Briefs & Reports

Governing Staff Writer Chris Kardish tapped the expertise of two HMA colleagues for his article “5 of the Biggest Changes in New Medicaid Managed Care Rules.” HMA Senior Consultant Lisa Shugarman and Principal Matt Roan shared offered insights about quality ratings as well as accreditation and monitoring. The newly proposed regulations represent the first major … Read More

As of May 1, 2015, there were 1,645,820 Medicaid beneficiaries, including Healthy Michigan Plan (HMP) beneficiaries, enrolled in 13 Medicaid Health Plans (HMOs); this is an increase of 36,308 since April. The enrollment total reflects an increase of 17,421 HMP enrollees since April and an increase of 18,887 non-HMP Medicaid enrollees. As the enrollment reports (pdf) … Read More

There were 53,736 Medicaid beneficiaries dually eligible for Medicare (duals) enrolled in Medicaid HMOs to receive their Medicaid benefits in May 2015, a decrease of 2,848 since April. This reduction may in part be due to implementation of Michigan’s dual eligibles pilot program. Some individuals have transitioned to enrollment in one of the state’s Integrated Care Organizations … Read More

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 … Read More

While the Michigan Department of Human Services and Michigan Department of Community Health were combined in April into the new Michigan Department of Health and Human Services, legislative action on the Fiscal Year (FY) 2015-2016 budgets occurred separately for the two former departments. The House/Senate Conference Committee on the Community Health budget finished its work … Read More

In previous editions of The Michigan Update we have written about Michigan’s plan to implement an integrated delivery system of health care for adults dually eligible for Medicare and Medicaid (duals). The demonstration will last for three years and in four regions of the state. The entire Upper Peninsula is one region; eight counties in … Read More

According to MAXIMUS, the Michigan Department of Health and Human Services (MDHHS) contractor for MIChild enrollment, there were 44,508 children enrolled in the MIChild program as of May 1, 2015. The May enrollment total reflects an increase of 647 from the 43,861 children enrolled as of April 1, 2015. Of the total number of children enrolled, 892 enrollees are … Read More

On May 26, 2015, the federal Centers for Medicare and Medicaid Services (CMS) released a proposed managed care rule intended to update and strengthen the Medicaid and Children’s Health Insurance Program (CHIP) regulations last updated in 2003. “This proposed rule would modernize the Medicaid managed care regulations to reflect changes in the usage of managed … Read More

The Michigan Department of Health and Human Services (MDHHS) has issued six final and four proposed policies that merit mention. They are available for review on DCH’s website. MSA 15-06 informs Home Help Agency and Individual Providers that the change in policy announced in MSA 14-58, then delayed, will now be implemented effective June 1, 2015. … Read More

Healthy Michigan Plan (HMP) enrollment remains high, far exceeding original expectations. HMP enrollees are required to report any changes in their economic or health care coverage circumstance as those changes occur. They are also subject to an annual redetermination of eligibility; those that entered the program in April and May 2014 were recently subject to … Read More