hap midwest provider portal

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. Tailored Plan - Effective October 1, 2023. 2023 Medicare Advantage Plan Details . Not affiliated with or endorsed by any government agency. Commercial Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Monday through Friday, from 9:00 a.m. to 4:30 p.m. 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. endstream endobj 205 0 obj <>stream Recruiting Physical Health Care Providers. (888) 658-2536 TTY: 711 Certain waived policies that were in place during the PHE are now in the process of unwinding and will continue the unwind process as the authority for these policies expire. 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. Who do you currently receive an ERA from? Quick and easy access to. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. For more information contact the plan. Information is collected to monitor the general health and well-being of Michigan citizens. 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. Empower Healthcare Solutions, LLC (Empower) is a Provider-led Arkansas Shared Savings Entity (PASSE). Billing and Enrollment Trainings Scheduled. Alliance Medicare Supplement: 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. 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). Be Cyber-smart! Enroll in automatic payments. 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. Please contact the plan for further details. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. (313) 664-8833, #3 (Monday through Friday from 8 a.m. to 5 p.m.) Contact Provider EDI Support #current year# Health Alliance Plan of Michigan. A sample remittance advice is included at the end of this section. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Check claims, payments, and fee schedules. var gcse = document.createElement('script'); You will also find a link to subscribe to the MDHHS Michigan Medicaid listserv to receive Medicaid final bulletins. The Alliance Health/Okta platform offers our application users multiple benefits including: Please review the following steps concerning your new login to the Alliance Health applications. Information on the Safe Delivery Program, laws, and publications. Matrix Medical Network Partnership for Free In-Home Health Visits, Primary Care Physician Offices We Need Your Help, Keep Provider Information Updated in NPPES, Updated - Prior Authorization Requirements Removed for Specific Drugs for Your HAP Empowered Medicaid Patients, Prior Authorization Requirements Removed for Specific Drugs for Your HAP Empowered Patients, New Coding Validation Process Coming Soon, Attention Physician Specialists: Your Patients Could Benefit from a Free Maternity Care Management Program, Healthy Michigan Plan Health Risk Assessment Resources, Connecting MI Health Link Beneficiaries with Veterans Services, Claim Editing Guidelines for Attending Ordering Referring Provider Fields, Formula Shortage - Information from MDHHS, Formula Shortage Do's and Don'ts - Information from MDHHS, Reminder Telemedicine Services Billing for HAP Empowered Medicaid, COVID-19: Coverage of Monoclonal Antibody Injections by Pharmacy Providers, Reminder - Medical Record Review Projects, Notification from The Michigan Health Alert Network: Rapid Rise in Congenital Syphilis, Update - Urgent Care Centers Reimbursement for COVID 19 Vaccine Administration, Billing Guidelines for COVID-19 Vaccine Administration Only, Patient Case Study from the Maternity Care Management Program, Process for Submitting Claims Corrections, Institute for Health Policy Annual Spring Case Management Conference, Submitting HCPCS Codes with an NDC on HAP Empowered Claims, Reminder HAP Empowered Duals HMO DNSP Required Training, Updated Notice from the Michigan Department of Health & Human Services: Prescription Drug Monitoring Program Requirements for Providers, Requesting Access or Deleting Access to NPIs and Tax IDs Online, Pregnancy Resources to Help You Care for Your HAP Empowered Patients, MDHHS and the NYC STD Prevention Training Center March 2022 Urgent Update Webinar, Encourage Your MI Health Link Patients to Update their Contact Information, Prior Authorization Temporary Waiver Ends Soon for Skilled Nursing Facility Admissions, Important Information for OB/GYNs: Maternity Care Management Program Update, Encourage Your Medicaid Patients to Update their Contact Information, Prescribing Outpatient Treatments for COVID-19, Update - Urgent Care Centers Reimbursement for COVID 19 Vaccine Administration - January 2022, Prescribing Oral Antivirals Paxlovid and Molnupiravir for COVID-19, Skilled Nursing Facility Admissions - Prior Authorization Temporary Waiver Extended, Updated Respiratory Viral Panel Testing Policy - January 2022, Updated Billing Guidelines for Outpatient Services For COVID-19 Cost Share Waiver and Telehealth Services - January 2022, Updated Billing Guidelines for COVID-19 Vaccine Administration Only - January 2022, FQHCs, RHCs and THCs May Need to Resubmit Telehealth Services Claims, Reminder - HAP Progeny Maternity Services Program and FAQS, Skilled Nursing Facilities COVID 19 Reimbursement per the Michigan Department of Health and Human Services, Updated Policy for Coverage of Vascular Endothelial Growth Factor Inhibitors (VEGF) for Ocular Indications, MDHHS Creates Blood Pressure Cuff Coverage Grid, COVID-19 Testing Coverage for Medicaid Members - Bulletin from the MDHHS, Healthy Michigan Plan Health Risk Assessment Video Resources, Primary Care Physicians - Accessibility and Availability Requirements, Michigan Family Connections Newsletter - Fall 2021, Provider Information Sheet Sickle Cell Disease Expansion, Skilled Nursing Facility Admissions - Prior Authorization Temporary Waiver Reinstated, Update: Urgent Care Centers Reimbursement for COVID 19 Vaccine Administration, NDC Reporting Requirement for Physician Administered Drugs, Flu Vaccine Resources from the Centers for Medicare & Medicaid Services. Low-income Households Water Assistance Program (LIHWAP). >EZ/86 K~L(h\UqMHdG'=S1p$>Z_Q/P? HAP Senior Plus Clinical Practices Guidelines, based on updated evidence to inform clinicians in the delivery of adult care from the American College of Physicians, the largest physician association of physicians who care for adults. and Lodge), Flint Lobby Customer Service Detroit, MI 48202, Monday through Friday, from 9:00 a.m. to 4:30 p.m. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m. Log in at hap.org and select Claims. Update your Cigna provider directory . 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. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Aud;'tadr2k''wjf6e>R Y)^41Ml. 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. area. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Please call (800) 851-3379, option 4, for 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. The plan deposits 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. (function() { 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. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 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 . 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. You can also use our formulary drug list tools to search for drugs we cover. All approved applications will be displayed and available in a very handy, easy-to-use dashboard. Monthly Drug Premium *Included in Monthly Plan Premium. If you have any problem reading or understanding this or any other UnitedHealthcare Connected for MyCare Ohio (Medicare-Medicaid Plan) information, please contact our Member Services at 1-877-542-9236 (TTY 711,) from 7 a.m. to 8 p.m. Monday through Friday (voice mail available 24 hours a day/7 days a week) for help at no cost to you. Please check your inbox for an email from Alliance Health <. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. With that in mind, we want to make it easy for you to do business with us. Harvard Pilgrim HealthCare. If you cannot afford child care, payment assistance is available. . 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. Information on Safe Sleep for your baby, how to protect your baby's life. var s = document.getElementsByTagName('script')[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. Other connection costs may be incurred and are the responsibility of the provider. Timely Payment Guidelines No. (800) 801-1770 TTY: 711 Children's Special Health Care Services information and FAQ's. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; HAP Senior Plus(PPO) Alliance Health operates North Carolina's traumatic brain injury waiver. 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. 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 . 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. Our network includes award-winning and patient-focused doctors, hospitals and health systems in Michigan. SR-AHEC Training Announcement: Ethics: Shall We Pray? The Alliance billing and enrollment team will offer virtual information and technical assistance sessions for claims and enrollment related topics and questions. Alliance Health is excited to implement this new Provider Portal and with the ability to provide our users with a single user login and password that allows the user to access to multiple applications and other valuable information from a single dashboard. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m. What version is accepted? Rochester Endocrinlogy/Diabetes Center is a medical group practice located in Rochester Hills, MI that specializes in Endocrinology, Diabetes & Metabolism. ACS support is available from the Alliance Provider Support at (919) 651-8500 Monday-Friday, 8:30 am to 5:15 pm. Monday through Friday, from 9:00 a.m. to 4:30 p.m. Alliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues. We do not display all the qualified health plans being offered in your state through the Health Insurance Marketplace. 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. 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. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Referrals and prior authorization for services should be made to in-network providers whenever possible. 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. Midwest health plan provider portal Hap midwest health plan inc . hbbd```b``} LN e>0 /Hx0 A0{dT\Q 2QH2m&`5`6G = 68PN&w m Full contact information (address, phone and email), Mail claims to: Alliance Health and Life Insurance Company P.O. Join our Network - Recruiting Physical Health Care Providers; Provider Portal Login; TP Provider Manual - Effective 12/1 . Thank you for being a provider with HAP Empowered Health Plan, Inc. We appreciate the care that you give to HAP memberswith Medicaid and MI Health Link coverage. Join HAP. Is the remittance one line item or an entire check? 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. Urgent requests should be marked urgent. Inpatient rehab at hospitals; SNFs; long-term care at hospitals; sub-acute rehab One of HAP's greatest strengths is our large and diverse provider network. (866) 766-4709. There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Michigan's Women, Infants & Children program, providing supplemental nutrition, breastfeeding information, and other resources for healthy mothers & babies. Inpatient admissions & observations HealthPartners strongly encourages EFT as your payment method so you have your access to your payments as soon as . Providers Home. The resources you need to provide top-notch care. Be sure to sign and date the W-9 form or it will be returned. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. (313) 664-8950(Monday through Friday from 8 a.m. to 4:30 p.m.) Many Wayne Health physicians are affiliated with Wayne State University School of Medicine . . Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition. Your secure provider portal for working with Cigna. U.S. News does not have a relationship with, or receive remuneration from HAP Empowered MI Health Link. This site is operated by Health Alliance and is not the Health Insurance Marketplace site. We do not sell leads or share your personal information. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Prior Authorization Request Forms . select Procedure Reference Lists under Quick Links. Information on American Indian Services, Employment and Training. Provider Information Change Form (for contracted providers), Health Alliance Credentialing Application (for contracted midlevel providers), CAQH Provider Addition Form (for IL contracted MDs and DOs only), Prior Authorization & Clinical Review Criteria, Illinois Uniform Electronic Prior Authorization, Provider Reference Checklist - Acute Inpatient/Mental Health/Substance Abuse, Provider Reference Checklist - Outpatient, Provider Reference Checklist - Post Acute, Provider Reference Checklist - Transplant (Admissions), Provider Reference Checklist - Transplant Center, Ancillary/Facility Credentialing Checklist, Pharmacy Prior Authorization Provider Portal Guide, Link to Health Alliance Provider Training Recording, Altruisa/Guiding Care Prior Authorization Video, Morphine Equivalent Dose (MED)/Opioid Medication Supplemental Information Form - (fill), Health Alliance Northwest Emergency Fill List Included Drugs, Health Alliance Northwest Emergency Fill List Excluded Drugs, 2022 Medicare State of Illinois Formulary, 2023 Health Alliance Individual and Small Group Formulary, 2023 Health Alliance Northwest Individual & Small Group Formulary, 2023 Health Alliance State of Illinois Employee Formulary, 2023 Health Alliance Northwest Large Group Formulary, 2023 Large Group and Self-Funded Standard Formulary, 2023 Large Group and Self-Funded Enhanced Formulary, Statin Therapy for Patients with Cardiovascular Disease, Statin Use in Persons with Diabetes Tip Sheet, Transitions of Care-Patient Engagement After Inpatient Discharge, Transitions of Care-Receipt of Discharge Information, Transitions of Care-Notification of Inpatient Admission, Transitions of Care-Medication Reconciliation Post Discharge, Percentage of Inpatient Admissions with Follow Up Withing 14 Calendar Days, Kidney Health Evaluation for Patients with Diabetes KED, Provider Reference Checklist Acute Inpatient/Mental Health/Substance Abuse, Provider Reference Checklist Outpatient, Provider Reference Checklist Post Acute, Provider Reference Checklist Transplant (Admissions), Provider Reference Checklist Transplant Center, Morphine Equivalent Dose (MED)/Opioid Medication Supplemental Information Form (fill). 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