The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. View member eligibility. 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. Every year, Medicare evaluates plans based on a 5-star rating system. 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. Not affiliated with or endorsed by any government agency. (866) 766-4709. No Surprises Act information for non-contracted providers To see all of these plans, go to the Health Insurance Marketplace at HealthCare.gov. Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Empower Healthcare Solutions, LLC (Empower) is a Provider-led Arkansas Shared Savings Entity (PASSE). 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. For information on COVID-19 and the novel coronavirus, click here. It provides links to CHAMPS, billing and reimbursement resources, training, policy documents, and much more. 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. Information about injury and violence prevention programs in Michigan. 1414 E. Maple Pharmacy requests Information about the health care programs available through Medicaid and how to qualify. Plan ID: H9712 - 001 - 0 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. during the calendar year will owe a portion of the account deposit back to the plan. Care Guidelines help caregivers provide the right care at the right time using the most current evidence to result in the best outcomes. 952-883-7505 HAP Empowered Duals (HMO SNP) - Are you Participating? Information is collected to monitor the general health and well-being of Michigan citizens. Online Provider and Billing Portal Account Access, Demographic changes, training & education; contracting & credentialing, Aetna Signature Administrators Providers, Submenu for Insurance through your employer, Learn more about individual and family plans. Apply for Benefits. Update your Cigna provider directory . Questions about registration What version is accepted? Or get everything you need to manage your relationship with HAP online. Log In Now. Please check your inbox for an email from Alliance Health <. 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. (888) 999-4347. Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Registration help. 855-699-6694, Frequently asked questions Information on American Indian Services, Employment and Training. ACS allows providers to view appointments, submit patient claims and treatment plans, check on authorizations, and more. 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. To refer a member to an out-of-network provider, please contact ourReferral Management department at (313) 664-8950. 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. 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. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m. For more information, see the guidelineshere. Please clear your browser cache before accessing the new Provider Portal URL. Children's Special Health Care Services information and FAQ's. What would you like to do? Forgot Your Password for the Provider Portal? W-9 changes. To learn more about the step in the prior authorization process, see the Referrals and Authorizations section in the Provider Manual. CEUs Offered! 'https:' : 'http:') + J>hm&$TN:0PbSy?7xx&:DA'Ix"LeB]8@bv Update - Changes for Specific Ultrasounds Coming Soon! Seeking additional landlords and housing opportunities. EDI setup. These guidelines are researched, developed, and approved in partnership with thehttp://www.mqic.org/. Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. 24/7 access to eligibility, benefits, authorizations and more. Sign in here and select remittance inquiry from your applications menu. 201 0 obj <> endobj #current year# Health Alliance Plan of Michigan. $/o|PXPXP,g3xE^-xGyYzza^X/:=2,,,,!o/03 Please clear your browser cache BEFORE accessing the new Provider Portal URL. Monday through Friday, from 9:00 a.m. to 4:30 p.m. Search Physicians Search Hospitals Contact Us Home. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Protect your access to the HealthPartners Provider Portal by reviewing our Password Practices & Tip Sheet. MQICs goal is to standardize these practice guidelines to help all physicians in Southeast Michigan; and HAP is helping these efforts. 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. MQIC review the guidelines every two years or as needed. U Y@ IRS 1095-B Form. 2023 HAP Midwest MI Health Link (Medicare-Medicaid Plan) Health (9 days ago) Web2023 Medicare Advantage Plan Details. Alliance Health has made changes to several of our service definition drop downs in ACS when submitting service authorization requests (SAR). Didnt find what youre looking for? Personal Emergency Response System (PERS): Medical Nutrition Therapy (MNT): Some coverage. Authorizing Electronic Funds Transfer (or EFT) as your payment method will speed payment delivery by depositing payments directly to your bank account, allowing quicker access to funds paid to you. 1095-B tax forms are now available. 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 . Prior Authorization Request Forms . Or, you can always contact your Provider Network Development Representative. ##3?_Y:~-\|;gzX_m8NyC~=b9Mw!\. 3|0e~%,'Y)xa? This site is operated by Health Alliance and is not the Health Insurance Marketplace site. Those who disenroll Inpatient admissions & observations Register and create your account to access your remittance on the secure provider portal. Not all plans offer all of these benefits. Monday through Friday, from 9:00 a.m. to 4:30 p.m. (800) 422-4641 Commercial (313) 664-8800(Monday through Friday from 8 a.m. to 5 p.m.) 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. Until then people will keep getting services the way they do now. Already a provider? Please contact the plan for further details. For access to online applications log in here, click "Provider" then "Register". Please visit our new website to see up to date information about your plan. View answers to important and frequently asked questions. Create and manage Users. }nr>a 4s*TaY)fYg &x-o!="C#p5\c%OcOJy/rz"@ (oF=?CoR|~tko@][x [ilvZQQ +iJxwOR>a)( UI@%St^Z>'NtDk)\ ! 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). Please call (800) 851-3379, option 4, for Your secure provider portal for working with Cigna. View other participating providers. Contracted providers can be found in ouronline provider directory. Already have an account? You will also find advice and guidance for providers. We do not sell leads or share your personal information. 2050 S. Linden Rd. asm 126 4 of 8 mi health link program asb 2022-002 2-1-2022 adult services manual state of michigan department of health & human services hap midwest health plan 2850 w. grand blvd. providers must be paid within 30 calendar days of the date of receipt. You can also use our formulary drug list tools to search for drugs we cover. are up to date in the National Plan & Provider Enumeration System orNPPES. Medical Prior Authorization Request Form . midlands and border counties. 835 Electronic Remittance Advice: scroll down to learn more about our contracted clearinghouses. HAP Senior Plus Aud;'tadr2k''wjf6e>R Y)^41Ml. The Alliance billing and enrollment team will offer virtual information and technical assistance sessions for claims and enrollment related topics and questions. They are always pleasant, patient and more than willing to assist whenever I call! Meridian 24/7 access to eligibility, benefits, authorizations and more. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Call HAPs Provider Line at (888) 427-6464. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Legislation policy and planning information. For a complete list of services that require authorization. For prescription drug on formulary at in-network pharmacy. This section is for health care providers and prescribers only. (800) 873-7526 TTY: 711. and Lodge), Flint Lobby Customer Service %PDF-1.5 % Our network includes award-winning and patient-focused doctors, hospitals and health systems in Michigan. Information on the Children's Foster Care program and becoming a Foster Parent. Recruiting Physical Health Care Providers. Find a Provider. ACS support is available from the Alliance Provider Support at (919) 651-8500 Monday-Friday, 8:30 am to 5:15 pm. 246 0 obj <>stream If you're a doctor bringing patients care or you work in a doctor's office, sign up for Your Health Alliance. '//cse.google.com/cse.js?cx=' + cx; s.parentNode.insertBefore(gcse, s); Access Alliance Claim System (ACS) (888) 658-2536 TTY: 711 Contacts. Health Care Coverage information and resources. Please ACTIVATE your account as soon as possible. 8:00 - 4:00 CST Enrollment in plans depends on contract renewal. We are not compensated for Medicare plan enrollments. Bus ireann's family portal closes on April 28th for transport services for the 2023/2024 school year. Are they able to accept ANSI 835 transactions? Look Up Providers. >EZ/86 K~L(h\UqMHdG'=S1p$>Z_Q/P? Medicare Plan Name: HAP Empowered MI Health Link (Medicare-Medicaid Plan) Location: Wayne, Michigan. Grand Rapids, MI 49546, Troy Lobby Customer Service Who do you currently receive an ERA from? Fees for a primary . MQIC is led by physicians and other clinical team members who evaluate scientific data and develop guidelines to help support the work of primary care physicians. Contact your clearing house and give them HAP's payor ID: 38224. Self-service options are available 24/7. Language Assistance & Notice of Nondiscrimination. Alliance Medicare Supplement: Referrals and prior authorizations must be obtained prior to services being rendered. Medicare MSA Plans do not cover prescription drugs. 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. Medicare evaluates plans based on a 5-Star rating system. Join our Network - Recruiting Physical Health Care Providers; Provider Portal Login; TP Provider Manual - Effective 12/1 . Heritage has the BEST Customer Service Staff Ever!!! HAP Senior Plus Do they have the capability to post remittances electronically. Still Time to Qualify for Reimbursement for Gap Closure! COVID-19 Public Health Emergency (PHE) 2023 Benefit Changes. Benefits may vary by carrier and location. HAP adopts and supports clinical practice or care guidelines for the treatment of a variety of medical and behavioral conditions. In this section, youll find numerous resources here that will help you serve our members. 3 select Procedure Reference Lists under Quick Links. Information & resources for Community and Faith-Based partners. If you need technical help to access the UnitedHealthcare Provider Portal, please email ProviderTechSupport@uhc.com or call our UnitedHealthcare Web Support at 866-842-3278, option 1. Itprovideslinks to CHAMPS, billing and reimbursement resources, training, policy documents, and much more. When you log in to the Alliance Provider Portals beginning the morning of May 20, 2022, you will be directed to the Alliance Health/Okta platform, where you will be prompted to complete your enrollment, including resetting your password. Questions and Answers (Q&A) - View answers to important and frequently asked questions. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. The application will also allow Alliance to implement additional security features in the future, such as multi-factor authentication. %%EOF All rights reserved. We are a well-known health plan with many doctors statewide. 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 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. MeridianHealth is now Meridian! Inquire on a patient's eligibility. hWOHW#T!%R E|0RJNg;Q3 var gcse = document.createElement('script'); Star Ratings are calculated each year and may change from one year to the next. Contact Provider EDI Support Providers may access remittances and notifications free of charge through our secured provider portal. 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. . This portal has replaced your current sign-in procedures for ACS and other Alliance applications. Disclaimer and Privacy Policy | Terms of Use 2013 BeneSys Administrators All content on this site is copyrighted by BeneSys Administrators. Monday through Friday, from 8 a.m. to 7 p.m. Detroit area: (313) 872-8100 By offering this site, we're required to meet all applicable federal laws, including the standards established under 45 CFR 155.220(c) and (d) and 45 CFR 155.260 to protect the privacy and security of personal information. Contact your assigned network development specialist. (Corunna Rd and Linden Rd), Grand Rapids Lobby Customer Service Is the remittance one line item or an entire check? 835 Electronic Remittance Advice: scroll down to learn more about our contracted clearinghouses. 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. We support a culture of knowledge and creativity with competitive pay packages, a robust benefits package and a . 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. 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. 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. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. 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. 24/7 access to eligibility, benefits, authorizations and more. Provider Network Specialists - Contact your assigned network development specialist. (800) 801-1770 TTY: 711 It is not intended to replace the legal source. You can access your HAP account 24/7. Medicaid Rates for FY23April and May 2023, Provider Request for Appeal of an Action Form. Be Cyber-smart! HAP Senior Plus(PPO) Learn about our responses to Coronavirus and find the latest program guidance. #current year# Health Alliance Plan of Michigan. endstream endobj 202 0 obj <>/Metadata 15 0 R/PageLayout/OneColumn/Pages 199 0 R/StructTreeRoot 48 0 R/Type/Catalog>> endobj 203 0 obj <>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 204 0 obj <>stream If you cannot afford child care, payment assistance is available. Are there additional per remittance charges associated with this capability? Timely Payment Guidelines 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. 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! Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Troy, MI 48083, Submitting authorization requests and checking status, Behavioral health inpatient & outpatient services Learn moreabout becoming a HAP provider. (800) 801-1770 TTY: 711 However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. (800) 422-4641 HAP Senior Plus(PPO) Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. Log in now for exclusive resources, such as: If you have trouble accessing your online account,email usand include the following information: When you join the HAP provider network, you get a health care partner committed to improve the quality, value and services you provide to your patients. 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. 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.