06/04/2019

Managed Care Committee Reimbursement TIDBITS

Featuring this month: Managed Medicaid

TidBits thanks to 

MSHO Managed Care Committee Member

ERIKA DAINS

Did you know....

Beginning 1/1/2020 Medicaid Managed Care/ Healthy Michigan Plan members will need to complete 80 hours/calendar month with one of the following activities…

·         Working at a job

·         Going to school

·         Participating in job training

·         Completing job search activities

·         Participating in a tribal employment program 

·         Participating in vocational training

·         Participating in unpaid workforce engagement directly related to employment (ex. internship)

·         Participating in substance use disorder treatment (SUD)

·         Participating in community service with a non-profit organization

Did you know....

Harbor Health Plan is now Trusted Health Plan (THP). Claims continue to go to the same address:

Medicaid:
Trusted Health Plans, Inc.
DC Healthy Families Program (Medicaid)
P.O. Box 830786
Birmingham, AL 35283-0786

Alliance:
Trusted Health Plans, Inc.
Alliance Programs
P.O. Box 830210
Birmingham, AL 35283-0786

Did you know....

If you have trouble working with or getting appropriate prior authorizations or reimbursement from a Medicaid Managed Care Plan you can contact a liaison from the State?  See the article about DHHS Managed Care Plan Contract Managers in the Medicaid section of this newsletter for more information!!

NOTE: A different Michigan Payer will be featured monthly.

 Visit the MSHO Website for a listing of the Michigan Health Plans and the MSHO Managed Care Committee.

CLICK HERE