Michigan Medicaid
Finding the right answers and information about a complicated topic like Medicaid can mean searching through hundreds of pages at government and private websites. Our editors have compiled this digest of Michigan Medicaid help and resources to assist in your search.
topics: Michigan Medicaid: Michigan Public Health Insurance: medical coverage, centers for Medicaid; Medicaid In Michigan; Medicaid Assistance information; IL definition Medicaid Michigan: Michigan Medicaid Eligibility: Applying for Michigan Medicaid: Medicaid: Health Programs for Children: Michigan CHIP:
Topics on this page:
A definition of Medicaid in Michigan
- "
Medicaid is health care coverage for low-income people and working families who qualify. This includes families, children, and women who are pregnant. It also offers help to people who are blind, disabled or age 65 and over.
Medicaid is available to families under the Low Income Family (LIF) Program. There are income and asset tests. Families that receive cash assistance (Family Independence Program or FIP) are automatically eligible for this program. Other families must apply at the local MDHS office. Families don't have to apply for FIP in order to receive health care coverage under this program. Most beneficiaries are enrolled in a Medicaid health plan and receive a comprehensive package of health care benefits including vision, dental, and mental health services.
source:Michigan Department of Community Health, Lansing, Michigan 48913
The Michigan Healthy Kids program:
- "
Healthy Kids is a Medicaid health care program for low-income children under age 19 and for Pregnant Women of any age. There is only an income test. There is no monthly premium for Healthy Kids. Most children who are eligible for Healthy Kids are enrolled in a Medicaid health plan.
"
The Michigan MIChild program:
- "
MIChild is a health care program administered by the Department of Community Health. It is for the low income uninsured children of Michigan's working families. MIChild has a higher income limit than Healthy Kids. There is only an income test. Like Healthy Kids, MIChild is for children who are under age 19.
"
source:
Michigan Department of Community Health, Lansing, Michigan 48913
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Medicaid in Michigan: How It Works; An Introduction to Michigan Medicaid
- brochure:
AN INTRODUCTION TO MEDICAID
source:(Michigan) Center for Civil Justice (CCJ)
file size: 9 pg.; languages: English
from the brochure:
"...In order to qualify for Medicaid, you must meet both financial and non-financial criteria. People who receive Medicaid must fall in one of the many “categories” of Medicaid recipients that are allowed in Michigan. There
are dozens of Medicaid categories, each of which has different rules related to income, assets, and other
eligibility criteria. Because there are so many different rules, and because the same person may qualify under one
category of Medicaid but not another, it is very important that DHS evaluate an application for Medicaid under
as categories as possible before denying someone.....
"
- brochure:
Making Health Care Affordable & Accessible in Michigan
source:Michigan Department of Community Health
file size: 12 pg. languages: English
"In her State of the State Address, Governor Granholm proposed a revolutionary new way to address the rising cost of health care in Michigan and the burden it places on our families and our businesses. This comprehensive strategy will:..."
- brochure:
Michigan Medicaid Primer Facts at a Glance
source:Michigan State University | School of Social Work
file size: 2 pg. languages: English
from the brochure:
"To be on Medicaid, a person has to undergo at least three eligibility tests. First, a person has to be included in an eligibility category, such as being over age 65 or disabled. Second, a person must have income that is less than a specified level. Third, a person must have resources (assets) that are valued below a specified level. Other tests may also apply depending on the services that a person needs....
"
- brochure:
Michigan Legislators’ Guide to the Face of Medicaid
source:Michigan Health & Hospital Association
file size: 2 pg. languages: English
from the brochure:
"With the continuing uncertainties in the state and
national economies, it’s likely that you know someone who benefits from the Michigan Medicaid program. Maybe a friend, a neighbor or a family member.....
"
- web page:
MEDICAID | Michigan
source:healthinsuranceinfo.net - Georgetown University's Health Policy Institute
languages: English
from the webpage:
"...In Michigan you may be eligible for Medicaid if you are an infant, a child, pregnant, the parent of a dependent child, medically needy, elderly, disabled, and your family income meets the Medicaid income standard...
"
- brochure:
The Medicaid Program at a Glance
source:The Kaiser Commission on Medicaid and the Uninsured
file size: 2 pg. languages: English
This fact sheet provides an overview of the Medicaid program, the populations that it serves, the services that it covers and the expanded role it will play under the health reform law...
- also from The Kaiser Commission on Medicaid and the Uninsured:
brochure:
Medicaid: A Primer
languages: English
from the brochure:
"This primer provides an overview of the basic components of Medicaid, the nation's largest health coverage program, which covers nearly 60 million low-income individuals, including children and families, people with disabilities and seniors who are also covered by Medicare...
"
- web page:
Michigan Medicaid
source:GovBenefits.gov - Your Benefits Connection
languages: English
from the web page:
" The Michigan Medicaid Health Care Program is intended to provide medical and health-related assistance to low-income individuals and families who have no medical insurance or have inadequate medical insurance. Generally, the program serves: persons aged 65 or older; blind or permanently disabled persons; members of families with dependent children; children in foster care homes; pregnant women; and individuals under age 21 in psychiatric hospitals...
"
Michigan Medicaid Eligibility, How to get Medicaid in Michigan
- web page:
Find your county's DHS office
source:Michigan Department of Human Services
languages: English
from the web page: "Map of DHS County Offices... Click on Map below for DHS County Office Information
"
- web page:
Key Medicaid Information for Michigan for 2010
source:Elder Law Answers
"Explains important basics about Michigan Medicaid. Topics include protections for the community spouse, transfers, income, and estate recovery..
"
- web page:
Medicaid Eligibility
source: Centers for Medicare & Medicaid Services
languages: English
Many groups of people are covered by Medicaid. Even within these groups, though, certain requirements must be met. These may include your age, whether you are pregnant, disabled, blind, or aged; your income and resources (like bank accounts, real property, or other items that can be sold for cash); and whether you are a U.S. citizen or a lawfully admitted immigrant. The rules for counting your income and resources vary from state to state and from group to group. There are special rules for those who live in nursing homes and for disabled children living at home.
- web page:
2011 HHS Poverty Guidelines
source: Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services
languages: English
from the web page:
"...The poverty thresholds are the original version of the federal poverty measure... The poverty guidelines are the other version of the federal poverty measure.
Michigan Medicaid Citizenship Requirements
Applying for Michigan Medicaid
Applying for Michigan Medicaid:
- To qualify for most Michigan Medicaid programs, you must complete an application form. You do not need to know what program you are eligible for to apply, but you must apply. Your local Department of Human Services (DHS) can help you fill out the form. In addition, there are a number of local community agencies - such as your local health department - that offer help in applying for Medicaid.
You can apply for help at your local Department of Human Services (DHS) or send them your application by mail. Also, a number of local community agencies, such as your local health department, offer help in applying for Medicaid.
"
source:
learning.mihealth.org (Michigan Department of Community Health), Lansing, Michigan 48913
Michigan Medicaid Managed Care, HMO
Children's Medicaid: Health Programs for Children: Michigan CHIP:
- brochure:
The health insurance you need - MIChild
source:Michigan Department of Community Health
2 pages; languages: English
from the brochure:
"... MIChild is a health insurance program. It is for uninsured children of Michigan’s working families. MIChild services are provided by many HMOs and other health care plans
throughout Michigan....
"
- also from Michigan Department of Community Health:
brochure:
Healthy Kids
6 pages; languages: English, Spanish
from the web page:
"Health Kids is a program for pregnant women, babies and children under 19. It covers women during pregnancy and the first two months after pregnancy ends. Babies may be eligible for up to one year after birth. Children may be covered up to age 19.
...
"
- web page:
What is Healthy Kids/Medicaid?
source:Oakland County, Michigan
languages: English
from the web page:
"Healthy Kids Medicaid is a state-wide program to provide health care insurance for low-income families and individuals. This includes pregnant women, babies, and children under the age of 19...
"
- brochure or publication:
Michigan MEDICAID FACTS
source:AMERICAN ACADEMY OF PEDIATRICS
languages: English
from the web page:
"How does Medicaid help children in Michigan? Children make up 58% of Michigan’s Medicaid population, but are of very low cost, accounting for only 20%
of the state’s Medicaid spending. In general, Michigan children who are in families of four with incomes below $30,000 are eligible for Medicaid.**...
"
- web page:
Michigan: CHIP Program Name and Type, 200
source:Kaiser Family Foundation statehealthfacts.org
languages: English, Spanish
from the web page:
"Individual state profiles...
"
- web page:
Michigan Public Health Insurance for Children
source:National Center for Children in Poverty
languages: English
from the web page:
"Eligibility Criteria... Benefits... Participants... Spending
...
"
Michigan Medicaid Benefits and Coverage: Medicaid Services
- web page:
Health Care Coverage
source:Michigan Department of Human Services
languages: English, Spanish
from the brochure:
"Michigan has many health care programs available to children, families, and adults who meet certain eligibility requirements. The goal of these health care programs is to ensure that essential health care services are made available to those who otherwise would not have the financial resources to purchase them....
"
- web page:
What is Medicaid? What Medicaid Pays For
source:Legal Services of Northern Michigan
"...This is a general listing of Medicaid covered services that are available when medically necessary and furnished by enrolled providers. Some services are only for certain age groups or may require prior approval...
"
- web page:
Benefits by State: (October 2008)
source:Kaiser Family Foundation
languages: English, Spanish
from the web page:
"Medicaid benefits: Online database
"
- also from Kaiser Family Foundation:
web page:
Michigan & United States State Medicaid Fact Sheets
languages: English
- Case Study: Michigan's Medicaid Prescription Drug Benefit
languages: English
from the web page:
"This report describes the legislative process behind and content of Michigan's Pharmaceutical Product List (MPPL), a selection of preferred drugs available to be prescribed in the Medicaid program with little restriction. Providers would be required to obtain prior authorization from the state to prescribe any drug not included on the MPPL...
"
- brochure or publication:
Mental Health and Substance Abuse Services in Medicaid and SCHIP in Michigan
source: US Dep't of Health and Human Services, Substance Abuse and Mental Health Services Administration
file size: 7 pg.; languages: English
from the brochure:
"As of July 2003, 1,344,019 people were covered under Michigan's Medicaid/SCHIP programs. 1,310,254 of these were financed by the traditional Medicaid program, 33,764 enrolled in the separate SCHIP program, and 0 were financed by a Medicaid/SCHIP 1115 waiver program. In state fiscal year 2000, Michigan spent $3.02 billion to provide Medicaid services....
"
Michigan Medicaid Dental Services; Dentist
- brochure:
Don't Wait Until it Hurts - Dental care for children **
source:Michigan Department of Human Services
languages: English
2 pages; from the brochure "Regular dental visits — examinations,
cleanings, fluoride treatments, dental sealants, and fillings — are important to keep teeth healthy... If your child has Healthy Kids or MIChild health coverage, these services will be paid for. Call your local health department if you need help getting
an appointment with a dentist..."
- brochure:
Michigan Medicaid's Healthy Kids Dental program
source:The Journal of the American Dental Association
languages: English
2 pages; from the brochure "An assessment of the first
12 months... In 2000, Michigan’s Medicaid dental program initiated Healthy Kids Dental, or HKD, a demonstration program
offering dental coverage to Medicaid enrolled children in selected counties... "
- web page:
Find an Oral Health Provider: Michigan Dental Providers
source:InsureKidsNow.gov
languages: English
- brochure or publication:
Guide to Children's Dental Care in Medicaid
source:Centers for Medicare & Medicaid Services
52 pages; languages: English
from the brochure: "The Guide is intended to serve as a resource of current information on clinical practice, evolving technologies and recommendations in dental care. The guide is not intended to change current Medicaid policies, nor is it intended to impose any new requirements on states..."
- also from Centers for Medicare & Medicaid Services:
web page:
Medicaid Dental Coverage - Overview
languages: English
from the web page:
"Dental services under Title XIX of the Social Security Act, the Medicaid program, are an optional service for the adult population, individuals age 21 and older. However, dental services are a required service for most Medicaid-eligible individuals under the age of 21, as a required component of the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit...
"
Michigan Medicaid and Nursing Homes, Assisted Living, Long Term Care
- brochure:
Know Your Rights -- Your Medicaid Care and Coverage In A Nursing Facility (DCH-0731)
source:Michigan Department of Human Services
languages: English, Spanish
from the web page:
"As a resident of a Medicaid nursing home, you have the same rights about your life, medical care, and personal treatment as others who live in your community. These rights are protected by rules made by both the state and federal government. As a Medicaid beneficiary, you have
the right to the same quality of medical care as other nursing home residents.
"
- brochure:
Planning For Medicaid
Qualification
source:State Bar of Michigan
languages: English, Spanish
from the brochure:
"...While this pamphlet focuses on Medicaid qualification for nursing home care, the same financial eligibility rules apply for the Medicaid Home and Community-Based Waiver, which provides services and supports to enable people who need extensive care to remain in their own homes....
"
- web page:
Issue Alert - Six month housing allowance for short stay Medicaid-funded nursing home residents (BEM 100)
source:Michigan Poverty Law Program
languages: English
from the web page:
"...Medicaid funded nursing home residents whose doctors certify they are likely to remain in the nursing home six months or less can apply for a “Special Director” or “Olmstead” Exception to permit them to divert income to pay necessary expenses to maintain their home rather than using their income for their patient pay obligation to the nursing home....
"
- brochure:
Access to Long-Term Care: Know Your Options
source:Michigan Department of Community Health
languages: English, Spanish
from the brochure:
"...This brochure offers information on the Medicaid programs that provide long-term care services and requirements for eligibility...
"
- web page:
Medicaid and Long-Term Care - MI
source:New York Life Insurance Company
languages: English, Spanish
from the web page:
"Medicaid will cover the cost of some types of long-term care, but to qualify one must meet Medicaid's strict income and asset eligibility requirements. Medicaid was designed as a resource for individuals who could not otherwise pay for their own medical needs. It was not designed to act as a national long-term care financing tool.
"
- web page:
Michigan Nursing Homes and Long Term Care Facilities Directory
source:The Michigan Long Term Care Care Project
languages: English
from the web page:
"These are Michigan Nursing Homes in cities A - Z.
"
Michigan Medicare Home Health Care Agencies
languages: English
from the web page:
"...a consumer's guide to Michigan Medicare Certified Home Health Care Agencies ...
"
- web page:
Michigan Medicare/Medicaid Assistance Program
source:MI Seniors - Michigan Office of Services to the Aging
languages: English
from the web page:
"The Michigan Medicare Medicaid Assistance Program (MMAP) provides free health benefit counseling services to those aged 65 and older, those who are Medicare beneficiaries due to disability, and their families. MMAP's provides timely, objective and accurate information and support to Michigan beneficiaries so that they can make informed decisions about their health care.
"
Michigan Medicare / Medicaid Dual Eligibles - Michigan Medicare Savings Program
- brochure:
Medicare Savings Program
source:Michigan Department of Community Health
2 pages; languages: English
from the brochure:
"TYou may qualify for help to pay your Medicare expenses if you are elderly or disabled with low income and limited assets... You may see your monthly Social Security payment increase if Medicaid begins paying your Medicare premiums...
"
- brochure:
Medicaid Coverage of Medicare Beneficiaries (Dual Eligibles) At A Glance
source:Centers for Medicare & Medicaid Services
4 pages; languages: English
from the brochure:
"Individuals who are entitled to Medicare Part A and/or Part B and are eligible for some form of Medicaid benefit are often referred to as “dual eligibles.” These
benefits are sometimes referred to as Medicare Savings Programs (MSPs). Dual eligibles are eligible for some form of Medicaid benefit, whether that Medicaid coverage is limited to certain costs, such as Medicare premiums, or the full benefits covered under the State Medicaid plan...
"
- brochure:
Dual Eligibles: Medicaid’s Role for Low-Income Medicare Beneficiaries
source:Kaiser Family Foundation: Medicaid/CHIP
languages: English
2 pages; from the brochure:
"Nearly 8.8 million Medicaid beneficiaries are “dual eligibles” – low-income seniors and younger persons with disabilities who are enrolled in both the Medicare and Medicaid programs. Dual eligibles are among the sickest and poorest individuals covered by either the Medicaid or
Medicare programs...
"
Michigan Medicaid Waiver Programs
Report Medicaid Fraud in Michigan; HOTLINE
- web page:
Medicaid Fraud Control Unit
source:Michigan Department of Attorney General
languages: English
from the web page:
"...In 1978, the Office of Attorney General created a Medicaid Fraud Control Unit, and it was certified by the Federal government the same year. In 1986, it became the Health Care Fraud Division of the Attorney General's office...
"
- also from Michigan Department of Attorney General:
web page:
How To Identify & Report Medicaid Provider Fraud
2 pages; languages: English
from the web page:
"...Medicaid fraud occurs in many ways. The recipient of medical services should remember...
"
- hotline :
Health Care Fraud Division Hotline
According to the Michigan Department of Attorney General: "(800) 24-ABUSE [800-242-2873] "
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MI: Michigan Medicaid Elgibility: Applications: Benefits: state Medicaid
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