(800) 801-1770 TTY: 711 You must continue to pay your Part B premium. (800) 801-1770 TTY: 711 Urgent requests should be marked urgent. Full contact information (address, phone and email), Mail claims to: Alliance Health and Life Insurance Company P.O. Alliance Provider Support is available to answer provider questions about authorization, billing, claims, enrollment, ACS, or other issues. Meridian Registration help. Helping Developers create Next Generation Digital Experiences using Secure Innovative APIs 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. endstream endobj startxref ACS allows providers to view appointments, submit patient claims and treatment plans, check on authorizations, and more. Looking for your plan home page or interested in becoming a Provider? Updated - Skilled Nursing Facility Admissions Prior Authorization Temporary Waiver Set to Expire August 17, 2020, Updated - Respiratory Virus Panel Tests Policy, HAP extends cost-sharing waiver for COVID-19 treatment through Dec. 31, 2020, Updated - Skilled Nursing Facility Admissions Prior Authorization Temporarily Waived, Urgent Care - Coverage and Reimbursement for Virtual Visits and Telehealth, Extended Financial Relief for members for the duration of 2020 in response to COVID-19 pandemic, Update to COVID-19 Reporting Requirements for Skilled Nursing Facilities, Billing Guidelines for COVID-19 Related Services and Telehealth Services during the Public Health Emergency, Updated! HAP HMO. Information on treatment and services for juvenile offenders, success stories, and more. If you need assistance, please Click Here or contact the ProviderPortal SM Support Team at (888) 658-2536 TTY: 711 endstream endobj 205 0 obj <>stream Information about the health care programs available through Medicaid and how to qualify. 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. Tailored Plan Provider Training Registration, Tailored Plan Provider Contract Templates, Opioid Misuse Prevention and Treatment Program. 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. Call Provider Services at 888-773-2647 (TTY 711) with any questions. Didnt find what youre looking for? 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. This results in more reliable communication and notification. We are not compensated for Medicare plan enrollments. Information on Safe Sleep for your baby, how to protect your baby's life. Call HAPs Provider Line at (888) 427-6464. Monday through Friday, from 9:00 a.m. to 4:30 p.m. H\j0l/Gi\pl%54Q.g4#}v~40S-fQo^pN-~a hgg{x6dK^.F{s ]^SW>[Ccs0u6!v;}o+e~z92W These changes took effect on the evening of Thursday May 19, 2022. Box 02459 Detroit, MI 48202-2459. Please ACTIVATE your account as soon as possible. Or get everything you need to manage your relationship with HAP online. Alliance Health Portal Provider User Guide, We are Recruiting Physical Health Care Providers, Alliance Provider Advisory Councils (APAC and LPAC), TP Provider Manual (effective 04/01/2023). 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. HAP adopts and supports clinical practice or care guidelines for the treatment of a variety of medical and behavioral conditions. . Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Timely Payment Guidelines Find forms and resources to better work with us as you care for your patients. 2023 Learn moreabout becoming a HAP provider. Heritage has the BEST Customer Service Staff Ever!!! 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. The resources you need to provide top-notch care. Log In Now. 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. (800) 422-4641. 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 . 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 . If you cannot afford child care, payment assistance is available. Tailored Plan - Effective October 1, 2023. gcse.type = 'text/javascript'; Monday through Friday, from 9:00 a.m. to 4:30 p.m. HealthPartners strongly encourages EFT as your payment method so you have your access to your payments as soon as . In this section, youll find numerous resources here that will help you serve our members. For the most up-to-date MDHHS resources, including the Medicaid Provider Manual, Michigan Medicaid Proposed Policies, Michigan Medicaid Approved Policy Bulletins and Numbered Letters, clickhere. 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. Find a Provider. . Apply for Benefits. Health WebWe encourage providers to submit forms and chart documentation via the Health Alliance Provider Portal. The application will also allow Alliance to implement additional security features in the future, such as multi-factor authentication. during the calendar year will owe a portion of the account deposit back to the plan. Universal caseload, or task-based processing, is a different way of handling public assistance cases. (313) 664-8833, #3 (Monday through Friday from 8 a.m. to 5 p.m.) 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). The Alliance billing and enrollment team will offer virtual information and technical assistance sessions for claims and enrollment related topics and questions. Quick and easy access to. Contact your clearing house and give them HAP's payor ID: 38224. Diagnostic radiology services (e.g., MRI), Prosthodontics, other oral/maxillofacial surgery, other services, Outpatient group therapy visit with a psychiatrist, Outpatient individual therapy visit with a psychiatrist, Physical therapy and speech and language therapy visit, Durable medical equipment (e.g., wheelchairs, oxygen), Prosthetics (e.g., braces, artificial limbs). Sign in here and select remittance inquiry from your applications menu. 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. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Information on Adult Protective Services, Independent Living Services, Adult Community Placement Services, and HIV/AIDS Support Services. All Rights Reserved. HAP Senior Plus Enroll in automatic payments. 952-883-7505 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. 855-699-6694, Frequently asked questions 2023 Medicare Advantage Plan Benefit Details for the HAP Midwest MI Health Link (Medicare-Medicaid Plan) - H9712-001-. This new model of care was developed to address the overall health care needs of Medicaid beneficiaries who have complex behavioral health or intellectual and developmental disability (IDD) service needs. 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. Check claims, payments, and fee schedules. Fees for a primary . 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. (800) 422-4641 835 Electronic Remittance Advice: scroll down to learn more about our contracted clearinghouses. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Inpatient admissions & observations Income Guidelines. Report a compliance concern or potential fraud, waste or abuse. The Provider Manualwill guide you through the important administrative items you need to know to manage your partnership with HAP Empowered such as: This manual is reviewed annually and updated throughout the year as necessary. 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. Self-funded / ASO. $/o|PXPXP,g3xE^-xGyYzza^X/:=2,,,,!o/03 var s = document.getElementsByTagName('script')[0]; Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. Call 855-759-9700 Monday-Saturday from 7:00am-6:00pm. Join our Network - Recruiting Physical Health Care Providers; Provider Portal Login; TP Provider Manual - Effective 12/1 . (888) 658-2536 TTY: 711 Billing and Enrollment Trainings Scheduled. 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. Low-income Households Water Assistance Program (LIHWAP). U.S. News does not have a relationship with, or receive remuneration from HAP Empowered MI Health Link. 2850 W. Grand Blvd. HAP Senior Plus %PDF-1.5 % (866) 766-4709. View claims. Flint, MI 48532 Child Welfare Medical and Behavioral Health Resources. And it continues to grow. 2850 W. Grand Blvd. Alliance Medicare Supplement: View other participating providers. 3 Contact Provider EDI Support 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. 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. After enrollment, it is time to active your account. Medicare Plan Name: HAP Empowered MI Health Link (Medicare-Medicaid Plan) Location: Wayne, Michigan. MQIC review the guidelines every two years or as needed. Our customer-first approach works well for members, clients, providers and agents. 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. COVID-19 Public Health Emergency (PHE) 2023 Benefit Changes. Through the Indiana Health Coverage Programs (IHCP) secure and easy-to-use internet portal, healthcare providers can: Submit claims. Your secure provider portal for working with Cigna. Pharmacy Pre-Authorization and Notification Form; Authorization to Disclose Health Information to Primary Care Providers; Continuity of Care Consultation Sheet; Request for ECT/TMS; Treatment . '//cse.google.com/cse.js?cx=' + cx; All approved applications will be displayed and available in a very handy, easy-to-use dashboard. Harvard Pilgrim HealthCare. Please call (800) 851-3379, option 4, for 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. The Alliance Health/Okta application utilizes a single sign-on (SSO) process that will allow you to access all authorized applications supported by Alliance using a single username and password. Our network includes award-winning and patient-focused doctors, hospitals and health systems in Michigan. Are there additional per remittance charges associated with this capability? 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. >EZ/86 K~L(h\UqMHdG'=S1p$>Z_Q/P? hWOHW#T!%R E|0RJNg;Q3 They are always pleasant, patient and more than willing to assist whenever I call! If you need additional assistance with the enrollment process, please contact the Alliance Helpdesk at [emailprotected]. 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. The benefit information provided is a brief summary, not a complete description of benefits. We recommend you download Adobe Reader to view all PDF files on this page. 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. (313) 664-8800(Monday through Friday from 8 a.m. to 5 p.m.) For more information contact the plan. MQICs goal is to standardize these practice guidelines to help all physicians in Southeast Michigan; and HAP is helping these efforts. Member Handbook. We are excited to share that MeridianCare, a WellCare company, is changing its name to WellCare, effective January 1, 2020! Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Seeking additional landlords and housing opportunities. Contracted providers can be found in ouronline provider directory. %%EOF Information on assistance with home repairs, heat and utility bills, relocation, home ownership, burials, home energy, and eligibility requirements. Benefits Member Toolkit. To start an appeal: Call us at (800) 500-3373, fax us at (217) 902-9708, or mail us your appeal in writing to: ATTN: Member and Provider Resolutions For access to online applications log in here, click "Provider" then "Register". Subscribe to updates or See Alliance News. For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. NC Medicaid has changed the start date for Tailored Plans to October 1, 2023. Register to Vote. Join HAP. And it continues to grow. area. Tell Your Story #MySoonerCare. For more information, see the guidelineshere. In certain situations, you can. ]~k|d-Hi:A:VaS),_.7(G*+T! >*wD'WXMtb6k4X(yUf5h{",].J`P)4~=$"EVB`wMG? yYA>s a[@jt5SF)A|zpV3n1mC!?n>W{1chcF*16ND-tCFMx;jlx|p(Pq/ Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. (800) 873-7526 TTY: 711. WebMeridian Health Plan 888-773-2647 Southwest Michigan HAP Midwest Health Plan 313-827-5734 Macomb . Use the search function below to search Provider Central, These updates support providers by highlighting new classes, trainings, resources, chats, procedures, and programs. Request prior authorization. Empower Healthcare Solutions, LLC (Empower) is a Provider-led Arkansas Shared Savings Entity (PASSE). Commercial Drug plan deductible: No annual deductible, Non-Medicare covered Prosthetics/Medical Supplies: Covered. View their Remittance Advices. A sample remittance advice is included at the end of this section. Contact the Medicare plan for more information. Commercial 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. If you're a doctor bringing patients care or you work in a doctor's office, sign up for Your Health Alliance. 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. (800) 444-5755(Monday through Friday from 8 a.m. to 5 p.m.) information about the Department's public safety programs. H\_k@|ylJ4s Information on American Indian Services, Employment and Training. Limitations and exclusions may apply. Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m. No Surprises Act information for non-contracted providers Login or Register. Search Physicians Search Hospitals Contact Us Home. Alliance Health and Life Insurance Company. Medical Prior Authorization Request Form . We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). 855-699-6694, Minnesota Uniform Practitioner Change Form, Meeting the Challenges of Opioids and Pain, Elderly waiver and personal care assistants. Care Guidelines help caregivers provide the right care at the right time using the most current evidence to result in the best outcomes. HAP Senior Plus 246 0 obj <>stream Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Information on the Food Assistance Program, eligibility requirements, and other food resources. CEUs Offered! 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 . You will also find a link to subscribe to the MDHHS Michigan Medicaid listserv to receive Medicaid final bulletins. You've got questions, we've got anwers. Personal Emergency Response System (PERS): Medical Nutrition Therapy (MNT): Some coverage. A variety of reports & statistics for programs and services. (888) 658-2536 TTY: 711 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. ?#^b7[]OF{u.=tOi+~xIL7:Tur>kW:]y+x1+\XYW+-yC~e~E~cNK%r\ {f,2m6oL KB#. W-9 changes. 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. 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). Information about audits conducted by the Office of Audit. When your annual out-of-pocket costs exceed $6,350. We are a well-known health plan with many doctors statewide. Legislation policy and planning information. (W. Grand Blvd. 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 Not affiliated with or endorsed by any government agency. This section is for health care providers and prescribers only. 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. 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. Protect your access to the HealthPartners Provider Portal by reviewing our Password Practices & Tip Sheet. Monthly Drug Premium *Included in Monthly Plan Premium. Contacts. To see all of these plans, go to the Health Insurance Marketplace at HealthCare.gov. 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. 618 Kenmoor Ave SE, Suite 200 You can also use our formulary drug list tools to search for drugs we cover. Plan ID: H9712 - 001 - 0 Alliance Medicare Supplement: Some services and procedures require prior authorization. Update - Changes for Specific Ultrasounds Coming Soon! Pharmacy Programs Health Alliance. For information on COVID-19 and the novel coronavirus, click here. You have 24 hour access to provider . (800) 873-7526 TTY: 711. 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. One of HAPs greatest strengths is our large and diverse provider network. Pharmacy requests Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. In case of any discrepancy between this information and the legal source, the legal source will govern in all cases. 0 ##3?_Y:~-\|;gzX_m8NyC~=b9Mw!\. 3|0e~%,'Y)xa? and Lodge), Flint Lobby Customer Service The independent report said the uneven spread of service providers has left some women with the significant cost of Apr 26, 2023. . Call HAP Provider Inquiry at (866) 766-4661. Access Alliance Claim System (ACS) gcse.src = (document.location.protocol == 'https:' ? Please clear your browser cache BEFORE accessing the new Provider Portal URL. Limitations, copayments, and restrictions may apply.
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