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Medicaid Health Plans
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MICHIGAN MEDICAID HEALTH PLANS
- Comprehensive Health Care Program Sample Contract FY24
- Comprehensive Health Care Program Sample Contract FY25
- Comprehensive Health Care Program Rate Certification FY24
- Comprehensive Health Care Program Rate Certification FY 25
- Draft CMS Waiver Amendment Application
- Comprehensive Health Care Program Model Handbook
- Medicaid Health Plans Map by Region
- List of Medicaid Health Plans Contact and Service Listing
List of Medicaid health plans showing Michigan counties in which each operates.
This page contains enrollment figures for the current month and the previous month, by county, for each of the Medicaid Health Plans.
HEALTH PLAN REPORTS
- Michigan Consumer Assessment of Health Plans Survey
- Medicaid Blood Lead Testing Reports
The Health Plan Employer Data and Information Set (HEDIS)is a set of performance data developed and maintained by the National Committee for Quality Assurance (NCQA), and is the most widely used standardized performance measure in the managed care industry.
Reports identify various aspects of care furnished to Michigan Medicaid beneficiaries.
- External Quality Review/Encounter Data Validation
Accurate and complete encounter data are critical to the success of a managed care program. Therefore, the Michigan Department of Health and Human Services (MDHHS) requires its contracted Medicaid managed care entities (MCEs) and waiver agencies to submit high-quality encounter data. The following reports serve as the results for these encounter data validation (EDV) studies.
Medicaid Health Plans
Healthy Kids Dental Plans
Click here to view a guide to Michigan Medicaid health plans, including ratings in five separate categories of health plan performance.
- MHP Compliance Review Results -FY2021
- MHP Compliance Review Results - FY 2022
- MHP Compliance Review Results - FY 2023
MICHIGAN MEDICAID HEALTHY KIDS DENTAL PLANS
Blue Cross Blue Shield of Michigan
Beneficiaries: 800-936-0935
Providers: 844-876-7917
www.bcbm.com/healthykids
Delta Dental of Michigan
Contact: 866-696-7441
www.deltadentalmi.com
- Healthy Kids Dental Program Sample Contract
- Healthy Kids Dental Rate Certification
- Healthy Kids Dental Draft CMS Waiver Amendment Application
- Healthy Kids Dental Plans Accreditation
- Healthy Kids Dental Program Model Handbook
- DHP Compliance Review Results -FY2021
- DHP Compliance Review Results - FY2022
- DHP Compliance Review Results - FY2023
Managed Care Program Annual Report (MCPAR)