MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Low-income Households Water Assistance Program (LIHWAP). Those who qualify will have access to home and community based supports and services to help them live independently. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. PDF Guide to Resolving Health Insurance Problems - State of Michigan ICO-CMCF, MI Health Link at County Medical Care Facility. MPR - My Patient Rights N/A- Enrollment in MI Health Link does not impact Habilitation Supports Waiver services. Integrated Care Organization (ICO)Transition Requirements at Enrollment, Enrollees and Enrollees Receiving Specialty Services and Supports Program through the PIHP, Maintain current provider at the time of enrollment for 180 days. Adult Behavioral Health & Developmental Disability Services. DIFS has an on-demand health insurance webinarthat can provide answers to some of the most common health insurance questions. I received an adverse determination on my health claim. Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps. Many also have multiple orchronic conditions and will benefit from better care coordination, person-centered planning, and management of health and long term supports and services. Be sure to include the following with your appeal: A copy of the final denial from your health insurer; The reason(s) why you are appealing the decision; and. MI Health Link lets you use one plan and one card for health care, behavioral health care, home and community-based services, nursing home care and medications. Information on treatment and services for juvenile offenders, success stories, and more. The goal of MI Health Link is to provide seamless access to high quality care through coordination of services currently covered separatelyby Medicare and Medicaid. 1Requirements for all Medicare and Medicaid pharmacy transition will adhere to Medicare Part D pharmacy transition requirements. DIFS Prohibition Orders for Consumer Finance and Credit Union. Send us an email at DIFSInfo@michigan.gov. Attn: Grievance and Appeals Unit. How do I file a request for external appeal? Box 22816 Long Beach, CA 90801-9977. GetSetup is a free and interactive program for older adults. Learn about our responses to Coronavirus and find the latest program guidance. External appeals can be filed with DIFS using either the. Following are the contact details of some of the leading . You can: You can change health plans or leave MI Health Link at any time. After you submit your internal appeal, your health insurer is required to tell you its final decision within: 30 calendar days for a health care service that has been scheduled but you have not yet received (a, 60 calendar days for a health care service you have already received (a. 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. Frequently Asked Questions - California Department of Managed Health Care Birth, Death, Marriage and Divorce Records. If you receive Personal Care services through the home help program, the MI Health Link health plan will provide your personal care services along with any medical and pharmacy services you need. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Need to talk with DIFS? Enrolling in MI Health Link will not impact your enrollment in the Habilitation Supports waiver program. 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. ICO-NFAC, MI Health Link at Nursing Facility. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Life and Health/Appeals and Grievance. Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, Emergency Relief: Home, Utilities & Burial, Adult Behavioral Health & Developmental Disability, MI Health Link Information for People with Medicare and Medicaid. Maintain current provider and level of services at the time of enrollment for 90 days. HAP Empowered MI Health Link is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. The notice will tell you which ICO you will have by default and how you can choose among ICOs, opt-out of MI Health Link, or disenroll after you are passively enrolled. For appeals filed under the DIFS expedited external appeal process, as listed above, the process will be completed within 72 hours of receiving the appeal request. With use of a single card, MI Health Link benefits include: MI Health Link services are provided to enrollees by these Integrated Care Organizations (ICO's): A Care Coordinator will assist each enrollee to connect with the supports and services they need to be healthy and to meet personal goals. Who is able to file an appeal for a health service denial? Call us toll-free Monday through Friday 8 a.m. to 5 p.m. at877-999-6442. A variety of reports & statistics for programs and services. MI Health Link lets you use one plan and one card for health care, behavioral health care, home and community-based services, nursing home care and medications. Legislation policy and planning information. It is important that people have all the information they need about MI Health Link so they can make informed choices based on their needs and understand their options. You can "Opt out" and disenroll from MI Health Link by contacting Michigan ENROLLS at 1-800-975-7630, TTY users may call 1-888-263-5897. The time it takes to get an appointment or be seen by a provider. Need to talk with DIFS? During the first 180 calendar days of coverage, the ICO will provide the following: The ICO must provide an appropriate transition process for enrollees who are prescribed Part D drugs that are not on its formulary (including drugs that are on the ICO's formulary but require prior authorization or step therapy under the ICO's utilization management rules). If you have questions please e-mail IntegratedCare@Michigan.gov. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. hb```f```( ,3t``{XG}HG\BRLZ/MH^[GIWKOPNA@QM]EV309$"(8<4,6. Services will be delivered through one integrated system to enhance communication and care delivery. State-chartered Bank and State-chartered Savings Bank forms. Information on the Safe Delivery Program, laws, and publications. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. It has over 150 online classes taught by retired educators. How to Lodge a Complaint Against Health Insurance Company? - BankBazaar Currently, theseindividuals navigate multiple sets of rules, benefits, insurance cards, and providers in accessing services covered by Medicare Parts A and B, Part D, and Medicaid. A care coordinator gets to know you and helps create a personal care plan based on your goals. First contact your health plan with your complaint and ask them to provide a written response. PDF Michigan MI Health Link Demonstration Frequently Asked Questions for Sacramento, CA 95814 This person will assist with your care plan, answer your questions, help get appointments and services, arrange transportation, and more. To participate as a MI Health Link Provider, you will need to join one or more of the ICO provider networks. MI Health Link is a health care option for Michigan adults, age 21 or older, who are enrolled in both Medicare and Medicaid. 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 is collected to monitor the general health and well-being of Michigan citizens. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. How our department monitors insurance market practices, Insurance Company Contract and Rate Filings. Children's Special Health Care Services information and FAQ's. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Are not residing in a state-operated veteran's home. Information on Safe Sleep for your baby, how to protect your baby's life. The List of Covered Drugs (Formulary) is a list of drugs that members can get in Upper Peninsula Health Plan (UPHP) MI Health Link (Medicare-Medicaid Plan). Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Access the health insurance resources below or contact the Department of Insurance and Financial Services (DIFS) at 877-999-6442 from 8 a.m. to 5 p.m. Monday through Friday. PDF WHAT IS A GRIEVANCE? - dwihn.org Child Welfare Medical and Behavioral Health Resources. State and federal law protects your rights. MHLO is a project of the Michigan Elder Justice Initiative and our partners at the Counsel and Advocacy Law Line, two free legal services programs for low income Michiganians. The MHLO is funded by a grant from the Michigan Department of Health and Human Services. Live in the Michigan counties of Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren, Wayne or any county in the Upper Peninsula. PDF MI HEALTH LINK PROGRAM - Michigan Department of Health and Human Services . We can: We also work with health plans, Pre-Paid Inpatient Health Plans (that offer behavioral health services), the Michigan Department of Health and Human Services, and the federal government to spot issues, identify best practices, and offer solutions that will help make the MI Health Link program work better for beneficiaries. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. The care coordinator connects you to supports and services to be healthy and live where you want. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. UPHP This transition process must be consistent with the requirements at 42 C.F.R. TheMI Health Link Beneficiary web page has information designed to help patients understand the program and their choices. The appeal must be submitted within 127 days of the final decision. Who is eligible for MI Health Link? MI Health Link is a program that will allow you to get health careand services covered by Medicare and Medicaid. The IICSP must be reviewed and updated and providers secured within 180 days of enrollment. Birth, Death, Marriage and Divorce Records. If you are hearing impaired, call the Illinois Relay at 711. Gather supporting documents and photographs. Information on communicable & chronic diseases. It brings together your services into one plan, one card and one care coordinator. Information on the Food Assistance Program, eligibility requirements, and other food resources. 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. Welcome to the MI Health Link Ombudsman | Michigan Health Link Ombudsman Information on child support services for participants and partners. All appeals and grievances, forms and associated services are available free of charge.