Briefs & Reports

CSHCS Children in Medicaid HMOs

The Michigan Department of Health and Human Services (MDHHS) requires children (and a few adults) receiving services from both the Children’s Special Health Care Services (CSHCS) program and the Medicaid program to enroll in Medicaid HMOs. As of May 1, 2015, there were 17,996 joint CSHCS/Medicaid beneficiaries enrolled in the Medicaid HMOs – an increase of 373 since April. All Medicaid HMOs except Harbor Health Plan, Inc. have CSHCS/Medicaid enrollees, although the numbers vary across plans.

Meridian Health Plan of Michigan, which has the largest Medicaid enrollment of any Medicaid HMO, also has the most CSHCS/Medicaid enrollees receiving their services from an HMO, 25.0 percent of the total. Molina Healthcare of Michigan has 17.5 percent of the total; UnitedHealthcare Community Plan has 16.6 percent; and the other nine plans share the remaining 40.9 percent.

For more information, contact Esther Reagan, Senior Consultant, at (517) 482-9236.