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mihealth card topics

• Introducing the mihealth card 
• mihealthcard Facts
• Important Information 
• Verifying Eligibility 
• Verifying Eligibility - Using the mihealth card with a magnetic stripe reader
• Beneficiary Eligibility Policy (Online Provider Manual)
• Need more information?
• Policy Bulletins
• Provider Inquiry Line (mihealth card questions)

Introducing the mihealth card

The mihealth   ("my health") card   is a permanent plastic health ID card that's issued to Michigan Medicaid, Emergency Medicaid, Children's Special Health Care Services (CSHCS) and Adult Benefits Waiver  (ABW) beneficiaries. The mihealth card replaced the monthly Medicaid blue paper card.

The mihealth card indicates the  beneficiary name  and  beneficiary ID number  (white or black font) on the front of the card but does not indicate eligibility information and does not guarantee eligibility. Providers must obtain a beneficiary's eligibility information on the Michigan  Eligibility Verification System (EVS)  prior to rendering services.

If the beneficiary does not have their mihealth card, providers can access their eligibility information with the following search methods: 1. Beneficiary ID number (8-digit Medicaid, CSHCS, or ABW ID number), 2. Beneficiary social security number and date of birth, or 3. Beneficiary name and SSN (or date of birth).

mihealth card Facts:

• The mihealth card is mailed to Michigan Medicaid, Emergency Medicaid, CSHCS and ABW  beneficiaries when their application is approved (only if they do not have a mihealth card already).
• The monthly blue Medicaid paper card is no longer issued to Medicaid beneficiaries. 
• The mihealth card indicates the  beneficiary name  and  beneficiary ID number  on the front of the card.
• Beneficiaries enrolled in a Medicaid Health Plan, or ABW County Health Plan will receive a mihealth card and will also receive a Health Plan ID card (if they do not have one already).  
• Each beneficiary will receive their own mihealth card with their name and ID number (8-digit Medicaid, CSHCS or ABW ID number) located on the front of the mihealth card.
• Beneficiaries will keep the mihealth card and use it each month that they are eligible for Medicaid, CSHCS or ABW.

• Deductible beneficiairies will receive a mihealth card only when they meet their deductible and become eligible for Medicaid.  They will continue to use the same mihealth card for any future months they become eligible for Medicaid.  

     Important Information:

• The mihealth card  does not indicate eligibility information and does not guarantee eligibility .
• Providers should always verify eligibility on the  MI EVS  before rendering any service.
• Providers must always note the Scope/Coverage code indicated on the MI EVS  voice or faxback eligibility response.  This indicates the extent of Medicaid coverage.  
• Scope/Coverage codes (Example: 1F indicates Medcaid coverage), Level of Care codes (Example: 07 indicates a beneficiary is enrolled in a Medicaid Health Plan) and code descriptions are listed in the  Beneficiary Eligibility Chapter  of the  Medicaid Provider Manual .

• Document or retain the eligibility verification response from the MI EVS  for your records.  This is your evidence of eligibility for Medicaid, CSHCS, MOMS or ABW.

Verifying Eligibility

    MI Medicaid Providers 

• Always verify health program eligibility on the  MI EVS  before rendering any service.
• MI EVS  available to all MI Medicaid providers: Automated Voice Response System (AVRS). 
• Call the AVRS toll free at 1-888-696-3510.
• Access the AVRS using your 7 digit Medicaid provider ID number and 2 digit provider type number.
• Beneficiary Search Methods: 1. Beneficiary ID number (8-digit Medicaid, CSHCS, or ABW ID number) located on the front of the mihealth card, 2.  Beneficiary social security number and date of birth, or 3. Beneficiary name and social security number (or date of birth). 
• AVRS provides a Voice or Faxback eligibility response.
• Document or retain the eligibility verification response for your records.
• Click here  for more information on the AVRS and/or EVS products available through Medifax EDI. 

Verifying Eligibility

         Using the mihealth card with a magnetic stripe reader

• The mihealth card has a magnetic stripe (encoded with the beneficiary's 8 digit ID number) on the back of the card.
• Providers can obtain beneficiary eligibility information by swiping the mihealth card only using a Medifax EDI Point of Sale (POS) terminal and/or a Medifax NetDirect , Medifax PC+ , or Medifax Direct  product with a magnetic stripe attachment.
• For more information and/or if you would like to purchase a Medifax EDI product, please call 1-800-819-5003 
• Medifax EDI website: www.medifax.com        

Beneficiary Eligibility Policy

• Online Medicaid Provider Manual:  Click here

Need more information?  

  mihealth card:

• Provider L-Letters: L029-291  and  L03-04
• Provider Brochure: "introducing the mihealth card for Michigan Medicaid" 
• Provider E-Newsletter: "introducing the mihealth card for Medicaid beneficiaries" 

 Michigan Eligibility Verification Systems (EVS):

     Automated Voice Response System (AVRS)

• Available to enrolled Medicaid Providers by calling 1-888-696-3510
• There is no cost for enrolled Medicaid providers to use the AVRS
• AVRS User Manual: Click Here

     Medifax EDI® - EVS products:

• Medifax EDI products: Medifax NetDirect , Medifax POS , Medifax PC+ , and Medifax Direct  
• There is a charge to the provider to use these EVS products
• For more information, contact Medifax EDI at 1-800-819-5003
• Click here  to visit their website
• Medifax EDI® User Manuals: Click Here

 Policy Bulletins: 

• Click here  for policy bulletins and notices of proposed policy
• Online Medicaid Provider Manual:  Click here  

• Provider questions concerning the mihealth card, call 1-800-292-2550 (Option # 5)
• Or E-mail:  providersupport@michigan.gov