2023 Medicare Advantage Plan Benefit Details for the HAP Midwest MI Health Link (Medicare-Medicaid Plan) - H9712-001-. Contact. asm 126 4 of 8 mi health link program asb 2022-002 2-1-2022 adult services manual state of michigan department of health & human services hap midwest health plan 2850 w. grand blvd. As per federal legislation, Michigan will restart monthly eligibility renewals for both fee-for-service Medicaid and Medicaid Health Plan (MHP)starting in June 2023. ACS allows providers to view appointments, submit patient claims and treatment plans, check on authorizations, and more. Member Handbook. Low-income Households Water Assistance Program (LIHWAP). Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims. Wednesday 04/26/2023 10:27 PM. Submenu for Insurance through your employer, Learn more about individual and family plans, To refer a member to an out-of-network provider, please contact our. Find a Provider. Join HAP. hbbd```b``} LN e>0 /Hx0 A0{dT\Q 2QH2m&`5`6G = 68PN&w m Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Call HAP Provider Inquiry at (866) 766-4661. Subscribe to updates or See Alliance News. In this section, youll find numerous resources here that will help you serve our members. One of HAP's greatest strengths is our large and diverse provider network. 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. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m. Contact your clearing house and give them HAP's payor ID: 38224. Log In Now. MQICs goal is to standardize these practice guidelines to help all physicians in Southeast Michigan; and HAP is helping these efforts. Sign in here and select remittance inquiry from your applications menu. Those who disenroll 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. HAP Senior Plus 952-883-7505 With that in mind, we want to make it easy for you to do business with us. 24/7 access to eligibility, benefits, authorizations and more. The independent report said the uneven spread of service providers has left some women with the significant cost of Apr 26, 2023. . For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), Medicaid Rates for FY23April and May 2023, Provider Request for Appeal of an Action Form. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. Allied team members are problem-solvers, innovators and collaborators. (800) 422-4641 (800) 801-1770 TTY: 711 Search Physicians Search Hospitals Contact Us Home. Be sure to sign and date the W-9 form or it will be returned. Our. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Alliance Health Portal Provider User Guide, We are Recruiting Physical Health Care Providers, Alliance Provider Advisory Councils (APAC and LPAC), TP Provider Manual (effective 04/01/2023). HAP is a key participant in the Michigan Quality Improvement Consortium (MQIC) an organization of health plans focused on the health of our members in Michigan. (function() { Every year, Medicare evaluates plans based on a 5-star rating system. Join our Network - Recruiting Physical Health Care Providers; Provider Portal Login; TP Provider Manual - Effective 12/1 . Provider Network Specialists - Contact your assigned network development specialist. Toll free: (800) 422-4641, Provider Inquiries: Or, you can always contact your Provider Network Development Representative. You've got questions, we've got anwers. Medical Prior Authorization Request Form . Alliance Medicare Supplement: Member Inquiries: We are a well-known health plan with many doctors statewide. var gcse = document.createElement('script'); Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Access our provider portal to begin your request. Contact Provider EDI Support Box 02459 Detroit, MI 48202-2459. Please clear your browser cache BEFORE accessing the new Provider Portal URL. Information on the Food Assistance Program, eligibility requirements, and other food resources. Expanded Coverage and Reimbursement for Virtual Visits and Telehealth, HAP Billing Guidelines for COVID-19 Related Services, New Requirements Coming for Nursing Homes to Report COVID-19 Cases, New Policy - Respiratory Virus Panel Tests, Updated Member Cost-Sharing Updates for Treatment and Testing of COVID-19, Member Cost-Sharing Updates for Treatment and Testing of COVID-19, MDHHS Medicaid Specific Information on COVID-19, Durable Medical Equipment Providers FAQ's During the COVID-19 Pandemic, MDHHS Bulletin on Updated Coding Guidance, Testing Coverage and Copay Exemption, Updated Coverage and Reimbursement for Virtual Visits and Telehealth, Autism Coverage Update - Guidelines for Telehealth, Reminder of Appropriate Prescribing and Dispensing, Skilled Nursing Facility Admissions Prior Authorization Temporarily Waived, New! Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. The Alliance Health/Okta Provider Portal has been successfully deployed and your user account and access has been migrated to the new Provider Portal platform. Medicare has neither reviewed nor endorsed the information on our site. 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. Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters. 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 Access Alliance Claim System (ACS) Is the remittance one line item or an entire check? 2850 W. Grand Blvd. money from Medicare into the account. 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. Limitations, copayments, and restrictions may apply. Star Ratings are calculated each year and may change from one year to the next. When your annual out-of-pocket costs exceed $6,350. All Rights Reserved. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Click to register for the new Hally member portal. 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. Clinical Tools, Resources, and Guidelines, Tobacco Free Toolkit for Behavioral Health Agencies, Co-Occurring MH-SUD Diagnoses Screening Program, Healthcare Effectiveness Data and Information Set (HEDIS), Quality Management and Incident Reporting, Licensed Independent Practitioners Compliance Requirements, Claims and Enrollment Guide Fiscal Year 2023 2024. For more information on We support a culture of knowledge and creativity with competitive pay packages, a robust benefits package and a . 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. Outpatient & preservice elective inpatient services 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. select Procedure Reference Lists under Quick Links. This section is for health care providers and prescribers only. We do not sell leads or share your personal information. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. Protect your access to the HealthPartners Provider Portal by reviewing our Password Practices & Tip Sheet. To start an appeal: Call us at (800) 500-3373, fax us at (217) 902-9708, or mail us your appeal in writing to: ATTN: Member and Provider Resolutions Disclaimer and Privacy Policy | Terms of Use 2013 BeneSys Administrators All content on this site is copyrighted by BeneSys Administrators. Plan ID: H9712 - 001 - 0 Contact Provider EDI Support View member eligibility. What version is accepted? Below are several of the organizations that our clinical teams review in order to promote the most updated clinical practice guidelines to promote healthy outcomes for HAP members: -Choosing Wisely:https://www.choosingwisely.org/patient-resources/, -Patient Care Materials from American Academy of Pediatrics:https://www.aap.org/en/patient-care/, -Clinical Guidelines and Recommendations:https://www.acponline.org/clinical-information/guidelines, -Clinical Practice Guidelines:https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline, -Clinical Practice Guidelines:https://www.aafp.org/family-physician/patient-care/clinical-recommendations.html. Medicare Plan Name: HAP Empowered MI Health Link (Medicare-Medicaid Plan) Location: Wayne, Michigan. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. 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 need assistance, please Click Here or contact the ProviderPortal SM Support Team at What would you like to do? Information about injury and violence prevention programs in Michigan. (800) 888-9885 (TTY: 711) MondayFriday, 8 am to 8 pm. Any information we provide is limited to those plans we do offer in your area. endstream endobj 205 0 obj <>stream Login or Register. (866) 766-4709. Molina Healthcare, Inc. Investor Relations: Juan Jos Orellana, 562-435-3666 or Public Relations: Leigh Woodward, 562-233-4532 or HAP Midwest Health Plan, Inc. Susan Schwandt, 248-443 . 835 Electronic Remittance Advice: scroll down to learn more about our contracted clearinghouses. 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). s.parentNode.insertBefore(gcse, s); Tailored Plan - Effective October 1, 2023. Information on child support services for participants and partners. Full contact information (address, phone and email), Mail claims to: Alliance Health and Life Insurance Company P.O. Personal Emergency Response System (PERS): Medical Nutrition Therapy (MNT): Some coverage. endstream endobj 206 0 obj <>stream '//cse.google.com/cse.js?cx=' + cx; Information on the Children's Foster Care program and becoming a Foster Parent. To help patients engage their health care provider in these conversations and empower them to ask questions about what tests and procedures are right for them, Helpful materials on healthcare for Children from the American Academy of Pediatrics, the largest physician organization dedicated to the health of children. Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. 8:00 - 4:00 CST Please visit our new website to see up to date information about your plan. Urgent requests should be marked urgent. 3 2023 Until then people will keep getting services the way they do now. If you need additional assistance with the enrollment process, please contact the Alliance Helpdesk at [emailprotected]. WebThank you for being a provider with HAP Empowered Health Plan, Inc. We appreciate the care that you give to HAP members with Medicaid and MI Health Link coverage. 2850 W. Grand Blvd. Providers who do not contract with the plan are not required to see you except in an emergency. Please check your inbox for an email from Alliance Health <. And it continues to grow. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Health WebWe encourage providers to submit forms and chart documentation via the Health Alliance Provider Portal. For more information, see the guidelineshere. Please ACTIVATE your account as soon as possible. Alliance Health and Life Insurance Company. Heritage has the BEST Customer Service Staff Ever!!! gcse.async = true; Children's Special Health Care Services information and FAQ's. Information about audits conducted by the Office of Audit. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. This portal has replaced your current sign-in procedures for ACS and other Alliance applications. No. Still Time to Qualify for Reimbursement for Gap Closure! HAP Senior Plus(PPO) Provider Materials Manuals Commercial Manual MA Manual Provider Process Improvement Flyer Compliance Forms Compliance Attestation Form Provider Addition and Change Forms Provider Information Change Form (for contracted providers) Provider Addition and CAQH Form Credentialing Forms Provider Attestation Form IL Credentialing Application IA Credentialing Application Health Alliance Credentialing . Or get everything you need to manage your relationship with HAP online. For prescription drug on formulary at in-network pharmacy. Empower Healthcare Solutions, LLC (Empower) is a Provider-led Arkansas Shared Savings Entity (PASSE). Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. (800) 444-5755(Monday through Friday from 8 a.m. to 5 p.m.) Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. (800) 422-4641 Fees for a primary . If you need assistance with the online application you can call the SoonerCare helpline at 1-800-987-7767 or visit your local . Learn about our responses to Coronavirus and find the latest program guidance. Pharmacy Programs Health Alliance.