Contact information for providers | Michigan Health Insurance - HAP Beyond completed suicides, suicidal behavior is common therefore a thorough understanding of how to assess for risk as Changes Made to ACS Service Definition Drop Downs for Service Authorization Requests. (313) 664-8950(Monday through Friday from 8 a.m. to 4:30 p.m.) (313) 664-8800(Monday through Friday from 8 a.m. to 5 p.m.) 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 . Join Our Team. We recommend you download Adobe Reader to view all PDF files on this page. 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. Find a Provider. 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. Pharmacy Programs Health Alliance. You will also find a link to subscribe to the MDHHS Michigan Medicaid listserv to receive Medicaid final bulletins. Report a compliance concern or potential fraud, waste or abuse. 855-699-6694, Minnesota Uniform Practitioner Change Form, Meeting the Challenges of Opioids and Pain, Elderly waiver and personal care assistants. Please ACTIVATE your account as soon as possible. Language Assistance & Notice of Nondiscrimination. Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters. J>hm&$TN:0PbSy?7xx&:DA'Ix"LeB]8@bv Allied team members are problem-solvers, innovators and collaborators. Contact your assigned network development specialist. (Corunna Rd and Linden Rd), Grand Rapids Lobby Customer Service (800) 444-5755(Monday through Friday from 8 a.m. to 5 p.m.) HAP adopts and supports clinical practice or care guidelines for the treatment of a variety of medical and behavioral conditions. hWOHW#T!%R E|0RJNg;Q3 Join HAP. Inpatient rehab at hospitals; SNFs; long-term care at hospitals; sub-acute rehab 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. Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. Login or Register. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Alliance Health has made changes to several of our service definition drop downs in ACS when submitting service authorization requests (SAR). Grand Rapids, MI 49546, Troy Lobby Customer Service Aud;'tadr2k''wjf6e>R Y)^41Ml. 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. All Rights Reserved. 835 Electronic Remittance Advice: scroll down to learn more about our contracted clearinghouses. ?#^b7[]OF{u.=tOi+~xIL7:Tur>kW:]y+x1+\XYW+-yC~e~E~cNK%r\ {f,2m6oL KB#. Are there additional per remittance charges associated with this capability? Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Register and create your account to access your remittance on the secure provider portal. MDHHS News, Press Releases, Media toolkit, and Media Inquiries. Protect your access to the HealthPartners Provider Portal by reviewing our Password Practices & Tip Sheet. We work closely with brokers and clients to deliver custom benefits solutions. Are they able to accept ANSI 835 transactions? The Alliance Health/Okta Provider Portal has been successfully deployed and your user account and access has been migrated to the new Provider Portal platform. Until then people will keep getting services the way they do now. EyeMed remains committed to the continuity of service for your vision business as we all respond to the COVID-19 global health pandemic. HAP Empowered Duals (HMO SNP) - Are you Participating? 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 . #current year# Health Alliance Plan of Michigan. Timely Payment Guidelines We do not offer every plan available in your area. (800) 873-7526 TTY: 711. Non-Contracted Providers - Merit-Based Incentive Payment System Payment Adjustments, Coverage for Treatment of COVID Returning to Standard Benefit, Care Management Codes for Your HAP Empowered Medicaid Patients, Billing Guidelines for COVID-19 Related Services and Vaccine Administration, Urgent Care Centers: Reimbursement for COVID-19 Vaccine Administration. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Click to register for the new Hally member portal. (866) 766-4709. You've got questions, we've got anwers. View their Remittance Advices. Find a Wayne Health Doctor or Provider in Southeast Michigan Click to learn more. Child Welfare Medical and Behavioral Health Resources. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; MQIC review the guidelines every two years or as needed. Children's Special Health Care Services information and FAQ's. Contact your clearing house and give them HAP's payor ID: 38224. Member Handbook. gcse.async = true; Alliance Medicare Supplement: Your secure provider portal for working with Cigna. Income Guidelines. Providers may access remittances and notifications free of charge through our secured provider portal. A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. HAP Empowered MI Health Link (Medicare-Medicaid Plan) 2+J_W+J_W++Y<` Please clear your browser cache before accessing the new Provider Portal URL. Medicare Plan Name: HAP Empowered MI Health Link (Medicare-Medicaid Plan) Location: Wayne, Michigan. The benefit information provided is a brief summary, not a complete description of benefits. 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). HAP Senior Plus (800) 873-7526 TTY: 711. 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. 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. PDF Billing for Services View claims. midlands and border counties. We do not sell leads or share your personal information. Upper Peninsula . Contact your clearing house and give them HAP's payor ID: 38224. If you cannot afford child care, payment assistance is available.