michigan medicaid dental coverage 2022

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. Please identify the project number of the proposed Medicaid policy or consultation summary if known. Once you find a dentist, call and make an appointment. The program focuses on prevention, early diagnosis, and treatment of medical conditions. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. 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). 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 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 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 communicable & chronic diseases. Due to the size of this document (approximately 16MB), you may experience a delay before it opens. 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. 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. 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 . <> Information on Safe Sleep for your baby, how to protect your baby's life. Adult Behavioral Health & Developmental Disability Services. Each state has the ability to set the income and asset limits necessary to qualify for assistance, and these limits can change each year. This dental insurance plan in Michigan offers a yearly maximum of $1,250 per individual. The postpartum period is 3 months following end of pregnancy. 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. There is a $50 deductible per person, but preventative care provided in-network is excluded from this fee. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. For Government Resources Regarding Medicare, Please Visit www.medicare.gov. The best dental insurance for most seniors is a Medicare Advantage plan from AARP/UnitedHealthcare because of its large network of dentists. 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 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. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Benefits are provided only in nursing homes. ; Take your Health Plan card and mihealth card with you when you visit the doctor, pharmacy, hospital or other medical provider. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. 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) released their final proposed policy in December to increase Medicaid payment rates for dental services provided in ambulatory surgical centers and outpatient hospitals. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Molina Dental Services under Medicaid isprovided to members at no cost. Medicaid Certificate of Coverage and Member Handbook; Healthy Michigan Plan Certificate of Coverage and Member Handbook; Have a question? There are three categories of Medicaid long-term care programs for which Michigan seniors may be eligible. Notice of April 20, 2022, Orthotics and Prosthetics Medicaid Provider Liaison Meeting, Notice of March 9, 2022, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting, The Centers for Medicare & Medicaid Services (CMS) Interim Final Rule: COVID-19 Vaccination Requirements for Certain Medicare- and Medicaid-Certified Providers and Suppliers, 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, Section 1115 Demonstration Amendment Request to Allow Continued Coverage of Targeted Case Management Services for All Eligible Pregnant Women Up to Twelve Months Post-Delivery to Assist in Addressing Health Impacts from Potential Lead Exposure in Flint, Michigan, Submission of Waiver Amendment Application for Michigan 1115 Behavioral Health Demonstration; Revised 1915(i) State Plan Amendment (SPA) for Community Support Services; and Alternative Benefit Plan (ABP) SPAs, 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, Pharmacist Ordering of Self-Administered Hormonal Contraceptives, Michigan Medicaid Coverage of the National Diabetes Prevention Program, State Plan Amendment (SPA) and Alternative Benefit Plan (ABP) Amendment Regarding Targeted Case Management Services for Individuals Recently Released from Incarceration, Michigan Department of Health and Human Services (MDHHS) Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to Clinic Specimen Collection and Clinic Vaccine Administration Payments, Increased Fee-for-Service (FFS) Reimbursement Rate for Adult Dental Providers, Fiscal Year 2023 Home Help Agency Provider Pay Rate, Michigan Department of Health and Human Services (MDHHS) Reversal of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Temporary COVID-19 Policies, Reimbursement of Hearing Aid Dispensing Services, Michigan Department of Health and Human Services (MDHHS) Response to Address COVID-19 Public Health Emergency - Nursing Facility Rate Setting Fiscal Year (FY) 2023, Private Duty Nursing (PDN) Reimbursement Change, Plan First! Children's Special Health Care Services information and FAQ's. Qualification can affect the benefits and coverage you receive. The Qualified Medicare Beneficiary (QMB) program provides Medicare coverage of Part A and Part B premiums and cost sharing to low-income Medicare beneficiaries. Information on communicable & chronic diseases. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. 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 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 If you would like to receive a CD version of theMedicaid Provider Manual, you will need to submit a request to MDHHS. endobj The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Michigan Medicaid covers limited dental services for adults, including dental check-ups, teeth cleaning, X-rays, fillings, tooth extractions, and dentures. These plans make it easy to receive Delta Dental coverage and protect your health. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. If you cannot afford child care, payment assistance is available. 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. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Information & resources for Community and Faith-Based partners. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Information about injury and violence prevention programs in Michigan. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Information on treatment and services for juvenile offenders, success stories, and more. 3 0 obj Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. To be eligible for Michigan Medicaid, you must be a resident of the state of Michigan in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income. Birth, Death, Marriage and Divorce Records. 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. Birth, Death, Marriage and Divorce Records. Updated October 20, 2022. The recommended web browser to open the Medicaid Provider Manual is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. How to enroll. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. The researchers, from the University of Michigan, used a survey and interviews to assess the impact of this coverage on the health and lives of low-income people who enrolled. Medicaid coverage so you can receive quality services at no cost. If you cannot afford child care, payment assistance is available. Information on American Indian Services, Employment and Training. Health Care Coverage information and resources. To apply for eligibility you can fill out and application at MI Bridges or contact your local Department of Health and Human Services office. 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. Medicaid is the largest source of funding for medical and health-related services for people with low income in the United States, providing free health insurance to 74 million low-income and disabled people (23% of Americans) as of 2017, [3] [4] [5] as well as paying for half of all U.S. births in 2019. Full dual-eligibility may grant recipients access to routine dental care and some emergency or restorative procedures with prior authorization. For Provider "L" Letters, click here. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. This page contains policy bulletins issued in 2022. Information on the Children's Foster Care program and becoming a Foster Parent. Click onThree dots symbol that is at the top right corner of the browser and click on Settings. For best viewing experience adjust your personal computer settings to open all PDF files in Adobe Acrobat Reader. Information & resources for Community and Faith-Based partners. Information on child support services for participants and partners. 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 about the Department's public safety programs. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. The state of Michigan's Medicaid program covers dental care for you and your children. Additional Guidance and Clarification for the Coverage of COVID-19 Prevention, Treatment, and Support Services. Adults without children will not be charged the pediatric premium. Universal caseload, or task-based processing, is a different way of handling public assistance cases. For other years of approved Medicaid policy bulletins, click here. Refer to your Medi -Cal Dental Provider Handbook for specific procedure . Information on DHS Applications and Forms grouped by category. If you have questions about our plan, call HAP Empowered at (888) 654-2200 (TTY: 711) 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. Fillings and extractions are covered at 60% in-network and 30% out-of-network after a 90-day waiting period. 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. 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. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Low-income Households Water Assistance Program (LIHWAP). A Non-Government Resource For Healthcare All Rights Reserved 2023. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Call Michigan ENROLLS at (888) 367-6557. Full dual-eligibility means Medicare recipients receive all Medicaid-related benefits. Information is collected to monitor the general health and well-being of Michigan citizens. Catching a Breath Complex Case Management Flu Outreach Opioids Rescue Inhaler Overutilization Risk for Kidney Failure Smoking Cessation Transition of Care Call Member Services at 888-437-0606 (TTY: 711) memberservices.mi@mhplan.com We are also ramping up our efforts to educate consumers, health care providers and the public about positive oral health practices. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Enhanced Dental and Vision package. Information on Safe Sleep for your baby, how to protect your baby's life. Read here. 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. 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 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). You can contribute up to $3,650 for single coverage or $7,300 for family coverage in 2022, plus $1,000 in catch-up contributions if you're 55 or older. Effective January 1, 2022 Page 1 of 36. 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 Prior authorizations and medical conditions that may bypass these requirements, To request or view upcoming training sessions please refer to the Michigan Department of Health and Human Services website at, Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at, 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. Additional factors, such as certain disabilities and marital status, can impact eligibility. Molinas dental benefit includes cleanings, fillings and other preventive services. Gretchen Whitmer's 2022-23 budget proposal, unveiled this week, is good news for dentistry and the oral health of Michiganders. 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. Legislation policy and planning information. [6] 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. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Information about the health care programs available through Medicaid and how to qualify. Review the information in this section before contacting customer service. <> Molina provides unlimited round-trip or one-way trips for covered, medically necessary services each calendar year. Join or renew membership today by calling 800-589-2632 or apply online. We want to help you be your healthiest, which is why we offer optional coverage for vision exams and eyeglasses and preventive dental services like cleanings and exams. 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. Universal caseload, or task-based processing, is a different way of handling public assistance cases. information about the Department's public safety 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. For other years of approved Medicaid policy bulletins, click here. Original Medicare Part A and Part B benefits do not provide coverage for routine dental care, so many recipients need to find solutions to help pay for dental services like checkups, X-rays, and teeth cleanings. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Please reference the Member Handbook and Certificate of Coverage for more detailed information. 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. Recipients who receive Medicaid-administered help with long-term care services may qualify for dental coverage as part of that programs package of benefits. Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are notprovided. Coverage effective across all 50 states and D.C. as of Oct. 1 Beginning in October, all 50 states and D.C. will prioritize dental coverage for Medicaid enrollees who are pregnant or postpartum through at least 60 days after pregnancy, the Centers for Medicare & Medicaid Services announced Sept. 22. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Find a Pregnant Women Dental Residents of Michigan should verify the current years limits in order to determine which eligibility category they fall under. We also recommend Aetna for low-cost dental 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. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. 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. Get dental coverage as a pregnant member, during and for a full year after . Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Keeping your web browser up to date is very important. There is only an income test. Medicaid Provider Manual 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. Birth, Death, Marriage and Divorce Records. A variety of reports & statistics for programs and services. 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! Lansing,MI48909 Can't find what you're looking for? Health Care Coverage information and resources. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. endobj information about the Department's public safety programs. Recipients can be classified as full dual-eligibles or partial dual-eligibles. The least costly alternative rule concerns . Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. EDITOR'S NOTE: This article was first posted in March 2022 but has been updated to reflect the passage of the Consolidated Appropriations Act, 2023 (the omnibus spending bill). Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Any information we provide is limited to those plans we do offer in your area. ET. 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. Specific procedure as heart disease, cancer, diabetes and many others the Family Independence program, providing supplemental,., payment assistance is available program covers dental care and some emergency or restorative with. 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