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Healthcare Provider and Community Partner Questions
What steps should providers take?
In preparation for the end of the federal PHE, we encourage providers to take the following steps:
- Review the Medicaid policy bulletin and L letter webpages to see which policies or L letters may impact your provider type.
- Verify beneficiary eligibility prior to 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.
- Remind beneficiaries to open mail from MDHHS, and complete and return renewal documents.
Providers may e-mail ProviderSupport@michigan.gov with questions.
What steps can community partners take now?
In preparation for the end of the federal PHE, we encourage community partners to take the following steps:
- Help beneficiaries verify or update their contact information in MI Bridges. They can also contact their local MDHHS office. Visit the MDHHS County Office webpage to find local office information.
- Remind beneficiaries to look and open mail from MDHHS, and complete and return renewal documents.
- Learn about becoming a MI Bridges Community Partner.
Will there be a notice emailed or mailed to the provider community about the PHE ending? How will providers be aware the PHE has ended?Yes, once the end date of the PHE is known, MDHHS will notify all Medicaid providers of the end date. All PHE unwind policies will be fully promulgated and include a public comment period prior to the effective date.
What will happen to policies that will end or change as part of the PHE?Policies that will change or end a COVID-19 Response policy will be fully promulgated, which includes a 35-day public comment period and issuance of a final bulletin at least 30 days before the effective date of the policy change. Beneficiaries will be provided with timely and adequate notice of the ending or reduction of any COVID-19 Response service or process.
Where is MDHHS housing messages and materials to ensure we are staying consistent in what we are telling beneficiaries?We encourage providers and community partners to visit this website regularly. Resources will be added to the website as they are finalized.
Is there a place for providers or community partners to look up eligibility renewal dates to prepare in helping beneficiaries complete their eligibility renewal packet?
Providers can view the renewal date within the CHAMPS eligibility response. Renewal dates will be shown if the beneficiary has one of the following benefit plans for the date of service:
How can I help my patient complete their renewal?
If your patient is unable to complete their renewal by paper or online, or they are at risk of missing their renewal deadline, they can complete and/or submit their renewal using the following options:
- Online: beneficiaries who are head of household for their case and registered with MI Bridges can choose to complete their eligibility renewal online. Information about renewing online is included on the eligibility renewal packet.
- Fax: the eligibility renewal packet can be faxed to 517-346-9888.
- Phone: beneficiaries can complete a renewal by phone through the Phone Renewal Help Line at 833-599-6444, TTY 866-501-5656.The call may take 30 minutes or more and other program benefits (such as food assistance) cannot be renewed through this help line.
What telehealth services will continue to be allowed under Medicaid and the Medicaid Health Plans once the PHE ends? Specifically; a. Originating site definitions for mental health and substance abuse services? b. Virtual doctor appointments?MDHHS will issue for public comment the proposed post-Public Health Emergency (PHE) Telemedicine policy which will outline a long-term policy effective after the PHE ends. Once this proposed policy is issued, for public comment, providers and all other stakeholders are encouraged to provide comments on the policy as outlined. MDHHS will consider all public comments, will make any adjustments to the policy as deemed appropriate, and will issue the policy as final. MDHHS plans to issue the final policy prior to the end of the PHE.
How can our office stay up to date to ensure we aren't missing policy changes?
When will MDHHS notify providers of specific telehealth services allowed during the PHE which will be impacted by the PHE ending?All PHE unwind policies will be fully promulgated and include a public comment period prior to the effective date. The proposed post Public Health Emergency (PHE) Telemedicine policy will be out for public comment in the upcoming days. MDHHS plans to issue this as a final policy bulletin at least 30 days before the end of the PHE.
How can we educate beneficiaries on what might change as part of the PHE ending?MDHHS is producing a stakeholder toolkit to support our partners in communicating with beneficiaries about the PHE end and the resumption of normal Medicaid renewal and redetermination activities. As materials are finalized, they will be published online at: www.michigan.gov/mdhhs/end-phe/stakeholder-toolkit.
For a beneficiary who is receiving specialty treatments or services how will their eligibility renewal be handled? Will they be allowed to complete their treatments or services?The eligibility renewal is not related to or contingent upon any specialty treatments or services but is an independent review of ongoing Medicaid eligibility.
When the PHE ends what will happen to the temporary waivers put in place for nursing home providers?Prior to the end of the PHE, providers will be notified about the ending of any flexibilities that have been implemented under a federal authority in response to the COVID-19 pandemic.
Who should a Nursing Facility contact after the PHE ends to obtain authorization to bill for a Medicaid patient not in a Medicaid-certified bed due to isolation needs?MDHHS plans to establish a new email box for these authorization requests for use post-PHE. Providers will be notified of the contact information and authorization process prior to the end of the PHE.
How will long-term care providers know when to begin conducting Level of Care Determinations (LOCDs)?Providers will be notified once the end of the PHE is known. A provider L letter will also be issued specific to LOCDs and provider training will be offered prior to the end of the PHE.
Have patient pay amounts (PPA) been impacted during the PHE? How will updates be handled once the PHE ends?Patient Pay Amounts have not been updated (started, changed, ended) since January 2022 and thus will continue to be updated once the PHE ends.