Click one of the following topics:
Health Care Programs:
Applying for Medical Assistance:
►
To Apply for
Medicaid
,
ABW
and other Medical Assistance Programs:
►To
Apply for the
CSHCS
program: Call
1-800-359-3722 (toll-free), o
r contact the CSHCS office in
your
Local Health Department
for information on how to apply.
►To
Apply for Healthy Kids
Healthy Kids
►To Apply for
MIChild:
►To Apply for
MOMS
: Contact your
Local Health Department
.
Michigan Assistance and Referral Service (MARS):
-
MARS is a pre-screening tool that allows you to find programs offered by the State of Michigan that may help families in need with assistance for medical, nutritional, food, day care, temporary cash or other expenses.
-
More information on the MARS pre-screening tool
Medicaid Questions and Answers:
Q: What is Medicaid?
A: Medicaid is a health care program for low-income families & individuals. This includes families with children, pregnant women, and persons under the age of 21. It also offers help to persons who have a disability, and people age 65 and over.
Q: What medical services does Medicaid cover?
A:
Click here to find the services Medicaid covers
Q: Where can I apply for Medicaid? A: Go to or call your local
DHS
Click here for an Assistance Application (DHS-1171)
. Print and follow the instructions on the application. Then mail or return the Application to your local
DHS
office.
Q: Do Medicaid beneficiaries have to join a Health Plan?
A: Most people who get Medicaid must join a Health Plan.
More information about who must join a Medicaid Health Plan
Q: When my Medicaid case is opened, who will contact me about my Health Plan choices?
A: You will get a information packet in the mail from MICHIGAN ENROLLS. It will list the Health Plan choices in your county. It will also have instruction on how to enroll in a Health Plan and choose a Primary Care Provider (Doctor).
Q: How can MICHIGAN ENROLLS help me? A: They can answer general questions you may have about Medicaid benefits. They can tell you which doctors, pharmacies and hospitals are part of each Health Plan. They can also enroll you by phone in the Health Plan you choose.
Q. When I join a Health Plan, will they mail information to me about that plan? A: Yes. The Health Plan will send you a plan handbook. They will also send you a health plan card.
Q: Where can I find out which doctors, pharmacy, hospital, or other medical providers participate with my Medicaid Health Plan?
A: Call your Health plan. Your Health Plan should have list of doctors, pharmacy, hospital, or other medical providers that participate with them.
Q: Who do I call if I need to change my Primary Care Physician (PCP) if I'm enrolled in a Medicaid Health Plan? A: Contact your Health Plan to change your PCP.
Q: If I am not enrolled in a Medicaid Health Plan, where can I find out which doctors, pharmacy, hospital, or other medical providers that participate
straight Medicaid?
A: Contact your local
Health Department
. Your health department might have a list of medical providers that participate with straight Medicaid. Or call the medical provider. Ask them if they participate with straight Medicaid. And if they're taking new patients.
Q: Do Medicaid beneficiaries get a health ID card?
A: Yes. They will receive a permanent health ID card. It's called the
mihealth card
.
Q: If I'm enrolled in a Medicaid Health Plan, will I get the
mihealth card
? A: Yes. You will get a
mihealth card
and a health ID card from that Health Plan.
Q: Who do I call to report changes when I have Medicaid (examples:my name changed, if I moved, I have other insurance or lost my other insurance, etc.)?
A: Call your DHS caseworker to report changes.
To find the DHS office phone number:
Click here
Q
: Where can I find more information on Medicaid?
A: For more information:
Click here
. Or
Click here for the "Welcome to Medicaid" brochure.
ABW Questions and Answers:
Q: What is the Adult Benefits Waiver (ABW) Program?
A: ABW (formerly called the State Medical Program) is a health care program for childless adults, aged 19 through 64 years old, who are uninsured.
Q: Where can I apply for ABW?
A: Go to or call your local
DHS office
. Ask for a Medical Assistance application. Or
Click here for an Assistance Application (DHS-1171).
Print and follow the instructions on the application. Then mail or return the Application to your local
DHS office
.
Q: Do ABW beneficiaries have to join a Health Plan?
A: Some counties have an ABW County Health Plan. If you live in one of these counties, you must go to providers that are part of the ABW County Health Plan. For a list ABW County Health Plans:
Click here
.
Q: Do ABW beneficiaries get a health ID card?
A: Yes. They will receive a permanent health ID card. It's called the
mihealthcard
. If you are enrolled in a ABW County Health Plan, you will get a health ID card from that Health Plan and a
mihealthcard
.
Q: Who do I call to report changes when I have ABW (examples:my name changed, if I moved, I have other insurance or lost my other insurance, etc.)? A: Call your DHS caseworker to report changes.
To find the DHS office phone number:
Click here
Q: Where can I find more information on ABW?
A:
Click here
CSHCS Questions and Answers:
Q: What is the Children Special Health Care Services (CSHCS) program? A: Children's Special Health Care Services (CSHCS) is a program for children and some adults with special health care needs.
Q:
I think my child qualifies for CSHCS, how do I apply?
A: Call toll-free at
1-800-359-3722.
Or contact the CSHCS office in your local health department for information on how to apply.
Q: Do CSHCS beneficiaries get a health ID card?
A: Yes. They will receive a permanent health ID card. It's called the
mihealthcard
.
Healthy Kids
Questions and Answers:
Q: What is the Healthy Kids program? A: Healthy Kids is a Medicaid health care program for low-income children under age 19. And for pregnant woman of any age.
Q. Who can I call to see if I qualify for Healthy Kids?
A: Call toll-free at
1-888-988-6300
to get more information that will help you find out if you qualify for Healthy Kids.
Q. How do I apply for the Healthy Kids program? A:
Click here to apply on-line for Healthy Kids.
This is electronic application (e-application). It will tell you if your child or a pregnant woman may be eligible for medical coverage under either the Healthy Kids program or MIChild program.
A: Or
Click here for the Healthy Kids/MIChild application.
Print the application and follow the instructions.
Q: Do Healthy Kids beneficiaries have to join a Health Plan? A: Yes. You will get a information packet in the mail from MICHIGAN ENROLLS when your Healthy Kids case is opened. It will list the Health Plan choices in your county. It will also have instructions on how to enroll in a Health Plan and choose a Primary Care Provider (Doctor).
Q: How can MICHIGAN ENROLLS help me? A: They can answer general questions you may have about Medicaid benefits. They can tell you which doctors, pharmacies and hospitals are part of each Health Plan. They can also enroll you by phone in the Health Plan you choose.
Q. When I join a Health Plan, will they mail information to me about that plan? A: Yes. The Health Plan will send you a plan handbook. They will also send you a health plan card.
Q: Where can I find out which doctors, pharmacy, hospital, or other medical providers participate with my Medicaid Health Plan?
A: Call your
Health plan
. Your Health Plan should have list of doctors, pharmacy, hospital, or other medical providers that participate with them.
Q: Who do I call if I need to change my Primary Care Physician (PCP) if I'm enrolled in a Medicaid Health Plan? A: Contact your Health Plan to change your PCP.
Q: Do Healthy Kids beneficiaries get a health ID card?
A: Yes. They will receive a permanent health ID card. It's called the
mihealth card
.
Q: If I'm enrolled in a Health Plan, will I get the
mihealth card?
A: Yes.
You will get a
mihealth card
and a health ID card from that Health Plan.
Q: Where can I find more information on Healthy Kids program?
A:
Click here
MIChild Questions and Answers:
Q: What is the MIChild program? A: MIChild is a health coverage program for uninsured children of Michigan's working families.
MIChild
is not a Medicaid program.
Q. Who can I call to see if I qualify for MIChild?
A: Call toll-free
1-888-988-6300
to get more information that will help you find out if you qualify for MIChild.
Q: Where can I apply for MIChild? A:
Click here to apply on-line for MIChild.
This is electronic application (e-application). It will tell you if your child or a pregnant woman may be eligible for medical coverage under either the MIChild program or the Healthy Kids program.
A: Or
Click here for the MIChild/Healthy Kids application.
Print the application and follow the instructions.
Q: Where can I find more information on MIChild? A:
Click here
Maternity Outpatient Medical Services (MOMS) Questions and Answers:
Q: What is the MOMS program? A: The MOMS program provides immediate health coverage for pregnant women. The MOMS program is available to provide immediate prenatal care while a Medicaid application is pending.
Q: What medical services does MOMS cover? A: It provides outpatient prenatal coverage only.
Q: Where can I apply for MOMS?
A: Contact your Local Health Department to apply for the MOMS program. To locate your Local Health Department and WIC Agency:
Click here
Q: Where can I find more information on other Health Care programs available for pregnant women?
A:
Click here.
Or
Click here for the Women, Infants & Children (WIC), the health & nutrition program for healthy mothers & babies.
Medicare Questions and Answers:
Q: What is Medicare? A: Medicare is a Federal Health Insurance Program. The
Centers for Medicare & Medicaid Services (CMS)
administers this program.
CMS
is a Federal agency within the
U.S. Department of Health and Human Services
.
Q: Who might be eligible for Medicare? A: People 65 years of age and older, some disabled people under 65 years of age, and people with End-Stage Renal Disease (permanent kidney failure treated with dialysis or a transplant).
Q: Where can I find more information on Medicare? A:
Click here
Medicaid, CSHCS and ABW Complaints:
You may file a complaint when you have the following problems:
-
Have problems getting medical care and/or prescriptions.
-
Denied a covered Medicaid, CSHCS or ABW benefit.
-
If you receive bills you feel Medicaid, CSHCS or ABW should have paid.
-
You may file a complaint by doing the following:
Michigan Department of Community
Medical Services Administration
PO Box 30470
Lansing, MI 48909-7979
If you have question about the Beneficiary Complaint form or this process, call the Beneficiary HelpLine at 1-800-642-3195.
Medicaid Health Plan Complaints:
You may file a Health Plan complaint when you have the following problems:
-
Have problems getting medical care and/or prescriptions.
-
Denied a covered Medicaid (CSHCS) benefit.
-
If you receive bills you feel Medicaid should have paid.
You may file a Health Plan complaint by doing the following:
Administrative Hearing:
If you receive a denial, reduction or termination in medical benefits,
you have the right to
request an administrative hearing using the following form:
State Office Of Administrative Hearings And Rules
For The Department Of Community Health
PO Box 30763
Lansing, MI 48909
To withdraw your request for an appeal:
-
-
Follow the instructions on the form and then mail it to the address shown below:
State Office Of Administrative Hearings And Rules
For The Department Of Community Health
PO Box 30763
Lansing, MI 48909
For more information:
-
Call
1-877-833-0870
-
Fax 517-334-9505
-
Or
Click here
Important Phone Numbers:
Medicaid
-
Medicaid questions and/or problems: Beneficiary Help Line 1-800-642-3195
-
mihealth card questions, and if you need a card replacement: 1-800-642-3195
-
To enroll in a Medicaid Health Plan: MICHIGAN ENROLLS 1-888-367-6557
-
ABW
CSHCS
Healthy Kids
-
Healthy Kids questions and to see if you qualify: 1-888-988-6300
MIChild
MOMS
Department of Human Services (DHS)
Health Department
Need more information:
-
-
-
-
-
-
-
Other assistance programs (Example: Cash and Food Assistance):
Click here
-
-
Department of Human Services (DHS) website:
Click here
-
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