Michigan Announces Regional Managed Care Health Plans

Contact: Jennifer Eisner 517-241-2112

For Immediate Release: October 13, 2015

LANSING, Mich. – The Michigan Department of Health and Human Services (MDHHS) today announced the Medicaid Health Plans (MHPs) recommended for Michigan’s Comprehensive Health Plan contract. The Comprehensive Health Plan contract provides health care services to approximately 1.7 million Medicaid managed care beneficiaries.

“The Comprehensive Health Plan contract builds on an already strong record of health care innovation in the state of Michigan,” said Nick Lyon, director of the MDHHS. “By committing to improve population health management and integration of care, we are transforming Medicaid to better serve our residents.”

The current Comprehensive Health Plan contract will end on December 31, 2015, and the new contracts announced today will begin January 1, 2016. The Comprehensive Health Plan contract includes changes to the service area locations and requirements to align with Michigan’s Prosperity Regions, as well as a new Medicaid coverage group.

All counties in regions two through ten will be covered by multiple health plans. Counties in region one will continue to be covered by one plan, as that region qualifies for a rural designation   by the Centers for Medicare & Medicaid Services.

MDHHS issued a Request for Proposals in May 2015 after making changes and incorporating stakeholder input as a result of feedback and discussions during the budget process. The new contract will continue to carve-in pharmaceutical drugs, and will add a common formulary for all managed care entities by January 1, 2016.

As part of Michigan’s continued innovation in health care, the MDHHS Medicaid program is committed to population health management; integration of care; payment reform and structural changes to improve efficiencies.

All bids were reviewed by a joint evaluation committee and the recommendations for contract award must now be approved by the State Administrative Board before contracts are final.

The recommended health plans by region are:

  • Region 1 – Upper Peninsula Health Plan
  • Region 2 – McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, UnitedHealthcare Community Plan
  • Region 3 – McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, UnitedHealthcare Community Plan
  • Region 4 – Blue Cross Complete of Michigan, McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, Priority Health Choice, UnitedHealthcare Community Plan
  • Region 5 – McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, UnitedHealthcare Community Plan
  • Region 6 – Blue Cross Complete of Michigan, HAP Midwest Health Plan, McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, UnitedHealthcare Community Plan
  • Region 7 – Blue Cross Complete of Michigan, McLaren Health Plan, Molina Healthcare of Michigan, UnitedHealthcare Community Plan
  • Region 8 – Aetna Better Health of Michigan, McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, Priority Health Choice, UnitedHealthcare Community Plan
  • Region 9 – Aetna Better Health of Michigan, Blue Cross Complete of Michigan, McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, UnitedHealthcare Community Plan
  • Region 10 – Aetna Better Health of Michigan, Blue Cross Complete of Michigan, Harbor Health Plan, McLaren Health Plan, Meridian Health Plan of Michigan, Molina Healthcare of Michigan, Total Health Care, UnitedHealthcare Community Plan

Additional information for beneficiaries, providers and other stakeholders will be made available as the January 1 implementation date approaches.

To view a map of the recommended health plans listed by prosperity region, visit www.michigan.gov/documents/mdhhs/MHP_Counties_Map_502832_7.pdf.

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