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This website provides information about implementation of the Healthy Michigan Plan 1115 demonstration waiver amendment approved by the Centers for Medicare & Medicaid Services (CMS) on December 17, 2015.  Approval of this waiver amendment was required by Public Act 107 of 2013, and provides the framework for a new health care coverage program known as the MI Marketplace Option.  Information specific to this waiver amendment, including the operational protocols, can be found at www.michigan.gov/healthymichiganplan

Consistent with the waiver amendment, the Michigan Department of Health and Human Services (MDHHS) will begin transitioning eligible beneficiaries from the Healthy Michigan Plan to a MI Marketplace Option health plan starting in April 2018. 

 

Health Plans and Covered Services

MI Marketplace Option beneficiaries will receive most of their health care services through a new type of health plan. These MI Marketplace Option health plans:

  • are not Medicaid health plans,
  • will provide a more limited benefit package consistent with the Affordable Care Act’s essential health benefits, 
  • will each have their own provider network, and
  • will each have their own prescription drug formulary. 

MDHHS will cover as wrap-around services:

  • non-emergency medical transportation, and
  • family planning services provided by out-of-network providers.

 

INDIVIDUALS             PROVIDERS           COST-SHARING

 

Quick Links

Healthy Michigan Plan Health Risk Assessment

MI Marketplace Option Medical Exemption Request Form (MSA-745)

 

We will continue to post information about the MI Marketplace Option on this website as it becomes available.