michigan medicaid provider lookup

Information on DHS Applications and Forms grouped by category. Their number is 888-367-6557. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. The provider reports this when credentials are first checked and when there is a change. It helps you find a provider that fits your needs, your plan and your budgetand it's easy to use. Information on child support services for participants and partners. Verifying Eligibility with the mihealth card: Eligibility Inquiry - Beneficiary SearchOptions: The following searchoptionsare availableusing theCHAMPSEligibility Inquiryand/or 270/271 transaction: 1. 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. Medicaid Provider Manual (7 days ago) Michigan Medicaid Phone Number Michigan Department of Health and Human Services - MDHHS: General Information: 517-373-3740 Child Support: 866-540-0008 Report Rcmguide.com Category: Health Detail Health Effective October 1, 2019, providers who prescribe drugs to Medicaid beneficiaries must be actively enrolled in CHAMPS. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. All other documents on this website are accessible using a dial-up modem. Health Care Coverage information and resources. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Information on treatment and services for juvenile offenders, success stories, and more. Children's Special Health Care Services information and FAQ's. A smaller, If you would like to receive a CD version of the. If you are using a dial-up modem, we recommend you use the CD version of the Manual. Find a doctor Call Michigan Medicine Customer Service. Enter City and State, or Zip Code. 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. Find a Dentist by Name - If you know the name of the dentist you want, click on "Dentist by Name" and enter their last name in the search bar. Health MICHIGAN HEALTH SPECIALISTS KHALID AHMED, MD. Lansing,MI48909 Information on the Safe Delivery Program, laws, and publications. All other documents on this website are accessible using a dial-up modem. It does not take into consideration a specific member or contract agreement. Information on the Safe Delivery Program, laws, and publications. If you are having an emergency please dial 911. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Search for Primary Care Providers, hospitals, pharmacies and more using the Search Tool below. Medicaid Health Plan (MHP) Primary Care Physician (PCP), including the PCP name, telephone number, and NPI. CHAMPS. 14-Page Affordable Care Act Website Removed From Medicaid.gov sunlightfoundation.com. CSHCS restriction data, including qualifying diagnosis code(s) and authorized provider list if the provider submitting the inquiry is authorized for the date of service. Our representatives are available 24 hours a day. Information on communicable & chronic diseases. Itprovideslinks to CHAMPS, billing and reimbursement resources, training, policy documents, and much more. Information about audits conducted by the Office of Audit. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. DATA.NY.GOV. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. 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. Who are you? 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. Resources > Search Providers. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Lansing, MI 48909-8231 This includes a wide range of benefits, such as transportation services, a 24-hour nurse help line, vision, hearing and dental coverage. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Information about the health care programs available through Medicaid and how to qualify. The followingoptions are available for enrolled MI Medicaid Providersto verifyeligibilityfor the Medicaid, Healthy Michigan Plan,CSHCS,MOMS, and MIChild programs: Michigan Public Health Institute is now able to accept Real-Time/Batch HIPAA 270/271 transactions from all Providers, Billing Agents, and Clearinghouses registered with CHAMPS. Medicaid is a state and federally funded program that provides health coverage to eligible low-income adults (including pregnant women), children, adults age 65 and older and people with disabilities. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Adult Behavioral Health & Developmental Disability Services. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. These services are provided on behalf of MDHHS and are available free of charge. At Aetna Better Health of Michigan, we see our providers as our allies in providing high-quality health care services to a vulnerable population. If you cannot afford child care, payment assistance is available. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Learn about our responses to Coronavirus and find the latest program guidance. Information on Safe Sleep for your baby, how to protect your baby's life. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. You can find a Blue Cross Complete doctor or pharmacy using our online search. Providers - Health care providers who are enrolled with Medicaid or would like to enroll and need more in for mation about bill in g, Medicaid programs, and help resources. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. 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. Your PCP will coordinate your health care needs. Join Our Network At Molina Healthcare, we consider ourselves a part of our member's extended family. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Information about audits conducted by the Office of Audit. PO Box 30479 Lansing, MI 48909 or E-mail: MSA-Forms@Michigan.gov Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD. Resources and information to assist in assuring firearm safety for families in the state of Michigan. Information on the Children's Foster Care program and becoming a Foster Parent. Outbreaks of novel virus infections among people are always of public health concern. Beneficiary Portal Provider Portal The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. 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. UPHP Notice of Nondiscrimination Accessibility Statement UPHP News About UPHP Pharmacy Contact Us Login Sitemap Services Medicare Medicaid Providers Upper Peninsula Health Plan 906-225-7500 or 800-835-2556 For Microsoft Edge enable Adobe flash player. Information & resources for Community and Faith-Based partners. 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. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Beneficiary ID number or Client Identification Number (CIN) (MIChild Inquiries only). 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. The CMHSP Provider ID of the county with financial responsibility should report the BH-TEDS and Encounter records. All providers who serve Michigan Medicaid beneficiaries are required to be screened and enrolled in the Community Health Automated Medicaid Processing System (CHAMPS). Information on the Children's Foster Care program and becoming a Foster Parent. Need Assistance? Emergency Relief: Home, Utilities & Burial, Formula Updates and Shortage Information for WIC Clients, General Information For Families About CSHCS, Supplemental Nutrition Assistance Program Education, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, Trauma Facility Verification and Designation, MI Interagency Migrant Services Committee, Students in Energy Efficiency-Related Field, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy. It is the PIHP's The Maternal Infant Health Program (MIHP) requirements are outlined in detail in both Medicaid Policy and the MIHP Program Operations Manual. Information on DHS Applications and Forms grouped by category. Monday 10/24/2022 05:18 PM CST. SEIF SAEED, MD. QPP participation status lookup tool You can use your 10-digit National Provider Identifier (NPI) number to see if you need to submit data to MIPS. Humana Medicaid Child well-being Checkups are key to keeping a child healthy. X12 270/271 (Batch) HIPAA Transaction: This transaction allows users to submit a batch file at any time and receive a response file within 24 hours. X12 270/271 (Real time) HIPAA Transaction: This transaction allows users to submit individual eligibility requests at any time using a single DOS or DOS span. The Overview describes how information is organized and how to navigate through the document. MI Healthplan Benefits Website: This website allows users to submit individual or multiple eligibility inquiries (up to 15 at a time) using a single date of service (DOS) or DOS span. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. All attempts are made to provide the most current information on the Pre-Auth Needed Tool. Information on treatment and services for juvenile offenders, success stories, and more. Information on DHS Applications and Forms grouped by category. Legislation policy and planning information. Find a Provider/Pharmacy. Centers for medicare and medicaid services (cms) [2/15/2017]. Get to know your options, from in-person checkups to online health care. Learn about our responses to Coronavirus and find the latest program guidance. This site contains information for: Individuals - People looking to apply for benefits, learn more about Medicaid programs, or find help Providers - Health care providers who are enrolled with Medicaid or would like to enroll and need more information about billing, Medicaid programs, and help resources A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. Information on treatment and services for juvenile offenders, success stories, and more. The electronic Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Healthy Michigan Plan, Children's Special Health Care Services,Maternity Outpatient Medical Services (MOMS), and other healthcare programs administered by the Michigan Department of Health and Human Services (MDHHS). The Michigan Medicaid Network State Director manages and oversees compliance with our Network responsibilities as provided within the State Medicaid contractual requirements as outlined below: MDHHS advises review of Actions for Caregivers of Older Adults During COVID-19 and supportingFrequently Asked Questions (FAQ)document. Search Provider. www.Michigan.gov/Coronavirus>> Resources >> For HealthProfessionals, Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, https://dev.michigan.local/som/json?sc_device=json, Emergency Relief: Home, Utilities & Burial, Formula Updates and Shortage Information for WIC Clients, General Information For Families About CSHCS, Supplemental Nutrition Assistance Program Education, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, Trauma Facility Verification and Designation, MI Interagency Migrant Services Committee, Students in Energy Efficiency-Related Field, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Improving Care for Justice Involved Patients, Managed Long Term Services and Supports (MLTSS), Michigan Office of Administrative Hearing and Rules for MDHHS, Health Care Coverage for People Impacted by Flint Water, Primary Care Provider Incentive Payment Program, Program of All-Inclusive Care for the Elderly (PACE). 3. Please contact our Customer Service department at 888-327-0671 (TTY: 711) for any questions you may have, including how to obtain information on a provider's race or ethnicity. Note: If the TPL listed is no longer active or if is not being reported in the response, please contact Provider Inquiry at 1-800-292-2550 or complete an Online Request at www.michigan.gov/reportTPL Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. A variety of reports & statistics for programs and services. If the beneficiary is eligible, the following information is available from the eligibility response: MDHHS/Provider Inquiry Michigan Preferred Drug List (PDL)/Single PDL Effective 10/01/2022 Preferred Agents do not require prior authorization, except as noted in the chart at the bottom of the page Information on communicable & chronic diseases. UPHP does not confirm this. >> Medicaid Provider Manual Each Michigan Department of Health and Human Services (MDHHS) office must furnish information in writing and orally, as appropriate, to any requesting individual, acknowledging that non-emergency medical transportation (NEMT) is ensured to and from Medicaid (MA) covered services. Information on DHS Applications and Forms grouped by category. Adult Behavioral Health & Developmental Disability Services. To view and utilize the link and search functions of the Manual, you will need to have Adobe Acrobat version 6.0 or higher. You will receive the current published version of the manual that is available at that time. A variety of reports & statistics for programs and services. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. 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. Medicaid Only; Healthy Michigan; MIChild; Children's Special Health Care Services; Service Area; For Members. E-mail:ProviderSupport@michigan.gov, Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, https://dev.michigan.local/som/json?sc_device=json. www.Michigan.gov/Coronavirus>> Resources >> For Health Professionals. ) is also available Humana Medicaid child well-being Checkups are key to keeping a child healthy Refugee Michigan Payments into a provider provider information provider Materials quality & amp ; Medical Management Health Management TOOLS are! 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