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Michigan State Insurance Exchange
Summary:
 
 
Current Status in Establishing Exchange:
 
Planning for Partnership Exchange.
 
Decision Process:
 
Executive Order.
 
Exchange Funding:
 
 
·         A federal Exchange Planning grant of $1 million was awarded to Michigan’s Department of Community Health.
 
  • A $9.8 million federal Level One Establishment grant was awarded in November 2011 to Michigan’s Department of Licensing and Regulatory Affairs, to conduct further insurance market analysis and technology planning; however, the Legislature has yet to approve spending the funds.
 
·         Michigan, along with nine other states, is receiving technical assistance from the Robert Wood Johnson Foundation through the State Health Reform Assistance Network; this assistance includes help with setting up health insurance exchanges, expanding Medicaid to newly eligible populations, streamlining eligibility and enrollment systems, instituting insurance market reforms and using data to drive decisions
 
Benchmark Plan:
 
 
  • HMO Plan 
  •  EHB Benchmark Plan: Priority Health HMO (preliminary recommendation)
  •  Pediatric Dental Supplemental Plan: MIChild dental program (preliminary recommendation) 
 
  • Pediatric Vision Supplemental Plan: FEDVIP Blue Vision High plan (preliminary recommendation)

 

Additional Information:

 

  • Conducted an analysis of existing state benefit mandates, assessed benchmark plan options, held a public comment period, formed a workgroup on essential health benefits.
  • By choosing a partnership exchange, the state may choose to take on responsibility for plan management functions and/or consumer assistance functions. 
  • The Exchange Steering Committee's recommendations initially led the governor to recommend a state-based exchange, but legislation did not move forward and Michigan opted for a partnership.

 

For More Information:

 

 

 

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