If you need assistance with the online application you can call the SoonerCare helpline at 1-800-987-7767 or visit your local . Outpatient & preservice elective inpatient services })(); A non-government resource for the Medicare community, 2023 Medicare Advantage Plan Benefit Details, 2023 Medicare Advantage Plan Benefit Details for the HAP Midwest MI Health Link (Medicare-Medicaid Plan) - H9712-001-0, Find a 2023 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2023 Medicare Plan Formulary (or Drug List), Q1Rx Drug-Finder: Compare Drug Cost Across all 2023 Medicare Plans, Find Medicare plans covering your prescriptions, Medicare plan quality and CMS Star Ratings, Understanding Your Explanation of Benefits, IRMAA: Higher premiums for higher incomes, 2023 Medicare Advantage Plans State Overview, Find a 2023 Medicare Advantage Plan by Drug Costs, See cost-sharing for all pharmacies and tiers, HAP Empowered MI Health Link (Medicare-Medicaid Plan). (function() { You will also find a link to subscribe to the MDHHS Michigan Medicaid listserv to receive Medicaid final bulletins. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. 711, Health Alliance Plan All rights reserved. Providers may access remittances and notifications free of charge through our secured provider portal. CEUs Offered! Our network includes award-winning and patient-focused doctors, hospitals and health systems in Michigan. You will then have access to all of your assigned applications. Below are several of the organizations that our clinical teams review in order to promote the most updated clinical practice guidelines to promote healthy outcomes for HAP members: -Choosing Wisely:https://www.choosingwisely.org/patient-resources/, -Patient Care Materials from American Academy of Pediatrics:https://www.aap.org/en/patient-care/, -Clinical Guidelines and Recommendations:https://www.acponline.org/clinical-information/guidelines, -Clinical Practice Guidelines:https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline, -Clinical Practice Guidelines:https://www.aafp.org/family-physician/patient-care/clinical-recommendations.html. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). %PDF-1.5 % Detroit, MI 48202, Monday through Friday, from 9:00 a.m. to 4:30 p.m. Didnt find what youre looking for? Report a compliance concern or potential fraud, waste or abuse. The Alliance Health/Okta Provider Portal has been successfully deployed and your user account and access has been migrated to the new Provider Portal platform. The Michigan Domestic & Sexual Violence Prevention and Treatment Board administers state and federal funding for domestic violence shelters and advocacy services, develops and recommends policy, and develops and provides technical assistance and training. Providers who do not contract with the plan are not required to see you except in an emergency. Alliance Medicare Supplement: Low-income Households Water Assistance Program (LIHWAP). Referrals and prior authorizations must be obtained prior to services being rendered. Check on the status of their claims. For additional information, please see the Alliance Health Portal Provider User Guide. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Our. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service IRS 1095-B Form. You can also use our formulary drug list tools to search for drugs we cover. Adult & Children's Services collapsed link, Safety & Injury Prevention collapsed link, Emergency Relief: Home, Utilities & Burial, Adult Behavioral Health & Developmental Disability, https://dev.michigan.local/som/json?sc_device=json, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Informed Consent for Abortion for Patients, Informed Consent for Abortion for Providers, Go to Child Welfare Medical and Behavioral Health Resources, Go to Children's Special Health Care Services, General Information For Families About CSHCS, Go to Emergency Relief: Home, Utilities & Burial, Supplemental Nutrition Assistance Program Education, Go to Low-income Households Water Assistance Program (LIHWAP), Go to Children's & Adult Protective Services, Go to Children's Trust Fund - Abuse Prevention, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Go to Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Go to Birth, Death, Marriage and Divorce Records, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Go to Contractor and Subrecipient Resources, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, MI Interagency Migrant Services Committee, Go to Protect MiFamily -Title IV-E Waiver, Students in Energy Efficiency-Related Field, Go to Community & Volunteer Opportunities, Go to Reports & Statistics - Health Services, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Go to Reports & Statistics - Human Services, Improving Care for Justice Involved Patients, Managed Long Term Services and Supports (MLTSS), Michigan Office of Administrative Hearing and Rules for MDHHS, Health Care Coverage for People Impacted by Flint Water, Primary Care Provider Incentive Payment Program, Program of All-Inclusive Care for the Elderly (PACE). 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. (888) 658-2536 TTY: 711 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. (866) 766-4661 (self-service available 24/7), Via Telecommunications Device for the Deaf (TDD): These changes took effect on the evening of Thursday May 19, 2022. HAP Empowereddoes not require referrals to see an in-network specialist. Referrals and prior authorization for services should be made to in-network providers whenever possible. Recruiting Physical Health Care Providers. (800) 888-9885 (TTY: 711) MondayFriday, 8 am to 8 pm. Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Midwest health plan provider portal Hap midwest health plan inc . SR-AHEC Training Announcement: Ethics: Shall We Pray? Until then people will keep getting services the way they do now. For changes in office demographic information, requests for provider office training, and contracting and credentialing status: Please be sure your office address, phone, fax, etc. You have 24 hour access to provider . '//cse.google.com/cse.js?cx=' + cx; Midwest Radio is the Number 1 local radio in Ireland . A variety of reports & statistics for programs and services. }nr>a 4s*TaY)fYg &x-o!="C#p5\c%OcOJy/rz"@ (oF=?CoR|~tko@][x [ilvZQQ +iJxwOR>a)( UI@%St^Z>'NtDk)\ ! Not all plans offer all of these benefits. Update - Changes for Specific Ultrasounds Coming Soon! WebThank you for being a provider with HAP Empowered Health Plan, Inc. We appreciate the care that you give to HAP members with Medicaid and MI Health Link coverage. Monday through Friday, from 8 a.m. to 7 p.m. Detroit area: (313) 872-8100 and Lodge), Flint Lobby Customer Service Call Provider Services at 888-773-2647 (TTY 711) with any questions. (800) 422-4641. If you're a doctor bringing patients care or you work in a doctor's office, sign up for Your Health Alliance. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. The Provider Manualwill guide you through the important administrative items you need to know to manage your partnership with HAP Empowered such as: This manual is reviewed annually and updated throughout the year as necessary. Grand Rapids, MI 49546, Troy Lobby Customer Service Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Tell Your Story #MySoonerCare. area. What version is accepted? Contact your clearing house and give them HAP's payor ID: 38224. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. Yes. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. In certain situations, you can. Benefits may vary by carrier and location. Members may enroll in a Medicare Advantage plan only during specific times of the year. This new model of care was developed to address the overall health care needs of Medicaid beneficiaries who have complex behavioral health or intellectual and developmental disability (IDD) service needs. 835 Electronic Remittance Advice: scroll down to learn more about our contracted clearinghouses. What to Consider When Shopping for Medicare, HAP Empowered MI Health Link H9712-001 (Medicare-Medicaid Plan), Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, Medicare Advantage Plus Prescription Drug Plans in Michigan, Medicare Advantage Plus Prescription Drug Plans in 48005 (Macomb County), HAP Empowered MI Health Link Medicare Advantage Plus Prescription Drug Plans in Michigan, Find Continuing Care Retirement Communites. For more information on your Medicare coverage, please be sure . These guidelines are used in combination with your clinical judgement and knowledge as a physician. Child Welfare Medical and Behavioral Health Resources. gcse.async = true; Urgent requests will be accepted when the member or their physician believes waiting for a decision under the standard time frame could place the members life, health or ability to regain maximum function in serious jeopardy. 24/7 access to eligibility, benefits, authorizations and more. The independent report said the uneven spread of service providers has left some women with the significant cost of Apr 26, 2023. . We are an independent education, research, and technology company. We support a culture of knowledge and creativity with competitive pay packages, a robust benefits package and a . Contact the Medicare plan for more information. The benefit information provided is a brief summary, not a complete description of benefits. Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims. (Corunna Rd and Linden Rd), Grand Rapids Lobby Customer Service Wayne Health, formerly known as the Wayne State University Physician Group, is a non-profit, academic group practice with 300 dedicated physicians and 90 providers in 50 medical specialties offering a full spectrum of care, from birth to end-of-life. (888) 999-4347. We are a well-known health plan with many doctors statewide. Contacts. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. To start an appeal: Call us at (800) 500-3373, fax us at (217) 902-9708, or mail us your appeal in writing to: ATTN: Member and Provider Resolutions Alliance Health is excited to implement this new Provider Portal and with the ability to provide our users with a single user login and password that allows the user to access to multiple applications and other valuable information from a single dashboard. Learn about our responses to Coronavirus and find the latest program guidance. Please ACTIVATE your account as soon as possible. Report a compliance concern or potential fraud, waste or abuse. Already have an account? (313) 664-8833, #3 (Monday through Friday from 8 a.m. to 5 p.m.) HAP Empowered Duals (HMO SNP) - Are you Participating? Toll free: (800) 422-4641, Provider Inquiries: Commercial Any information we provide is limited to those plans we do offer in your area. 2023 Medicare Advantage Plan Details . Children's Special Health Care Services information and FAQ's. Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Molina Healthcare of Michigan is one of the largest health plans in Michigan. Monday through Friday, from 9:00 a.m. to 4:30 p.m. Submenu for Insurance through your employer, Learn more about individual and family plans, To refer a member to an out-of-network provider, please contact our. Information on American Indian Services, Employment and Training. Below you will find important news and updates from HAP Empowered. (313) 664-8800(Monday through Friday from 8 a.m. to 5 p.m.) SR-AHEC Training: An Overview of Suicide Risk Assessment and Management. This portal has replaced your current sign-in procedures for ACS and other Alliance applications. After enrollment, it is time to active your account. ?#^b7[]OF{u.=tOi+~xIL7:Tur>kW:]y+x1+\XYW+-yC~e~E~cNK%r\ {f,2m6oL KB#. 'https:' : 'http:') + Diagnostic radiology services (e.g., MRI), Prosthodontics, other oral/maxillofacial surgery, other services, Outpatient group therapy visit with a psychiatrist, Outpatient individual therapy visit with a psychiatrist, Physical therapy and speech and language therapy visit, Durable medical equipment (e.g., wheelchairs, oxygen), Prosthetics (e.g., braces, artificial limbs). Access Alliance Claim System (ACS) 2+J_W+J_W++Y<` This site is operated by Health Alliance and is not the Health Insurance Marketplace site. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. HAP Senior Plus MeridianHealth is now Meridian! Information on the Safe Delivery Program, laws, and publications. To help patients engage their health care provider in these conversations and empower them to ask questions about what tests and procedures are right for them, Helpful materials on healthcare for Children from the American Academy of Pediatrics, the largest physician organization dedicated to the health of children. Rochester Endocrinlogy/Diabetes Center is a medical group practice located in Rochester Hills, MI that specializes in Endocrinology, Diabetes & Metabolism. ##3?_Y:~-\|;gzX_m8NyC~=b9Mw!\. 3|0e~%,'Y)xa? Apply for Benefits. 246 0 obj <>stream Alliance Health Portal Provider User Guide, We are Recruiting Physical Health Care Providers, Alliance Provider Advisory Councils (APAC and LPAC), TP Provider Manual (effective 04/01/2023). Many Wayne Health physicians are affiliated with Wayne State University School of Medicine . Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). Alliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues. Notice from the Michigan Department of Health & Human Services: Prescription Drug Monitoring Program Requirements for Providers, Diagnosis Requirement for ESRD Facilities, CDC Health Advisory - Recall of LeadCare Blood Lead Tests, HAP ranks highest in Michigan in J.D. 1095-B tax forms are now available. Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm. (313) 664-8950(Monday through Friday from 8 a.m. to 4:30 p.m.) Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. (800) 888-9885 (TTY: 711) MondayFriday, 8 am to 8 pm. Alliance Medicare Supplement: Timely Payment Guidelines Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. var s = document.getElementsByTagName('script')[0]; Click to learn more. Please visit our new website to see up to date information about your plan. Information on treatment and services for juvenile offenders, success stories, and more. Inpatient rehab at hospitals; SNFs; long-term care at hospitals; sub-acute rehab Protect your access to the HealthPartners Provider Portal by reviewing our Password Practices & Tip Sheet. Clinical Practices Guidelines, based on updated evidence to inform clinicians in the delivery of adult care from the American College of Physicians, the largest physician association of physicians who care for adults. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. Updated - Skilled Nursing Facility Admissions Prior Authorization Temporary Waiver Set to Expire August 17, 2020, Updated - Respiratory Virus Panel Tests Policy, HAP extends cost-sharing waiver for COVID-19 treatment through Dec. 31, 2020, Updated - Skilled Nursing Facility Admissions Prior Authorization Temporarily Waived, Urgent Care - Coverage and Reimbursement for Virtual Visits and Telehealth, Extended Financial Relief for members for the duration of 2020 in response to COVID-19 pandemic, Update to COVID-19 Reporting Requirements for Skilled Nursing Facilities, Billing Guidelines for COVID-19 Related Services and Telehealth Services during the Public Health Emergency, Updated! Register to Vote. are up to date in the National Plan & Provider Enumeration System orNPPES. Contact the plan provider for additional information. Checking eligibility, benefits and enrollment status All providers must check eligibility and health plan enrollment status when requesting service authorization, and before services are . >EZ/86 K~L(h\UqMHdG'=S1p$>Z_Q/P? Bus ireann's family portal closes on April 28th for transport services for the 2023/2024 school year. For a complete list of services that require authorization. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. 2050 S. Linden Rd. If you cannot afford child care, payment assistance is available. MQIC review the guidelines every two years or as needed. You will also find advice and guidance for providers. 8:00 - 4:00 CST Flint, MI 48532 Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Monthly Drug Premium *Included in Monthly Plan Premium. Contact your assigned network development specialist. 1414 E. Maple The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Alliance Health and Life Insurance Company. For more information on If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Contact your Provider Services Administrators by network: Commercial HAP Midwest Health Plan 313-827-5734 Macomb and Wayne Counties Molina Healthcare 855-322-4077 Macomb and Wayne Counties Upper Peninsula Health Plan 906-226-4285 . Upper Peninsula . Find forms and resources to better work with us as you care for your patients. You must continue to pay your Part B premium. For more information contact the plan. Wednesday 04/26/2023 10:27 PM. Your secure provider portal for working with Cigna. For access to online applications log in here, click "Provider" then "Register". 618 Kenmoor Ave SE, Suite 200 Contact Provider EDI Support information about the Department's public safety programs. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m. Log in at hap.org and select Claims. Adult Behavioral Health & Developmental Disability Services. Look Up Providers. (800) 422-4641 Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home. Welcome to Harvard Pilgrim's Provider Portal! Use the search function below to search Provider Central, These updates support providers by highlighting new classes, trainings, resources, chats, procedures, and programs. Certain waived policies that were in place during the PHE are now in the process of unwinding and will continue the unwind process as the authority for these policies expire. Provider Materials Manuals Commercial Manual MA Manual Provider Process Improvement Flyer Compliance Forms Compliance Attestation Form Provider Addition and Change Forms Provider Information Change Form (for contracted providers) Provider Addition and CAQH Form Credentialing Forms Provider Attestation Form IL Credentialing Application IA Credentialing Application Health Alliance Credentialing . Tailored Plan - Effective October 1, 2023. Enrollment in plans depends on contract renewal. Once you have completed the activation process, please navigate to the Alliance Health Provider Portal, where you will be prompted to log into the new Provider Portal. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Referral Management department at (313) 664-8950. No Surprises Act information for non-contracted providers Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. J>hm&$TN:0PbSy?7xx&:DA'Ix"LeB]8@bv Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. These sessions are formatted for provider agency staff directly involved in the submission of enrollments and claims and will include All provider information and resources have been consolidated into a new section of the website called Provider Central. 855-699-6694, Frequently asked questions 3 These guidelines are researched, developed, and approved in partnership with thehttp://www.mqic.org/. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Register and create your account to access your remittance on the secure provider portal. COVID-19 Public Health Emergency (PHE) 2023 Benefit Changes. If you are a physician, PA, nurse practitioner or practice manager, learn more about joining the Alliance Health Provider Network. With that in mind, we want to make it easy for you to do business with us. Non-Contracted Providers - Merit-Based Incentive Payment System Payment Adjustments, Coverage for Treatment of COVID Returning to Standard Benefit, Care Management Codes for Your HAP Empowered Medicaid Patients, Billing Guidelines for COVID-19 Related Services and Vaccine Administration, Urgent Care Centers: Reimbursement for COVID-19 Vaccine Administration. i wear the chain i forged in life analysis,