No Surprises Act information for non-contracted providers Income Guidelines. HAP Midwest Integration Update; 05/31/19: Provider Portal Online Applications and Helpful Information; 05/8/19: Fact sheet: Submit health risk assessment via CHAMPS; 04/1/19: 2019 HAP Midwest Health Plan Access to Care Availability Standards FINAL; 04/1/19: Exciting Changes Coming to HAP Midwest this June; 12/31/18: Medication prior . 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. For more information, see the guidelineshere. This change was made to align with clinical coverage policies. Box 02459 Detroit, MI 48202-2459. HAP Senior Plus COVID-19 Public Health Emergency (PHE) 2023 Benefit Changes. Our. Midwest health plan provider portal Hap midwest health plan inc . Member Handbook. 226 0 obj <>/Filter/FlateDecode/ID[<894DCE6A2D3BB64E98F59EB5EFA2D304><7180BDC57D7BC34B92496B641500D662>]/Index[201 46]/Info 200 0 R/Length 114/Prev 142278/Root 202 0 R/Size 247/Type/XRef/W[1 3 1]>>stream Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims. Molina Healthcare, Inc. Investor Relations: Juan Jos Orellana, 562-435-3666 or Public Relations: Leigh Woodward, 562-233-4532 or HAP Midwest Health Plan, Inc. Susan Schwandt, 248-443 . 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. For access to online applications log in here, click "Provider" then "Register". Didnt find what youre looking for? Appeals and grievance information, such as: Process and timeframe for peer-to-peer discussions, Process for claim and authorization disputes, Process for rapid dispute resolution and binding arbitration. CEUs Offered! This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Search Physicians Search Hospitals Contact Us Home. Or get everything you need to manage your relationship with HAP online. They are always pleasant, patient and more than willing to assist whenever I call! >EZ/86 K~L(h\UqMHdG'=S1p$>Z_Q/P? 2050 S. Linden Rd. Home to an array of public health programs, initiatives and interventions aimed at improving the health and well-being of women, infants, families and communities. HAP Empowered MI Health Link (Medicare-Medicaid Plan) One of HAPs greatest strengths is our large and diverse provider network. (800) 422-4641 For more information on Commercial Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. 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. It is not intended to replace the legal source. 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. Monday-Friday 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. Monthly Drug Premium *Included in Monthly Plan Premium. (800) 888-9885 (TTY: 711) MondayFriday, 8 am to 8 pm. Learn about our responses to Coronavirus and find the latest program guidance. 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 Itprovideslinks to CHAMPS, billing and reimbursement resources, training, policy documents, and much more. What can you do in the Provider Healthcare Portal? Information on treatment and services for juvenile offenders, success stories, and more. Below you will find important news and updates from HAP Empowered. Urgent requests should be marked urgent. One of HAP's greatest strengths is our large and diverse provider network. SoonerCare Member Portal. View member eligibility. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. MQICs goal is to standardize these practice guidelines to help all physicians in Southeast Michigan; and HAP is helping these efforts. 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). 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). For the most up-to-date MDHHS resources, including the Medicaid Provider Manual, Michigan Medicaid Proposed Policies, Michigan Medicaid Approved Policy Bulletins and Numbered Letters, clickhere. . Timely Payment Guidelines Be sure to sign and date the W-9 form or it will be returned. We work closely with brokers and clients to deliver custom benefits solutions. 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. Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. Monday through Friday, from 9:00 a.m. to 4:30 p.m. Is the remittance one line item or an entire check? H\j0l/Gi\pl%54Q.g4#}v~40S-fQo^pN-~a hgg{x6dK^.F{s ]^SW>[Ccs0u6!v;}o+e~z92W Registration help. We are a well-known health plan with many doctors statewide. Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters. Inpatient rehab at hospitals; SNFs; long-term care at hospitals; sub-acute rehab Some services and procedures require prior authorization. gcse.src = (document.location.protocol == 'https:' ? The application will also allow Alliance to implement additional security features in the future, such as multi-factor authentication. HCP Provider Portal > Home Alliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues. If you need assistance, please Click Here or contact the ProviderPortal SM Support Team at Or, you can always contact your Provider Network Development Representative. Report a compliance concern or potential fraud, waste or abuse. In case of any discrepancy between this information and the legal source, the legal source will govern in all cases. ##3?_Y:~-\|;gzX_m8NyC~=b9Mw!\. 3|0e~%,'Y)xa? Access our provider portal to begin your request. Alliance Medicare Supplement: In this section, youll find numerous resources here that will help you serve our members. Questions and Answers (Q&A) - View answers to important and frequently asked questions. Midwest Health Plan Of Michigan 2023 HAP Midwest MI Health Link (Medicare-Medicaid Plan) - H9712-001-0 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. We are an independent education, research, and technology company. Pharmacy requests Midwest Radio is the Number 1 local radio in Ireland . Login or Register. Not affiliated with or endorsed by any government agency. 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. Alliance Health - North Carolina BH/IDD Tailored Plan Every effort has been made to ensure that this information is accurate. Molina Healthcare of Michigan is one of the largest health plans in Michigan. providers must be paid within 30 calendar days of the date of receipt. PDF Michigan MI Health Link Demonstration Frequently Asked Questions for Those who disenroll Create and manage Users. If you're an EyeMed member looking for vision benefit services, please call your provider to confirm their specific response whether amending store hours or closing. 952-883-7505 Post discharge In-Home Medication Reconciliation: Wigs for Hair Loss Related to Chemotherapy: Additional Sessions of Smoking and Tobacco Cessation Counseling: Enhanced Disease Management: Some coverage, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline): Some coverage. information about the Department's public safety programs. Drug plan deductible: No annual deductible, Non-Medicare covered Prosthetics/Medical Supplies: Covered. Billing and Enrollment Trainings Scheduled. (800) 801-1770 TTY: 711 var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Click to register for the new Hally member portal. 2 Monday through Friday, from 9:00 a.m. to 4:30 p.m. var gcse = document.createElement('script'); Update - Changes for Specific Ultrasounds Coming Soon! (888) 658-2536 TTY: 711 All contents copyright Health Alliance Medical Plans. 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. Submenu for Insurance through your employer, Learn more about individual and family plans, Admission & Transfer Management On-Call Schedule, Learn about becoming an ID Administrator for your office (PDF), Real-time eligibility and benefits information, "Portal access" in the subject line of the email, Full contact information (email, address and phone). A sample remittance advice is included at the end of this section. Please clear your browser cache before accessing the new Provider Portal URL. (function() { Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. (800) 873-7526 TTY: 711. Referrals and prior authorization for services should be made to in-network providers whenever possible. $/o|PXPXP,g3xE^-xGyYzza^X/:=2,,,,!o/03 SR-AHEC Training Announcement: Ethics: Shall We Pray? View answers to important and frequently asked questions. View other participating providers. U Y@ Detroit, MI 48202, Monday through Friday, from 9:00 a.m. to 4:30 p.m. EDI setup. Call HAPs Provider Line at (888) 427-6464. NC Medicaid has changed the start date for Tailored Plans to October 1, 2023. Please clear your browser cache BEFORE accessing the new Provider Portal URL. %%EOF 2850 W. Grand Blvd. HAP Senior Plus(PPO) ProviderPortal 2.0 While HAP Midwest is no longer available in your area, Molina Healthcare of Michigan will continue providing the same high quality customer care to their Medicaid, MIChild, Healthy Michigan Plan or Children . HAPs clinical and medical policy team continue to evaluate scientific data, published evidence, and directives from trustworthy health care organizations to promote and establish clinical guidelines. If you cannot afford child care, payment assistance is available. Please ACTIVATE your account as soon as possible. Yes. HAP Senior Plus(PPO) U.S. News does not have a relationship with, or receive remuneration from HAP Empowered MI Health Link. Our customer-first approach works well for members, clients, providers and agents. 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! For more information on your Medicare coverage, please be sure . Are there additional per remittance charges associated with this capability? You must continue to pay your Part B premium. Prior Authorizations :: The Health Plan You've got questions, we've got anwers. Subscribe to updates or See Alliance News. HAP Midwest Information | Molina Healthcare Michigan Contact Provider EDI Support The information, tools, and resources you need to support the day-to-day needs of your office are all on the Cigna for Health Care Providers' website, CignaforHCP.com : Check patient eligibility and benefits. Star Ratings are calculated each year and may change from one year to the next. Rochester Endocrinlogy/Diabetes Center is a medical group practice located in Rochester Hills, MI that specializes in Endocrinology, Diabetes & Metabolism. Medicaid Providers - Michigan ?#^b7[]OF{u.=tOi+~xIL7:Tur>kW:]y+x1+\XYW+-yC~e~E~cNK%r\ {f,2m6oL KB#. Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) Services: Tobacco Cessation Counseling for Pregnant Women: Self-Directed Personal Assistance Services: Institution for Mental Disease Services for Individuals 65 or Older: Services in an Intermediate Care Facility for Individuals with Intellectual Disabilities: Over-the-counter drug benefits: Some coverage. This section is for health care providers and prescribers only. Click to learn more. Call HAP Provider Inquiry at (866) 766-4661. #current year# Health Alliance Plan of Michigan. Medical Prior Authorization Request Form . You will also find a link to subscribe to the MDHHS Michigan Medicaid listserv to receive Medicaid final bulletins. 24/7 access to eligibility, benefits, authorizations and more. Provider Network Specialists - Contact your assigned network development specialist. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. View their Remittance Advices. during the calendar year will owe a portion of the account deposit back to the plan. Suicide is one of the leading causes of death in the United States as well as one of the most difficult problems mental health professionals have to handle in their profession. 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 . For more information contact the plan. You will also find advice and guidance for providers. (888) 999-4347. Every year, Medicare evaluates plans based on a 5-star rating system. 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. Midwest Health Plan Mi We do not display all the qualified health plans being offered in your state through the Health Insurance Marketplace. EFT enrollment Health care providers | Michigan Health Insurance | HAP For information on COVID-19 and the novel coronavirus, click here. . Contact your Provider Services Administrators by network: Commercial For Providers | Meridian However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. The independent report said the uneven spread of service providers has left some women with the significant cost of Apr 26, 2023. . gcse.type = 'text/javascript'; We recommend you download Adobe Reader to view all PDF files on this page. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. These guidelines are researched, developed, and approved in partnership with thehttp://www.mqic.org/. UnitedHealthcare Community Plan: Medicare & Medicaid Health Plans For a complete list of services that require authorization. You will then have access to all of your assigned applications. The Alliance Health/Okta application utilizes a single sign-on (SSO) process that will allow you to access all authorized applications supported by Alliance using a single username and password. are up to date in the National Plan & Provider Enumeration System orNPPES. 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. Please check your inbox for an email from Alliance Health <. Referral Management department at (313) 664-8950. Power Member Satisfaction Study, Partnership with Home Access Health for In Home Screenings, Urgent Care Centers: Reimbursement for COVID 19 Vaccine Administration, Health Risk Assessment for Healthy Michigan Plan Members, Appointment Availability for HAP Empowered MI Health Link Members, Prior Authorization Temporary Waiver Reinstate for Skilled Nursing Facility Admissions, HAP Extends Cost-Share Waivers for Testing, Treatment and Telehealth Services Related to COVID-19 through Sept. 30, 2021, Billing Guidelines for COVID-19 related Services and Vaccine Administration, Helping HAP Empowered Medicaid Members Stay Healthy, Infection Control Training Videos Available from MDHHS, New Partnership for Non-Emergency Medical Transportation, Part D Drug Appeals - Independent Review Entity Change, HAP Empowered Duals (HMO SNP) Annual Required Training, Update: HAP extends cost-share waivers during public health emergency for testing and telehealth services through April 21, 2021, New program for your HAP Empowered MI Health Link patients, Update: Skilled Nursing Facility Admissions - Prior Authorization Temporarily Waived Extended, Telemedicine, Telehealth & Virtual Care Services Updated, HAP Empowered Provider Newsletter - December 2020, Updated immunizations and vaccine policy to include COVID-19 vaccine codes, Billing Guidelines for COVID-19 - Update December 17, 2020, Reminder - New Partnership with EyeMed to Manage Routine Vision Benefits, Notification of Pregnancy Form Low Birth Weight Initiative, Important Announcement from MDHHS Regarding New COVID-19 Provider Vaccination Registration Form, HAP extending cost-share waivers for testing & treatment of COVID-19 for services rendered through March 31, 2021, Skilled Nursing Facility Admissions Prior Auth Update, Reimbursement for COVID-19 Testing at Urgent Care Centers, HAP extends cost-share waivers for testing & treatment of COVID-19 through Jan 21 2021, HAP Empowered Claims Submissions Guidelines, Ordering Referring and Attending Providers Requirements for HAP Empowered Claims, Telehealth Summary (overview of HEDIS measures that can be addressed via telehealth), Well Child Visits Guidance for In Person and Telemedicine Visits, MDHHS Reinstates Certain Provider Enrollment Requirements, Ensure Your Claims Get Paid - CHAMPS Enrollment Reminder, Care Management Codes Denied in Error for HAP Empowered Medicaid Claims, Potential Overpayment for Home Health Claims for HAP Empowered MI Health Link, Medicaid Prescription Drug Therapy Coming October 1, 2020.