Michigan Medicaid Expansion

Michigan is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA). For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.

Medicaid in Michigan

The Michigan Department of Community Health administers the Medicaid Program. Information about the state’s Medicaid program, including patient eligibility information, can be found at: http://www.michigan.gov/mdch/0,1607,7-132-2943_4860—,00.html.

Provider Participation

Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www.michigan.gov/mdch/0,1607,7-132-2945_42542_42543_42546-104293–,00.html. The Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www.michigan.gov/mdch/0,1607,7-132-2943_4860—,00.html.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.

Medicaid Managed Care

Some Michigan Medicaid Program beneficiaries are enrolled in managed care plans, called the “Medicaid Health Plans.”
Basic information about Medicaid Health Plans can be found at: http://www.michigan.gov/mdch/0,1607,7-132-2945_42542_42544—,00.html. Some managed care plans cover individual Michigan counties and independent cities. The Medicaid website has jurisdictional information: http://www.michigan.gov/mdch/0,1607,7-132-2945_42542_42544—,00.html.

Michigan Medicaid Beneficiaries Participating in Managed Care

Managed care plans participating in Medicaid Health Plans offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.

Report Problems

The state Medicaid office is primarily responsible for examining and addressing issues with the Medicaid Managed Care plans offered in the state, and for working with the companies that offer them. If you are experiencing problems as a medical provider with the Managed Care plans or companies operating in the state, or if your patients are experiencing problems with the Managed Care plans or companies in the state, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state Medicaid Office:

http://www.michigan.gov/mdch/0,1607,7-132-2943_4860—,00.html

517-373-3740
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies.

Managed Care Plans Participating in Medicaid Health Plans

Blue Cross Complete of Michigan
Plan Website: http://www.mibcn.com/BlueCaid
Provider Enrollment: http://www.bcbsm.com/providers/join-the-blues-network/enrollment.html

CoventryCares of Michigan
Plan Website: http://chcmedicaid-michigan.coventryhealthcare.com/
Provider Enrollment: http://chcmedicaid-michigan.coventryhealthcare.com/for-providers/index.htm

Harbor Health Plan
Plan Website: http://www.harborhealthplan.com/
Provider Enrollment: http://www.harborhealthplan.com/?id=1007&sid=2

HealthPlus Partners, Inc.
Plan Website: http://www.healthplus.org/
Provider Enrollment: https://www.healthplus.org/Providers/Get-Started-as-a-HealthPlus-Provider/

McLaren Health Plan
Plan Website: http://www.mclarenhealthplan.org/
Provider Enrollment: http://www.mclarenhealthplan.org/McLarenHealthPlan/ProviderCredentialingmhp.aspx

Meridian Health Plan of MI, Inc.
Plan Website: http://www.hpmich.com/
Provider Enrollment: http://www.mhplan.com/index.php?page=providerhelp&stateAbbrv=MI

Midwest Health Plan
Plan Website: http://www.midwesthealthplan.com/
Provider Enrollment: http://www.midwesthealthplan.com/MidwestHealthPlan/Contact.aspx

Molina Healthcare of MI
Plan Website: http://www.molinahealthcare.com
Provider Enrollment: http://www.molinahealthcare.com/medicaid/providers/mi/Pages/home.aspx

PHP- Family Care
Plan Website: http://www.phpmm.org/
Provider Enrollment: http://www.phpmichigan.com/Providers

Priority Health Choice
Plan Website: http://www.priority-health.com/
Provider Enrollment: http://www.priorityhealth.com/provider/contact-us

Total Health Care
Plan Website: http://www.totalhealthcareonline.com/
Provider Enrollment: http://www.totalhealthcareonline.com/Providers/

United Healthcare Community Plan
Plan Website: http://www.uhccommunityplan.com/
Provider Enrollment: http://www.uhccommunityplan.com/health-professionals/mi.html

Upper Peninsula Health Plan
Plan Website: http://www.uphp.com/
Provider Enrollment: http://www.uphp.com/Provider/provider.html