Many changes were made to the Medicaid program's eligibility, administration, and policies to ease rules for providers and prevent Medicaid beneficiaries from losing health insurance. Our network includes award-winning and patient-focused doctors, hospitals and health systems in Michigan. If you need assistance, please Click Here or contact the ProviderPortal SM Support Team at Self-service portal for providers. No Surprises Act information for non-contracted providers There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. If you are a physician, PA, nurse practitioner or practice manager, learn more about joining the Alliance Health Provider Network. Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. View their Remittance Advices. HAP Midwest currently offers Medicaid products only in Region 6, which includes Genesee, Huron, Lapeer, Shiawassee, St. Clair and Tuscola counties in mid-Michigan and the Thumb, where it covers . HAPs medical director team continually evaluates the clinical guidelines established by the nations most prominent primary care and value-based associations to promote guidelines that support the overall physical and mental health of our members. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. COVID-19 Public Health Emergency (PHE) 2023 Benefit Changes. gcse.async = true; Language Assistance & Notice of Nondiscrimination. Upper Peninsula . Already a provider? In this section, youll find numerous resources here that will help you serve our members. TTY . We work closely with brokers and clients to deliver custom benefits solutions. Alliance Health operates North Carolina's traumatic brain injury waiver. Drug plan deductible: No annual deductible, Non-Medicare covered Prosthetics/Medical Supplies: Covered. PDF Billing for Services (800) 444-5755(Monday through Friday from 8 a.m. to 5 p.m.) Utilization Management })(); A non-government resource for the Medicare community, 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the HAP Midwest MI Health Link (Medicare-Medicaid Plan) - H9712-001-0, Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs, See cost-sharing for all pharmacies and tiers, HAP Empowered MI Health Link (Medicare-Medicaid Plan). WebMeridian Health Plan 888-773-2647 Southwest Michigan HAP Midwest Health Plan 313-827-5734 Macomb . Registration help. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services: Tobacco Cessation Counseling for Pregnant Women: Self-Directed Personal Assistance Services: Institution for Mental Disease Services for Individuals 65 or Older: Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities: Over-the-counter drug benefits: Some coverage. Many Wayne Health physicians are affiliated with Wayne State University School of Medicine . Authorizing Electronic Funds Transfer (or EFT) as your payment method will speed payment delivery by depositing payments directly to your bank account, allowing quicker access to funds paid to you. HAP Midwest Health Plan 313-827-5734 Macomb and Wayne Counties Molina Healthcare 855-322-4077 Macomb and Wayne Counties Upper Peninsula Health Plan 906-226-4285 . One of HAPs greatest strengths is our large and diverse provider network. Diagnostic radiology services (e.g., MRI), Prosthodontics, other oral/maxillofacial surgery, other services, Outpatient group therapy visit with a psychiatrist, Outpatient individual therapy visit with a psychiatrist, Physical therapy and speech and language therapy visit, Durable medical equipment (e.g., wheelchairs, oxygen), Prosthetics (e.g., braces, artificial limbs). Midwest health plan provider portal Hap midwest health plan inc . While HAP Midwest is no longer available in your area, Molina Healthcare of Michigan will continue providing the same high quality customer care to their Medicaid, MIChild, Healthy Michigan Plan or Children . 855-699-6694, Minnesota Uniform Practitioner Change Form, Meeting the Challenges of Opioids and Pain, Elderly waiver and personal care assistants. Is the remittance one line item or an entire check? Medicare has neither reviewed nor endorsed the information on our site. Contact the Medicare plan for more information. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). Monthly Drug Premium *Included in Monthly Plan Premium. ACS allows providers to view appointments, submit patient claims and treatment plans, check on authorizations, and more. If you need technical help to access the UnitedHealthcare Provider Portal, please email ProviderTechSupport@uhc.com or call our UnitedHealthcare Web Support at 866-842-3278, option 1. If you need additional assistance with the enrollment process, please contact the Alliance Helpdesk at [emailprotected]. Health care providers | Michigan Health Insurance | HAP Please clear your browser cache before accessing the new Provider Portal URL. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Information on DHS Applications and Forms grouped by category. Clinical Practice Guidelines from the American College of Obstetricians and Gynecology, the largest physician organization dedicated to womens health and well-being: Clinical Practice Guidelines from the American Academy of Family Physicians, one the largest physician organizations focused on primary care for the entire family. You must continue to pay your Part B premium. Adult Behavioral Health & Developmental Disability Services. PDF Mi Health Link Program 246 0 obj <>stream What to Consider When Shopping for Medicare, HAP Empowered MI Health Link H9712-001 (Medicare-Medicaid Plan), Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, Medicare Advantage Plus Prescription Drug Plans in Michigan, Medicare Advantage Plus Prescription Drug Plans in 48005 (Macomb County), HAP Empowered MI Health Link Medicare Advantage Plus Prescription Drug Plans in Michigan, Find Continuing Care Retirement Communites. (866) 766-4709. Monday through Friday, from 9:00 a.m. to 4:30 p.m. Referrals and prior authorizations must be obtained prior to services being rendered. Tailored Plan Provider Training Registration, Tailored Plan Provider Contract Templates, Opioid Misuse Prevention and Treatment Program. 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 Provider's Remittance Advice provides a detailed explanation of claim payments, denials to provider and/or member, code editing explanations (included on your ERA) and adjustments for each detail charge submitted. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. Contracted providers can be found in ouronline provider directory. /_,2W(J@MYZQDtP)xRrv f:}bTW=ta-.:JL0kCKz%_2QHNMF`j?eV|'vu`+#.Y: HealthPartners pays the per claim charge when conducting business through our intermediaries for the 837 claims transactions only. Matrix Medical Network Partnership for Free In-Home Health Visits, Primary Care Physician Offices We Need Your Help, Keep Provider Information Updated in NPPES, Updated - Prior Authorization Requirements Removed for Specific Drugs for Your HAP Empowered Medicaid Patients, Prior Authorization Requirements Removed for Specific Drugs for Your HAP Empowered Patients, New Coding Validation Process Coming Soon, Attention Physician Specialists: Your Patients Could Benefit from a Free Maternity Care Management Program, Healthy Michigan Plan Health Risk Assessment Resources, Connecting MI Health Link Beneficiaries with Veterans Services, Claim Editing Guidelines for Attending Ordering Referring Provider Fields, Formula Shortage - Information from MDHHS, Formula Shortage Do's and Don'ts - Information from MDHHS, Reminder Telemedicine Services Billing for HAP Empowered Medicaid, COVID-19: Coverage of Monoclonal Antibody Injections by Pharmacy Providers, Reminder - Medical Record Review Projects, Notification from The Michigan Health Alert Network: Rapid Rise in Congenital Syphilis, Update - Urgent Care Centers Reimbursement for COVID 19 Vaccine Administration, Billing Guidelines for COVID-19 Vaccine Administration Only, Patient Case Study from the Maternity Care Management Program, Process for Submitting Claims Corrections, Institute for Health Policy Annual Spring Case Management Conference, Submitting HCPCS Codes with an NDC on HAP Empowered Claims, Reminder HAP Empowered Duals HMO DNSP Required Training, Updated Notice from the Michigan Department of Health & Human Services: Prescription Drug Monitoring Program Requirements for Providers, Requesting Access or Deleting Access to NPIs and Tax IDs Online, Pregnancy Resources to Help You Care for Your HAP Empowered Patients, MDHHS and the NYC STD Prevention Training Center March 2022 Urgent Update Webinar, Encourage Your MI Health Link Patients to Update their Contact Information, Prior Authorization Temporary Waiver Ends Soon for Skilled Nursing Facility Admissions, Important Information for OB/GYNs: Maternity Care Management Program Update, Encourage Your Medicaid Patients to Update their Contact Information, Prescribing Outpatient Treatments for COVID-19, Update - Urgent Care Centers Reimbursement for COVID 19 Vaccine Administration - January 2022, Prescribing Oral Antivirals Paxlovid and Molnupiravir for COVID-19, Skilled Nursing Facility Admissions - Prior Authorization Temporary Waiver Extended, Updated Respiratory Viral Panel Testing Policy - January 2022, Updated Billing Guidelines for Outpatient Services For COVID-19 Cost Share Waiver and Telehealth Services - January 2022, Updated Billing Guidelines for COVID-19 Vaccine Administration Only - January 2022, FQHCs, RHCs and THCs May Need to Resubmit Telehealth Services Claims, Reminder - HAP Progeny Maternity Services Program and FAQS, Skilled Nursing Facilities COVID 19 Reimbursement per the Michigan Department of Health and Human Services, Updated Policy for Coverage of Vascular Endothelial Growth Factor Inhibitors (VEGF) for Ocular Indications, MDHHS Creates Blood Pressure Cuff Coverage Grid, COVID-19 Testing Coverage for Medicaid Members - Bulletin from the MDHHS, Healthy Michigan Plan Health Risk Assessment Video Resources, Primary Care Physicians - Accessibility and Availability Requirements, Michigan Family Connections Newsletter - Fall 2021, Provider Information Sheet Sickle Cell Disease Expansion, Skilled Nursing Facility Admissions - Prior Authorization Temporary Waiver Reinstated, Update: Urgent Care Centers Reimbursement for COVID 19 Vaccine Administration, NDC Reporting Requirement for Physician Administered Drugs, Flu Vaccine Resources from the Centers for Medicare & Medicaid Services. One of HAP's greatest strengths is our large and diverse provider network. Use the search function below to search Provider Central, These updates support providers by highlighting new classes, trainings, resources, chats, procedures, and programs. A variety of reports & statistics for programs and services. Seeking additional landlords and housing opportunities. #current year# Health Alliance Plan of Michigan. HAP Senior Plus(PPO) EyeMed Vision Benefits eviCore: cardiac imaging, musculoskeletal, radiology services & sleep studies 2+J_W+J_W++Y<` ]~k|d-Hi:A:VaS),_.7(G*+T! >*wD'WXMtb6k4X(yUf5h{",].J`P)4~=$"EVB`wMG? yYA>s a[@jt5SF)A|zpV3n1mC!?n>W{1chcF*16ND-tCFMx;jlx|p(Pq/ Contact your assigned network development specialist. endstream endobj startxref 3 Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. Provider Information Change Form (for contracted providers), Health Alliance Credentialing Application (for contracted midlevel providers), CAQH Provider Addition Form (for IL contracted MDs and DOs only), Prior Authorization & Clinical Review Criteria, Illinois Uniform Electronic Prior Authorization, Provider Reference Checklist - Acute Inpatient/Mental Health/Substance Abuse, Provider Reference Checklist - Outpatient, Provider Reference Checklist - Post Acute, Provider Reference Checklist - Transplant (Admissions), Provider Reference Checklist - Transplant Center, Ancillary/Facility Credentialing Checklist, Pharmacy Prior Authorization Provider Portal Guide, Link to Health Alliance Provider Training Recording, Altruisa/Guiding Care Prior Authorization Video, Morphine Equivalent Dose (MED)/Opioid Medication Supplemental Information Form - (fill), Health Alliance Northwest Emergency Fill List Included Drugs, Health Alliance Northwest Emergency Fill List Excluded Drugs, 2022 Medicare State of Illinois Formulary, 2023 Health Alliance Individual and Small Group Formulary, 2023 Health Alliance Northwest Individual & Small Group Formulary, 2023 Health Alliance State of Illinois Employee Formulary, 2023 Health Alliance Northwest Large Group Formulary, 2023 Large Group and Self-Funded Standard Formulary, 2023 Large Group and Self-Funded Enhanced Formulary, Statin Therapy for Patients with Cardiovascular Disease, Statin Use in Persons with Diabetes Tip Sheet, Transitions of Care-Patient Engagement After Inpatient Discharge, Transitions of Care-Receipt of Discharge Information, Transitions of Care-Notification of Inpatient Admission, Transitions of Care-Medication Reconciliation Post Discharge, Percentage of Inpatient Admissions with Follow Up Withing 14 Calendar Days, Kidney Health Evaluation for Patients with Diabetes KED, Provider Reference Checklist Acute Inpatient/Mental Health/Substance Abuse, Provider Reference Checklist Outpatient, Provider Reference Checklist Post Acute, Provider Reference Checklist Transplant (Admissions), Provider Reference Checklist Transplant Center, Morphine Equivalent Dose (MED)/Opioid Medication Supplemental Information Form (fill).