Every effort has been made to ensure that this information is accurate. Our migrant program works with a number of organizations to provide services for Michigans migrant and seasonal farmworkers. (313) 664-8800(Monday through Friday from 8 a.m. to 5 p.m.) Contact the plan provider for additional information. Medicare has neither reviewed nor endorsed the information on our site. We are an independent education, research, and technology company. Birth, Death, Marriage and Divorce Records. 2050 S. Linden Rd. The Provider's Remittance Advice provides a detailed explanation of claim payments, denials to provider and/or member, code editing explanations (included on your ERA) and adjustments for each detail charge submitted. You have 24 hour access to provider . 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. 24/7 access to eligibility, benefits, authorizations and more. You must continue to pay your Part B premium. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). Member Handbook. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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 . Please contact the plan for further details. You've got questions, we've got anwers. Information on Safe Sleep for your baby, how to protect your baby's life. Bus ireann's family portal closes on April 28th for transport services for the 2023/2024 school year. HealthPartners is able to send an Electronic Remittance Advice (ERA) in a HIPAA compliant version (Claim Payment/Advice: 835V005010X221A1) to your facility through the following intermediaries/clearinghouses: Interface and installation fees for claim submission and remittance advice are dependent upon the facility, annual claim volume and other determining factors. Contact your clearing house and give them HAP's payor ID: 38224. Billing and Enrollment Trainings Scheduled. Medicare Plan Name: HAP Empowered MI Health Link (Medicare-Medicaid Plan) Location: Wayne, Michigan. Questions about registration HAP Senior Plus(PPO) 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. No Surprises Act information for non-contracted providers Health Care Coverage information and resources. Clinical Practice Guidelines from the American College of Obstetricians and Gynecology, the largest physician organization dedicated to womens health and well-being: Clinical Practice Guidelines from the American Academy of Family Physicians, one the largest physician organizations focused on primary care for the entire family. Call Provider Services at 888-773-2647 (TTY 711) with any questions. 2023 HAP Midwest MI Health Link (Medicare-Medicaid Plan) Health (9 days ago) Web2023 Medicare Advantage Plan Details. Information on the Safe Delivery Program, laws, and publications. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. 855-699-6694, Minnesota Uniform Practitioner Change Form, Meeting the Challenges of Opioids and Pain, Elderly waiver and personal care assistants. HAP is a key participant in the Michigan Quality Improvement Consortium (MQIC) an organization of health plans focused on the health of our members in Michigan. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. HealthPartners pays the per claim charge when conducting business through our intermediaries for the 837 claims transactions only. (888) 658-2536 TTY: 711 Report a compliance concern or potential fraud, waste or abuse. Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. var s = document.getElementsByTagName('script')[0]; In certain situations, you can. Alliance Health and Life Insurance Company. Register to Vote. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Drug plan deductible: No annual deductible, Non-Medicare covered Prosthetics/Medical Supplies: Covered. Referrals and prior authorizations must be obtained prior to services being rendered. The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Limitations, copayments, and restrictions may apply. With that in mind, we want to make it easy for you to do business with us. Referrals and prior authorization for services should be made to in-network providers whenever possible. Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims. 2+J_W+J_W++Y<` You will also find advice and guidance for providers. endstream endobj startxref All Rights Reserved. Not all plans offer all of these benefits. TTY . 2 money from Medicare into the account. Information on communicable & chronic diseases. As per federal legislation, Michigan will restart monthly eligibility renewals for both fee-for-service Medicaid and Medicaid Health Plan (MHP)starting in June 2023. '//cse.google.com/cse.js?cx=' + cx; 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. endstream endobj 205 0 obj <>stream 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. In case of any discrepancy between this information and the legal source, the legal source will govern in all cases. HealthPartners strongly encourages EFT as your payment method so you have your access to your payments as soon as . MDHHS News, Press Releases, Media toolkit, and Media Inquiries. 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. hb```f`` zAX,6$400X>$LMCrc~e:*::;:;@dEG\'PsKb )LE"oxrVie9 )ar%at.530Ae`pL@u\ ]- ##3?_Y:~-\|;gzX_m8NyC~=b9Mw!\. 3|0e~%,'Y)xa? Checking eligibility, benefits and enrollment status All providers must check eligibility and health plan enrollment status when requesting service authorization, and before services are . 2850 W. Grand Blvd. U.S. News does not have a relationship with, or receive remuneration from HAP Empowered MI Health Link. Learn about our responses to Coronavirus and find the latest program guidance. Fees for a primary . Yes. Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters. Outpatient & preservice elective inpatient services }nr>a 4s*TaY)fYg &x-o!="C#p5\c%OcOJy/rz"@ (oF=?CoR|~tko@][x [ilvZQQ +iJxwOR>a)( UI@%St^Z>'NtDk)\ ! It is not intended to replace the legal source. Information about the health care programs available through Medicaid and how to qualify. If you cannot afford child care, payment assistance is available. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. For a complete list of services that require authorization,log inandselect Procedure Reference Lists under Quick Links. 835 Electronic Remittance Advice: scroll down to learn more about our contracted clearinghouses. Income Guidelines. })(); 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). Allied team members are problem-solvers, innovators and collaborators. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Alliance Medicare Supplement: Questions and Answers (Q&A) - View answers to important and frequently asked questions. Expanded Coverage and Reimbursement for Virtual Visits and Telehealth, HAP Billing Guidelines for COVID-19 Related Services, New Requirements Coming for Nursing Homes to Report COVID-19 Cases, New Policy - Respiratory Virus Panel Tests, Updated Member Cost-Sharing Updates for Treatment and Testing of COVID-19, Member Cost-Sharing Updates for Treatment and Testing of COVID-19, MDHHS Medicaid Specific Information on COVID-19, Durable Medical Equipment Providers FAQ's During the COVID-19 Pandemic, MDHHS Bulletin on Updated Coding Guidance, Testing Coverage and Copay Exemption, Updated Coverage and Reimbursement for Virtual Visits and Telehealth, Autism Coverage Update - Guidelines for Telehealth, Reminder of Appropriate Prescribing and Dispensing, Skilled Nursing Facility Admissions Prior Authorization Temporarily Waived, New! Information on American Indian Services, Employment and Training. CEUs Offered! For information on COVID-19 and the novel coronavirus, click here. Call HAP Provider Inquiry at (866) 766-4661. s.parentNode.insertBefore(gcse, s); Box 02459 Detroit, MI 48202-2459. Alliance Medicare Supplement: (800) 422-4641 We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. Aud;'tadr2k''wjf6e>R Y)^41Ml. You now have an easier, faster, and more secure way to log in to the Alliance Claims System and to other provider applications that are supported by Alliance Health. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Information on the Food Assistance Program, eligibility requirements, and other food resources. Care Guidelines help caregivers provide the right care at the right time using the most current evidence to result in the best outcomes. 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 . For prescription drug on formulary at in-network pharmacy. Contact. Please visit our new website to see up to date information about your plan. 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. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. HAPs medical director team continually evaluates the clinical guidelines established by the nations most prominent primary care and value-based associations to promote guidelines that support the overall physical and mental health of our members. 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. var gcse = document.createElement('script'); Clinical Tools, Resources, and Guidelines, Tobacco Free Toolkit for Behavioral Health Agencies, Co-Occurring MH-SUD Diagnoses Screening Program, Healthcare Effectiveness Data and Information Set (HEDIS), Quality Management and Incident Reporting, Licensed Independent Practitioners Compliance Requirements, Claims and Enrollment Guide Fiscal Year 2023 2024. We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. All rights reserved. gcse.type = 'text/javascript'; 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). If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. NC Medicaid has changed the start date for Tailored Plans to October 1, 2023. Information about audits conducted by the Office of Audit. We do not display all the qualified health plans being offered in your state through the Health Insurance Marketplace. Information on DHS Applications and Forms grouped by category. If you need assistance, please Click Here or contact the ProviderPortal SM Support Team at Language Assistance & Notice of Nondiscrimination. 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. Click to register for the new Hally member portal. If you're a doctor bringing patients care or you work in a doctor's office, sign up for Your Health Alliance. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Heritage has the BEST Customer Service Staff Ever!!! The specialist may require a referral from the members PCP. Flint, MI 48532 Be Cyber-smart! 8:00 - 4:00 CST gcse.async = true; Check claims, payments, and fee schedules. 952-883-7505 Contacts. We recommend you download Adobe Reader to view all PDF files on this page. 24/7 access to eligibility, benefits, authorizations and more. Subscribe to updates or See Alliance News. 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