately 30 minutes. Michigan Medicaid Provider Manual >> Dental Chapter >> Section 2.1 Prior Authorization Requirements in Cases of Misutilization Delta Dental is one of the Healthy Michigan Plan's benefit administrators. Qualification can affect the benefits and coverage you receive. 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. 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. Benefits are provided only in nursing homes. Health Care Coverage information and resources. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. MDHHS discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). Delta Dental of Michigan helps improve oral health by fostering public-private partnerships benefiting those who suffer from oral diseases. 5 0 obj The professional fee schedule format lists procedure codes, descriptions, and fee screens. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Review the information in this section before contacting customer service. If you have any questions, please call theM.O.M. Once you find a dentist, call and make an appointment. To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. Information on child support services for participants and partners. Information & resources for Community and Faith-Based partners. ; Your Provider will use your Health Plan card and mihealth card to . Its important to remember the appointment access standards for your patients. Using your benefits. EPSDT is a mandatory service required under a state's Medicaid program. Information is collected to monitor the general health and well-being of Michigan citizens. Visit MI Bridges to apply for benefits, check your eligibility status, manage your account and explore resources. 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. The study focuses on the impact of dental coverage offered through Michigan's Medicaid expansion, called the Healthy Michigan Plan. 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. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. and program assignment factors (e.g., scope/coverage codes, etc. Delta Dental of Michigan is a part of Delta Dental Plans Association. 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. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. 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. Information on the Safe Delivery Program, laws, and publications. 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. Coverage for dependentsCoverage for dependents HAP's networks and service areas HAP's networks and service areas Nationwide and worldwide coverageNationwide and worldwide coverage Prescription coveragePrescription coverage Referrals and authorizationsReferrals and authorizations %PDF-1.7 Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. My Community Dental Centers offers dental services to medicaid enrollees and the uninsured in your local Michigan community. This information is not a complete description of benefits. To apply for eligibility you can fill out and application at MI Bridges or contact your local Department of Health and Human Services office. Information on communicable & chronic diseases. 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. Child Welfare Medical and Behavioral Health Resources. Contact Customer Service: 888.975.8102 (TTY 711) Monday-Thursday, 7:30 a.m.-7 p.m. 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. endobj Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. 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. For more information, or to find out how to get enrolled, please contact Meridian at 888-437-0606. The low percentage of participation of Americans in Medicaid may be due to the facts that: Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Health Care Coverage information and resources. Information about the health care programs available through Medicaid and how to qualify. Legislation policy and planning information. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. A smaller zipped copy(14MB) is also available. Visit the DentaQuest Oral Health Library to learn more. You will receive the current published version of the manual that is available at that time. 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. Information on Safe Sleep for your baby, how to protect your baby's life. Can't find what you're looking for? Molina Dental Services under Medicaid isprovided to members at no cost. 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 communicable & chronic diseases. Information on the Safe Delivery Program, laws, and publications. 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. . Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Healthy Michigan Plan and Pregnant Women Dental. What you need to know. First, learn how Medicaid covers dental implants differently by exploring its dual nature as health (starts in the body) and dental insurance (begins in the mouth). Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. ;xZ`zPd K_KJt(A1vPoodw>|Z'sM{X||h48WI#?ZI}OzlE-? endobj The Overview describes how information is organized and how to navigate through the document. Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are notprovided. Information about injury and violence prevention programs in Michigan. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. If you have questions about our plan, call HAP Empowered at (888) 654-2200 (TTY: 711) What you need to know. Information on the Food Assistance Program, eligibility requirements, and other food resources. 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. Adult Behavioral Health & Developmental Disability Services. 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. 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. 2023 Molina Healthcare, Inc. All rights reserved. ET. 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. 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. 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. These services are optional, so any state can change the rules that govern coverage, which dental services are included with routine care, and who can qualify for those services based on income, age and other demographic factors. 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 $2.5 billion in revenue. oW~G\y^y"]&gasklV[rOd$P&(}sS"Oo. Updated October 20, 2022. 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. For Government Resources Regarding Medicare, Please Visit www.medicare.gov. Information about injury and violence prevention programs in Michigan. Archived proposed Medicaid policy distributed for public comment and consultation summaries are available electronically upon request. Low-income Households Water Assistance Program (LIHWAP). 2 0 obj 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. We do not offer every plan available in your area. 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 the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. MyPrioritydental insurance is available as an add-on to MyPriority medical plans (except MyPriorityShort-term). information about the Department's public safety programs. If this information is unknown, reference the month, year, and subject of the bulletin or the consultation summary in your request. All non-pregnant Medicaidmemberscan call the Michigan Medicaid Dental line for help with finding adentist at 1-800-642-3195 or Medicaid Dentistry. 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. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. 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 endobj There are 191 Medicare Advantage plans available in . 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. For other years of approved Medicaid policy bulletins, click here. 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. Each state has the ability to set the income and asset limits necessary to qualify for assistance, and these limits can change each year. 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. ), Archived Proposed Medicaid Policy Distributed for Public Comment and Consultation Summaries. Full dual-eligibility means Medicare recipients receive all Medicaid-related benefits. 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