How to Get Michigan Medicaid Benefits 2024

We have scoured the internet to provide you with all you need to know about the Michigan Medicaid Benefits.

Medicaid is a joint federal-state initiative that covers health insurance for low-income people who qualify, including children, pregnant women, the elderly, and people with disabilities. It is simple to apply for Medicaid in person, over the phone, or online.

This post will teach you all you need to learn about Medicaid in Michigan.

Table of Contents

What is Michigan Medicaid?

Medicaid is a service for people and families with income and resources that fall inside certain parameters. Resources primarily apply to the elderly, blind, or disabled population within the bounds of specified rules.

Who is eligible for the Michigan Medical Program?

Michigan Medicaid offers certain limited Medicare beneficiaries who are not eligible for the full Medicaid benefit package partial financial help with Medicare premiums, copayments, or coinsurance through the Medicare Savings Plan.

Expectant mothers
People who are blind or disabled, or who have a spouse who is blind or disabled;
People whom someone adopts;
People whom someone adopted;
People who are blind or disabled, or who have a spouse who is disabled.

Annual Household Income Limits (before taxes)

Household Size*	Maximum Income Level (Per Year)
1	$18,075
2	$24,353
3	$30,630
4	$36,908
5	$43,186
6	$49,463
7	$55,741
8	$62,018

* Add $6,277 for every extra member in families with 9 or more inhabitants.

How do I contact Medicaid in Michigan?

Phone

1-888-367-6557

How do I apply for Michigan Medicaid?

To apply for Medicaid or medical assistance, elderly Michigan citizens should contact their local county office of the Michigan Department of Health & Human Services. to find the local office’s address and get its phone number. Seniors can also get information about the Medicaid program or ask for help with the application process by contacting their regional Area Agency on Aging office. Currently, there is no online option for Medicaid long-term care applications.

What are the Medicaid plans in Michigan?

The following are plans for Medicaid in Michigan:

Psychological disorders

The Managed Specialty Support and Services program covers all Medicaid users with psychological disorders, substance abuse problems, or developmental disabilities for short-term services and support as well as long-term services and support. Since 1998, this program has worked with county-based, capitated-funded local mental health services organizations to deliver and oversee care.

Healthy Kids’ Dentistry Waiver

The state also created the Healthy Kids Dentistry Waiver in 2000, which covers children’s dental treatment in 75% of the state’s counties. The state chooses plans through a competitive bidding process and determines rates through an administrative procedure utilizing actuarial assessments that take several characteristics into accounts, such as age, gender, location, eligibility, and overall health.

Omega Dental of Michigan

The state also enters into a contract through sole source purchasing for the provision of dental care under its Healthy Children Dental Waiver Program, including one plan, Omega Dental of Michigan.

Michigan Waivers

Following are the waivers of Michigan:

MI Children’s Waiver Program

The provision of respite care, improved transportation, financial intermediary services, community living support, environmental accessibility modifications, specialized medical equipment & supplies, home care training, non-family, overnight medical and safety assistance, speciality service for people with autism, DD, and IID ages 0 to 17 years – family, home healthcare training.

MI Choice

Offers respite, adult day health, support coordination, special medical equipment and supplies, goods and services, chore assistance, society health worker, communal living supports, society set of processes and practices, society transit, counseling, environmental ease of access adaptations, home-delivered meals, nursing services, individual emergency response system (PERS), and private duty nursing/respiratory care.

MI Habilitation Supports Waiver

Provides prevocational services, respite, backed employment, supports coordination, enhanced medical supplies and equipment, enhanced pharmacy, fiscal conciliator, goods and services, community housing supports, modifications, children start, non-family coaching, nighttime health.

And safety support, individual emergency service system, private duty nursing, and out-of-home non-vocational habilitation for people with intellectual disabilities. This authority changed effectively.

MI Health Link HCBS

Adult day program, respite, responsive medical supplies, financial intermediary, assistive, chore services, modifications, expanded communal living supports, home-delivered meals, non-medical mass transit, personal emergency response scheme, preventive nursing, and private duty nursing are all provided for people over the age of 65 with no upper age limit as well as people with physical disabilities aged 21 to 64.

MI Waiver for Children with Serious Emotional Disturbances

For people with serious emotional disturbances, ages 0 to 21, this service offers respite, fiscal intermediary, kid therapeutic foster children, community living supports, society transition (this service was discontinued on, family home care training, family education and assistance, home care training-non-family, nighttime health & security support, different patients, therapeutic overnight camp, but also wraparound services.

What is covered by Michigan Medicaid?

Based on your coverage group—which is decided by your income, age, medical needs, or whether you require assistance with daily living pays for medically essential services (ADLs).

The following are some instances of services that might be covered:

seeing a doctor
Medications on prescription
Services for behavioral health
Labs and X-rays
Hospital and emergency room visits

Can I have both Michigan Medicaid and Medicare?

A health plan known as Michigan Complete Health (Medicare-Medicaid Plan) has agreements with both Medicare and Michigan Medicaid to offer its members the benefits of both programs. The purpose of this plan is to enhance the patient experience and raise the standard of care.

Copayments?

They do not have to pay a copayment; when a member is:

under 21 years old;
pregnant;
Held by the state
Placed under government supervision
Native American participants who qualify for Contract Health funding
Services or Tribal Union of Indian Health Services
Residing in one of the facilities listed below and funding a portion of their care:
The hospital (inpatient)·
A facility for skilled nursing
A nursing home

What is the highest income limit for Michigan Medicaid?

The size of a family determines the federal poverty level. For instance, in 2022, a single adult will pay $13,590, a family with four $27,750, and an eight-person family $46,630.

What if a person’s income is too high to qualify for regular Medicaid benefits?

If your income is too high, you may still be eligible for Michigan Medicaid, thanks to the asset spend down option. Spending down your spare assets on non-countable ones will allow you to qualify.

How much money can you have in the bank on Michigan Medicaid?

$4000 for a family of one. $6,000 for a family of two. $25 for each extra member of the family. A resource test is not applied to children under age.

Does the disabled person get Michigan Medicaid?

Medicaid in Michigan is administered. It is a government-run healthcare plan that covers medical costs for those who are pregnant, disabled, young, old, or on a low income.

Your Countable Annual Income is $0.

The federal poverty level is $1,133.of 18 pregnant women who meet the requirements.

Will you still have Michigan Medicaid once you are over 18?

You may be eligible for Medicaid if you are 19 years of age or older or if your family has a low income, irrespective of if you have a handicap. Still, you may hear people refer to it as the “Medicaid expansion.”

What documents do I need to apply for Medicaid?

The following papers must be included with the application.

The Social Security Number;
Evidence of citizenship or authorized residency in the United States, such as a passport, driver’s license, birth certificate, green card, or job authorization card
Evidence of all income sources, both legal and illegal
Proof of origins
Proof of residency
Including the Medicare card, any insurance cards
Pregnancy (doctors’ certification of the pregnancy and, if applicable, the expected delivery date);
When non-parents apply for Medicaid on other’s behalf, they must provide proof of their financial position.

What is the best Medicaid in Michigan?

In Michigan, Priority Health achieved the highest marks for member satisfaction and quality. According to NCQA’s Medicaid Health Plan Ratings 2019-2020*, which places a strong emphasis on patient satisfaction and care outcomes, the insurer received a score of 4.0 out of 5.

Where do I find the letter showing the reason(s) for denial or discontinuance from Michigan Medicaid?

By signing into your account at Portal, you can see the progress of your Michigan Medicaid application.

You have three choices on this page: you can verify your eligibility, apply online, or monitor the specifics and progress of your Medicaid application.

ASSIST

You can get information and details by one phone call: