Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies.
Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance.
If you cannot afford child care, payment assistance is available.
Children's Special Health Care Services information and FAQ's.
Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements.
Information on the Food Assistance Program, eligibility requirements, and other food resources.
Information about the health care programs available through Medicaid and how to qualify.
Our migrant program works with a number of organizations to provide services for Michigan’s migrant and seasonal farmworkers.
A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival.
Universal caseload, or task-based processing, is a different way of handling public assistance cases.
Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children.
Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records.
Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services.
Information on child support services for participants and partners.
Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others.
Information on the Children's Foster Care program and becoming a Foster Parent.
Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure.
Information on treatment and services for juvenile offenders, success stories, and more.
Child Welfare Medical and Behavioral Health Resources
MDHHS and partners support a continuum of prevention services. The continuum is inclusive of primary, secondary, and tertiary prevention activities. Visit this page to learn more.
Information about injury and violence prevention programs in Michigan
Information on Safe Sleep for your baby, how to protect your baby's life.
The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards.
Resources and information to assist in assuring firearm safety for families in the state of Michigan.
The Division of Victim Services (DVS) provides a voice advocating for and responding to all victims of crime in Michigan. Learn more about DVS-funded programs and services, including Michigan’s 24/7, free, confidential, and anonymous domestic violence and sexual assault hotlines.
Medical Resources for Child Protection
Serves as liaison and provides funding to Michigan’s 45 local health departments.
Adult Behavioral Health & Developmental Disability Services
Multicultural Health
Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others.
Information on communicable & chronic diseases.
Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities.
Birth, Death, Marriage and Divorce Records
Boards and Commissions
Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST.
Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account.
Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals.
Information & resources for Community and Faith-Based partners
Information on DHS Applications and Forms grouped by category.
Health Care Providers
Licensing information for Adult Foster Care and Homes for the Aged, Child Day Care Facilities, Child Caring Institutions, Children's Foster Care Homes, Child Placing Agencies, Juvenile Court Operated Facilities and Children's or Adult Foster Care Camps.
Michigan Statewide Systems of Care
Information on the grant awarded for the State Innovation Model Proposal
Protect MiFamily -Title IV-E Waiver
Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan
Information is collected to monitor the general health and well-being of Michigan citizens.
Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices.
Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information.
A variety of reports & statistics for programs and services.
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MDHHS MEETING ANNOUNCEMENT
Michigan Medicaid Health Plan Common Formulary Stakeholder Meeting
When: October 14, 2024, from 9:30 a.m. to noon (Eastern Time)
Where: This will be a virtual meeting to encourage statewide participation by stakeholders and while also mitigating the spread of COVID-19 and influenza to protect the health of the public and members of the panel. To attend the Common Formulary Stakeholder Meeting at 9:30 am connect via Zoom.
The Zoom can be accessed by clicking this link and the password is: 7W4ZkU. Participants may also access by phone by dialing 636-651-3128 and entering access code 287658.
(If you need special services to join this meeting, please see bottom of this announcement)
RSVP: Attendees are asked to RSVP for this meeting. If you plan to attend, please notify Donna Kreps, at KrepsD@michigan.gov no later than October 9, 2024.
The Michigan Department of Health and Human Services (MDHHS) invites the public to attend a stakeholder meeting regarding the Michigan Medicaid Health Plan Common Formulary on October 14, 2024.
The purpose of the stakeholder meeting is to provide a forum for the public to comment on the Common Formulary. This annual forum supplements the quarterly written public comment periods. Please note that drug rebates and Fee-for-Service pharmacy benefit coverage will not be reviewed at this meeting. In addition, the stakeholder meeting is not intended to be a venue for pharmaceutical drug product-specific presentations.
Section 1806 of Public Act 84 of 2015 first required the MDHHS to develop a formulary that is common across all contracted health plans to streamline drug coverage policies for Medicaid and Healthy Michigan Plan beneficiaries and providers. The intent was to reduce interruptions in a beneficiary’s drug therapy due to a change in health plan. All Health Plan member’s drug therapies were then transitioned to the Common Formulary by September 30, 2016.
Effective October 1, 2020, the Medicaid Health plans were required to follow the Fee-For-Service Michigan Preferred Drug List (PDL) coverage including any prior authorization and step therapy requirements. This significant savings initiative, the Single PDL, further streamlined and maintains even more consistent coverage between Managed and Fee-For-Service Medicaid. Drug products not listed on the Single PDL continue to be covered by the health plans in accordance with the established Common Formulary and no more restrictive than those coverage parameters.
For those unable to attend, you may submit your questions to the Common Formulary mailbox at MDHHSCommonFormulary@michigan.gov by October 9, 2024.
Special Services to Join Meeting
If you need any of the services below to join, please contact Donna Kreps via email at krepsd@michigan.gov no later than 5PM ET on October 4, 2024. to allow sufficient time to set up these arrangements.
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Medicaid Health Plan Pharmacy Benefit
This webpage is designed to provide easy access for members and providers looking for information on the drugs and supplies covered by Michigan Medicaid Health Plans.
All plans must at a minimum cover the drugs listed on the Medicaid Health Plan Common Formulary.
History of Formulary Changes:
| FOR PROVIDERS AND PRESCRIBERS ONLY |
| Prior Authorization (PA) |
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The Prior Authorization criteria for drugs indicated on the Medicaid Health Plan Common Formulary as requiring PA is below: Drug PA CriteriaA standard prior authorization form, FIS 2288, was created by the Michigan Department of Insurance and Financial Services (DIFS) to simplify the process of requesting prior authorization for prescription drugs. This form or a prior authorization used by a health plan may be used. |
Medicaid Common Formulary Workgroup Members
Scroll down for health plan specific information.
RESOURCE INFORMATION
BENEFICIARIES
Current beneficiaries can find out which health plan they are enrolled in by calling the Beneficiary Help Line at 800-642-3195 (TTY 866-501-5656) or by logging in to their myHealth Portal account online at www.michigan.gov/myhealthportal.PROVIDERS
For more information on the drug benefit for people not enrolled in a health plan (Fee-for-Service Medicaid) visit https://michigan.magellanrx.com .
For more general information on Michigan Medicaid Health Plans, visit www.michigan.gov/managedcare.
This link contains a list of Medicaid Health Plan BIN, PCN and Group Information. Please contact individual health plans to verify their most current BIN, PCN and Group Information.
STAKEHOLDER MEETINGS AND COMMENT PERIOD
October 30, 2023 Stakeholder Meeting Presentation
Stakeholder Meeting Questions and Answers
Frequently Asked Questions for Drug Manufacturers
Drug Class & Workgroup Review Schedule for 2024