Healthy Michigan Plan Program Information and History

The State of Michigan will begin accepting applications for the Healthy Michigan Plan on April 1, 2014. Michigan residents can enroll at any time online at www.michigan.gov/mibridges, by phone, or in person. The Healthy Michigan Plan received approval from the Centers for Medicare and Medicaid Services on December 30, 2013.

On September 16, 2013, Governor Rick Snyder signed into law Michigan Public Act 107 of 2013, which directs the creation of the Healthy Michigan Plan. The State of Michigan plans to make health care benefits available through the Healthy Michigan Plan in early spring 2014.

 
The Healthy Michigan Plan provides health care coverage for individuals who:  

  • Are age 19-64 years
  • Have income at or below 133% of the federal poverty level under the Modified Adjusted Gross Income methodology
  • Do not qualify for or are not enrolled in Medicare
  • Do not qualify for or are not enrolled in other Medicaid programs
  • Are not pregnant at the time of application
  • Are residents of the State of Michigan 

Eligibility for the Healthy Michigan Plan is determined through the Modified Adjusted Gross Income methodology, coordinated through the Department of Human Services. All criteria for the Modified Adjusted Gross Income eligibility must be met to be eligible for the Healthy Michigan Plan.

Per federal requirement, individuals eligible for services under the Healthy Michigan Plan must have access to the following 10 Essential Health Benefits:

  • Ambulatory patient services
  • Emergency services
  • Hospitalization
  • Maternity and newborn care
  • Mental health and substance use disorder treatment services, including behavioral health treatment
  • Prescription drugs
  • Rehabilitative and habilitative services and devices
  • Laboratory services
  • Preventive and wellness services and chronic disease management
  • Pediatric services, including oral and vision care

The Healthy Michigan Plan will cover other medically necessary services as appropriate.

Healthy Michigan Plan participants may be subject to cost-sharing obligations.

Questions about the Healthy Michigan Plan can be sent to healthymichiganplan@michigan.gov.


ATTENTION ADULT BENEFITS WAIVER BENEFICIARIES


On April 1, 2014, the Adult Benefits Waiver, also known as Adult Medical Program or AMP, will change to the Healthy Michigan Plan.  The department is in the process of notifying Adult Benefits Waiver beneficiaries of this change, with instructions on choosing a health plan (if applicable).


 

Healthy Michigan Plan Information  2013 PA 107 Required Reports CMS Correspondence  Press Releases
PoliciesMSA 14-03
              MSA 14-11

Healthy Michigan Plan Handbook

Healthy Michigan Plan - Frequently Asked Questions

§105(d)(8) & §105(d)(9)
Baseline Reports on Uncompensated Care & Insurance Rates

Actual Cost of Uncompensated Care Compared to Initial Baseline Yearly Reports

2016]  2015  

§105(d)(10)
Innovations and Initiatives to Improve the Effectiveness and Performance
of the Medical Assistance Program

§105(d)(11)
Improving the Cost-Effectiveness of the Medical Assistance Program

§105(d)(9) & §105(f)(3)
Michigan Health Care Cost and Quality Advisory Committee Report

§105(d)(30)
Recommendations for Addressing the Needs of High Utilizer/Super Utilizer Patients in Michigan

CMS Approved Special Terms and Conditions - 10/21/14

Alternative Benefit Plan State Plan Amendment

Michigan received approval of the Healthy Michigan Plan from the Centers for Medicare and Medicaid Services on
December 30, 2013 - Healthy Michigan Plan Section 1115 Waiver Approval

Waiver Amendment
Healthy Michigan Plan Launched - 4/1/14

Healthy Michigan Plan Enrollment Announcement - 3/20/14

Healthy Michigan Plan Approval
- 12/30/13


Healthy Michigan Plan Waiver Submitted - 11/8/13

 




This website will be updated as more information becomes available.