Monday through Friday, from 9:00 a.m. to 4:30 p.m. and Lodge), Flint Lobby Customer Service Check on the status of their claims. (313) 664-8940(Monday through Friday from 8 a.m. to 4:30 p.m.) Birth, Death, Marriage and Divorce Records. Drug plan deductible: No annual deductible, Non-Medicare covered Prosthetics/Medical Supplies: Covered. 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. Allied partners with several high-performing provider networks, so you can customize your care options to align with your needs. You must continue to pay your Part B premium. We are not compensated for Medicare plan enrollments. 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. Helping Developers create Next Generation Digital Experiences using Secure Innovative APIs Disclaimer and Privacy Policy | Terms of Use 2013 BeneSys Administrators All content on this site is copyrighted by BeneSys Administrators. Referral Management department at (313) 664-8950. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. HAP Empowered Duals (HMO SNP) - Are you Participating? Child Welfare Medical and Behavioral Health Resources. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Information about the health care programs available through Medicaid and how to qualify. (800) 873-7526 TTY: 711. Please contact the plan for further details. }nr>a 4s*TaY)fYg &x-o!="C#p5\c%OcOJy/rz"@ (oF=?CoR|~tko@][x [ilvZQQ +iJxwOR>a)( UI@%St^Z>'NtDk)\ ! Contracted providers can be found in ouronline provider directory. Billing and Enrollment Trainings Scheduled. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. (800) 873-7526 TTY: 711. The plan deposits What would you like to do? Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. 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. 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. var gcse = document.createElement('script'); This results in more reliable communication and notification. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. If you're a doctor bringing patients care or you work in a doctor's office, sign up for Your Health Alliance. We support a culture of knowledge and creativity with competitive pay packages, a robust benefits package and a . For additional information, please see the Alliance Health Portal Provider User Guide. information about the Department's public safety programs. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. All rights reserved. Below you will find important news and updates from HAP Empowered. Members may enroll in a Medicare Advantage plan only during specific times of the year. . J>hm&$TN:0PbSy?7xx&:DA'Ix"LeB]8@bv Welcome to Harvard Pilgrim's Provider Portal! A sample remittance advice is included at the end of this section. If you are a physician, PA, nurse practitioner or practice manager, learn more about joining the Alliance Health Provider Network. Our customer-first approach works well for members, clients, providers and agents. Contact your clearing house and give them HAP's payor ID: 38224. This site is operated by Health Alliance and is not the Health Insurance Marketplace site. Seeking additional landlords and housing opportunities. For access to online applications log in here, click "Provider" then "Register". Medicare has neither reviewed nor endorsed the information on our site. 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. All contents copyright Health Alliance Medical Plans. Adult Behavioral Health & Developmental Disability Services. This portal has replaced your current sign-in procedures for ACS and other Alliance applications. Providers who do not contract with the plan are not required to see you except in an emergency. 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). Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters. (313) 664-8833, #3 (Monday through Friday from 8 a.m. to 5 p.m.) Until then people will keep getting services the way they do now. WebThank you for being a provider with HAP Empowered Health Plan, Inc. We appreciate the care that you give to HAP members with Medicaid and MI Health Link coverage. Information on the Safe Delivery Program, laws, and publications. 855-699-6694, Minnesota Uniform Practitioner Change Form, Meeting the Challenges of Opioids and Pain, Elderly waiver and personal care assistants. Already have an account? 952-883-7505 Timely Payment Guidelines Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Recruiting Physical Health Care Providers. Providers Home. Low-income Households Water Assistance Program (LIHWAP). The application will also allow Alliance to implement additional security features in the future, such as multi-factor authentication. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. For a complete list of services that require authorization. The activation email expires thirty days from the date issued. MQICs goal is to standardize these practice guidelines to help all physicians in Southeast Michigan; and HAP is helping these efforts. Click to learn more. Yes. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. HAP Senior Plus(PPO) Information on the Children's Foster Care program and becoming a Foster Parent. 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. Monday through Friday, from 9:00 a.m. to 4:30 p.m. No Surprises Act information for non-contracted providers Join Our Team. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Contact the Medicare plan for more information. L&0$L`R%Ykl0ZPy% 4H`bp`cI~&LI Contact. For more information contact the plan. Your secure provider portal for working with Cigna. If there's a question you can't find the answer to in our FAQs, call Provider Services at 888-773-2647 (TTY 711). #current year# Health Alliance Plan of Michigan. Prior Authorization Request Forms . Wayne Health, formerly known as the Wayne State University Physician Group, is a non-profit, academic group practice with 300 dedicated physicians and 90 providers in 50 medical specialties offering a full spectrum of care, from birth to end-of-life. Is the remittance one line item or an entire check? Many changes were made to the Medicaid program's eligibility, administration, and policies to ease rules for providers and prevent Medicaid beneficiaries from losing health insurance. Call Provider Services at 888-773-2647 (TTY 711) with any questions. 618 Kenmoor Ave SE, Suite 200 2023 Medicare Advantage Plan Details . Monday through Friday, from 9:00 a.m. to 4:30 p.m. Wednesday 04/26/2023 10:27 PM. H\_k@|ylJ4s 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. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m. Questions about registration The Alliance billing and enrollment team will offer virtual information and technical assistance sessions for claims and enrollment related topics and questions. Detroit, MI 48202 View member eligibility. Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm. All Rights Reserved. View answers to important and frequently asked questions. Join our Network - Recruiting Physical Health Care Providers; Provider Portal Login; TP Provider Manual - Effective 12/1 . Troy, MI 48083, Submitting authorization requests and checking status, Behavioral health inpatient & outpatient services Who do you currently receive an ERA from? EDI setup. Contacts. Universal caseload, or task-based processing, is a different way of handling public assistance cases. HAPs medical director team continually evaluates the clinical guidelines established by the nations most prominent primary care and value-based associations to promote guidelines that support the overall physical and mental health of our members. 2850 W. Grand Blvd. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; 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. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Every effort has been made to ensure that this information is accurate. Children's Special Health Care Services information and FAQ's. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. To see all of these plans, go to the Health Insurance Marketplace at HealthCare.gov. Contact Provider EDI Support 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. Our network includes award-winning and patient-focused doctors, hospitals and health systems in Michigan. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. SR-AHEC Training: An Overview of Suicide Risk Assessment and Management. 24/7 access to eligibility, benefits, authorizations and more. NC Medicaid has changed the start date for Tailored Plans to October 1, 2023. Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. 226 0 obj <>/Filter/FlateDecode/ID[<894DCE6A2D3BB64E98F59EB5EFA2D304><7180BDC57D7BC34B92496B641500D662>]/Index[201 46]/Info 200 0 R/Length 114/Prev 142278/Root 202 0 R/Size 247/Type/XRef/W[1 3 1]>>stream Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. (W. Grand Blvd. We are an independent education, research, and technology company. ACS support is available from the Alliance Provider Support at (919) 651-8500 Monday-Friday, 8:30 am to 5:15 pm. 711, Health Alliance Plan U Y@ 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. Urgent requests should be marked urgent. TTY . (Corunna Rd and Linden Rd), Grand Rapids Lobby Customer Service The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. eviCore: cardiac imaging, musculoskeletal, radiology services & sleep studies When your annual out-of-pocket costs exceed $6,350. MeridianHealth is now Meridian! gcse.type = 'text/javascript'; 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. Are there additional per remittance charges associated with this capability? ##3?_Y:~-\|;gzX_m8NyC~=b9Mw!\. 3|0e~%,'Y)xa? Protect your access to the HealthPartners Provider Portal by reviewing our Password Practices & Tip Sheet. For prescription drug on formulary at in-network pharmacy. COVID-19 Public Health Emergency (PHE) 2023 Benefit Changes. They are always pleasant, patient and more than willing to assist whenever I call! Please clear your browser cache before accessing the new Provider Portal URL. 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. 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. Looking for your plan home page or interested in becoming a Provider? Access our provider portal to begin your request. Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Update your Cigna provider directory . providers must be paid within 30 calendar days of the date of receipt. Learn about our responses to Coronavirus and find the latest program guidance. endstream endobj 206 0 obj <>stream Already a provider? 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. Grand Rapids, MI 49546, Troy Lobby Customer Service Care Guidelines help caregivers provide the right care at the right time using the most current evidence to result in the best outcomes. 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. Personal Emergency Response System (PERS): Medical Nutrition Therapy (MNT): Some coverage. >EZ/86 K~L(h\UqMHdG'=S1p$>Z_Q/P? You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. select Procedure Reference Lists under Quick Links. Inpatient admissions & observations It provides links to CHAMPS, billing and reimbursement resources, training, policy documents, and much more. (800) 444-5755(Monday through Friday from 8 a.m. to 5 p.m.) Register and create your account to access your remittance on the secure provider portal. 2 For more information, see the guidelineshere. HAP Midwest currently offers Medicaid products only in Region 6, which includes Genesee, Huron, Lapeer, Shiawassee, St. Clair and Tuscola counties in mid-Michigan and the Thumb, where it covers . Our network includes award-winning and patient-focused doctors, hospitals and health systems in Michigan. 1095-B tax forms are now available. Tailored Plan - Effective October 1, 2023. Please check your inbox for an email from Alliance Health <. 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 . Tailored Plan Provider Training Registration, Tailored Plan Provider Contract Templates, Opioid Misuse Prevention and Treatment Program. Information on communicable & chronic diseases. W-9 changes. Join HAP. Alliance Health operates North Carolina's traumatic brain injury waiver. What version is accepted? Be sure to sign and date the W-9 form or it will be returned. Contact your assigned network development specialist. 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. during the calendar year will owe a portion of the account deposit back to the plan. Alliance Health has made changes to several of our service definition drop downs in ACS when submitting service authorization requests (SAR). 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. Our. Inpatient rehab at hospitals; SNFs; long-term care at hospitals; sub-acute rehab You've got questions, we've got anwers. 2050 S. Linden Rd. To help patients engage their health care provider in these conversations and empower them to ask questions about what tests and procedures are right for them, Helpful materials on healthcare for Children from the American Academy of Pediatrics, the largest physician organization dedicated to the health of children. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Find forms and resources to better work with us as you care for your patients. /_,2W(J@MYZQDtP)xRrv f:}bTW=ta-.:JL0kCKz%_2QHNMF`j?eV|'vu`+#.Y: View and submit referrals. Information & resources for Community and Faith-Based partners. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Call HAP Provider Inquiry at (866) 766-4661. Some services and procedures require prior authorization. Request prior authorization. 2+J_W+J_W++Y<` If you are still having issues, emailprovidernetwork@hap.orgwith Portal Access in the email subject line and include all of the following: For changes in office demographic information, please complete the Provider Change Form. Self-service portal for providers. (function() { We do not display all the qualified health plans being offered in your state through the Health Insurance Marketplace. While HAP Midwest is no longer available in your area, Molina Healthcare of Michigan will continue providing the same high quality customer care to their Medicaid, MIChild, Healthy Michigan Plan or Children . Contact your Provider Services Administrators by network: Commercial 2850 W. Grand Blvd. var s = document.getElementsByTagName('script')[0]; Alliance Medicare Supplement: 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. 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. 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. %PDF-1.5 % $/o|PXPXP,g3xE^-xGyYzza^X/:=2,,,,!o/03 (800) 888-9885 (TTY: 711) MondayFriday, 8 am to 8 pm. Referrals and prior authorization for services should be made to in-network providers whenever possible. 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). (800) 801-1770 TTY: 711 Pharmacy Programs Health Alliance. Do they have the capability to post remittances electronically. Log In Now. 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. Harvard Pilgrim HealthCare. 2023 Forgot Your Password for the Provider Portal? HAP Midwest Health Plan 313-827-5734 Macomb and Wayne Counties Molina Healthcare 855-322-4077 Macomb and Wayne Counties Upper Peninsula Health Plan 906-226-4285 . Please call (800) 851-3379, option 4, for Resources and information to assist in assuring firearm safety for families in the state of Michigan. hbbd```b``} LN e>0 /Hx0 A0{dT\Q 2QH2m&`5`6G = 68PN&w m For more information on It is not intended to replace the legal source. 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.
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