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Information for Providers

Program Changes

MDHHS has made changes to the Healthy Michigan Plan, but beneficiary coverage for health care services will remain the same.

  • The MI Health Account has gone away. The last payments were due on January 15, 2024.
    • Any unpaid amounts to the MI Health Account will not be taken out of state tax refunds or lottery winnings anymore.
  • Most costs and co-pays will be reduced. 

Cost Changes

  • Most co-pays will be reduced. A beneficiary may have to pay co-pays when they get healthcare services. Click HERE for co-pay information.
  • Not everybody is required to pay a co-pay because there are exemptions for individuals and services. For example:
    • Children under 21 do not have co-pays for going to the doctor or for getting immunizations.
    • Family planning services do not have co-pays AND
    • Emergency services do not have co-pays, to name a few.
  • Cost-sharing exemptions for medically frail individuals will be discontinued.
  • The Healthy Behaviors Requirement for the Healthy Michigan Plan (HMP) has been discontinued as of January 1, 2024. HMP beneficiaries are no longer required or incentivized to complete an annual Health Risk Assessment (HRA) through the MI Health Account. Medicaid Health Plans will provide additional information on continued healthy behavior incentives.

How can Providers help?

  • Verify beneficiary eligibility before services. Providers can visit the Eligibility and Enrollment webpage for step-by-step instructions.
  • Remind beneficiaries to verify or update their contact information, or report any changes, online through MI Bridges. They can also call their local MDHHS office for help. Local office information can be found on MDHHS County Office webpage
  • Letter B 23-07 was mailed in November 2023 to all Healthy Michigan Plan members to provide information about these changes. Here is a copy of the letter. B 23-07