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.
Informational Provider Webinar
MDHHS will conduct a live provider informational webinar on November 7, 2017 at 2:00 pm. Medicaid providers may join the webinar at the following link: https://somdhhs.adobeconnect.com/rpzae6byxyho/.
After the live provider webinar, the presentation will be available on this site for those unable to attend the live webinar.
We will continue to post information about the MI Marketplace Option on this website as it becomes available.