Integrated Care Proposal 

Click here to review frequently asked questions regarding Michigan's proposal. MDCH will update this FAQ document as needed.

Organizations intending to participate in the Medicare qualification process to become management entities for Michigan's integrated care initiative should take note of the following guidance from MDCH with regard to compliance with the Centers for Medicare and Medicaid Services (CMS), the selection timeline, and submission requirements:

Integrated Care for Duals and Medicare Qualification Process 

In January of 2011, Michigan was selected by the Centers for Medicare and Medicaid Services (CMS) as one of fifteen states to be awarded a contract for the development of an integrated care plan. This population represents individuals with some of the most complex needs, yet they are currently subject to episodic and fragmented care as they navigate two programs with distinctly different rules. The proposal that is presented here has been developed following an extensive stakeholder process.

Michigan's proposed integrated care model covers all Medicare and Medicaid services and benefits, including inpatient, outpatient and primary care, skilled and custodial nursing facility care, behavioral health and developmental disabilities services, hospice, home health care, other community-based long term supports and services, durable medical equipment, and prescription drugs. The goal is to offer high quality, seamless and cost effective care through a coordinated, person-centered delivery model that meet the unique needs of all people who are dually eligible for both programs.  When fully implemented, Michigan's program will integrate services and funding for more than 200,000 people.

View a Powerpoint presentation that provides a summary of the Michigan plan:

Powerpoint Presentation

Those who wish to submit comments may do so by sending an e-mail to IntegratedCare@michigan.gov.

Comments can also be submitted through regular mail to:

Integrated Care

Medicaid Services Administration

PO Box 30479

Lansing, MI  48909-7979

The proposal will be available for public review for thirty days. Comments must be received no later than close of business on April 4, 2012.

The Michigan Department of Community Health will host two public meetings in March to present the proposal and accept comment.  These meetings are scheduled as follows:

• Tuesday, March 20, 2012, from 1:30 - 4:00 p.m. at the Best Western Plus Hotel in Lansing (formerly the Causeway Bay Hotel)
• Thursday, March 29, 2012 from 1:30 - 4:00 p.m. at the Greater Grace Temple in Detroit.

Additional information about Michigan's integrated care project can be found at:  https://janus.pscinc.com/dualeligibles/