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Beneficiary SupportClick 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), or contact the CSHCS office in your Local Health Department for information on how to apply. ►To Apply for Healthy Kids ►To Apply for MIChild ►To Apply for MOMS or contact your Local Health Department. Michigan Assistance and Referral Service (MARS):
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 (Go to page 4 under Services Michigan Medicaid Covers) Q: Where can I apply for Medicaid? A: Go to or call your local DHS 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 Medicaid beneficiaries have to join a Health Plan? A: Most people who get Medicaid must join a 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. Click here for DHS office phone numbers. Q : Where can I find more information on Medicaid? A: Click here for additional information on Medicaid.. 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. Click here for a list of ABW County Health Plans.. Q: Do ABW beneficiaries get a health ID card? A: Yes. They will receive a permanent health ID card. It's called the mihealth card. If you are enrolled in a ABW County Health Plan, you will get a health ID card from that Health Plan and a mihealth card. 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. Click here for DHS office phone numbers. Q: Where can I find more information on ABW? A: Click here for more information on ABW. 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 mihealth card. 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 for more information on Healthy Kids. 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 for more information on MIChild. 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. Click here to locate your Local Health Department and WIC agency. Q: Where can I find more information on other Health Care programs available for pregnant women? A: Click here for other health care programs for pregnant women. Or Click here for Women, Infants & Children (WIC) 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 for more information on Medicare. Medicaid, CSHCS and ABW Complaints: You may file a complaint when you have the following problems:
You may file a complaint by doing the following:
Michigan Department of Community Medicaid Health Plan Complaints: You may file a Health Plan complaint when you have the following problems:
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:
Michigan Administrative Hearing System For Department Of Community Health Administrative Tribunal P.O. Box 30763 Lansing, Mi 48909 To withdraw your request for an appeal:
Michigan Administrative Hearing System For Department Of Community Health Administrative Tribunal P.O. Box 30763 Lansing, Mi 48909 For more information:
Important Phone Numbers: Medicaid
ABW
CSHCS
Healthy Kids
MIChild
MOMS
Department of Human Services (DHS) Health Department Need more information:
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