Helping Developers create Next Generation Digital Experiences using Secure Innovative APIs Find forms and resources to better work with us as you care for your patients. (W. Grand Blvd. 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. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Members may enroll in a Medicare Advantage plan only during specific times of the year. Your secure provider portal for working with Cigna. Or get everything you need to manage your relationship with HAP online. Checking eligibility, benefits and enrollment status All providers must check eligibility and health plan enrollment status when requesting service authorization, and before services are . hb```f`` zAX,6$400X>$LMCrc~e:*::;:;@dEG\'PsKb )LE"oxrVie9 )ar%at.530Ae`pL@u\ ]- Other connection costs may be incurred and are the responsibility of the provider. This change was made to align with clinical coverage policies. SoonerCare Member Portal 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. Monday through Friday, from 9:00 a.m. to 4:30 p.m. Drug plan deductible: No annual deductible, Non-Medicare covered Prosthetics/Medical Supplies: Covered. Please check your inbox for an email from Alliance Health <. If you need additional assistance with the enrollment process, please contact the Alliance Helpdesk at [emailprotected]. 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. All approved applications will be displayed and available in a very handy, easy-to-use dashboard. 24/7 access to eligibility, benefits, authorizations and more. 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. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Medicaid and MI Health Link Pharmacy Providers, https://www.choosingwisely.org/patient-resources/, https://www.acponline.org/clinical-information/guidelines, https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline, https://www.aafp.org/family-physician/patient-care/clinical-recommendations.html, Appointment Availability for HAP Empowered Members, Health Alliance Plan and CareSource to Partner in Michigan, Developmental Screening in the First Three Years of Life, January 2023 Medicaid Provider HEP C Training Opportunities, HAP Empowered Medicaid 2023 Drug Formulary, Coverage Changes for Glimepiride for Type II Diabetes, Mental Health Support for Pregnancy and Postpartum Women, Benefits Monitoring Program for HAP Empowered Medicaid Information Requests. Who do you currently receive an ERA from? Welcome to Harvard Pilgrim's Provider Portal! Midwest health plan provider portal Hap midwest health plan inc . CEUs Offered! HAP adopts and supports clinical practice or care guidelines for the treatment of a variety of medical and behavioral conditions. Children's Special Health Care Services information and FAQ's. Urgent requests should be marked urgent. Call Provider Services at 888-773-2647 (TTY 711) with any questions. We are a well-known health plan with many doctors statewide. (800) 422-4641. Home [www.healthpartners.com] #current year# Health Alliance Plan of Michigan. UnitedHealthcare Community Plan: Medicare & Medicaid Health Plans 2+J_W+J_W++Y<` 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. Our customer-first approach works well for members, clients, providers and agents. 1095-B tax forms are now available. ProviderPortal 2.0 gcse.src = (document.location.protocol == 'https:' ? Prior Authorization Request Forms . HAP's acquisition a path back to metro Detroit Medicaid market W-9 changes. Please visit our new website to see up to date information about your plan. ACS support is available from the Alliance Provider Support at (919) 651-8500 Monday-Friday, 8:30 am to 5:15 pm. 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 What would you like to do? Individual, Medicare, and Group Health Insurance 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). For additional information about this plan(s), please contact HAP Empowered MI Health Link. Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. Toll free: (800) 422-4641, Provider Inquiries: Check on the status of their claims. Member Inquiries: gcse.async = true; Contact your assigned network development specialist. }nr>a 4s*TaY)fYg &x-o!="C#p5\c%OcOJy/rz"@ (oF=?CoR|~tko@][x [ilvZQQ +iJxwOR>a)( UI@%St^Z>'NtDk)\ ! 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. 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 Provider Portal application will be unavailable on Saturday, May 6th 12:00 PM CST - 12:00 AM CST for special maintenance activities. Register to Vote. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Legislation policy and planning information. EFT enrollment Adult Behavioral Health & Developmental Disability Services. Access our provider portal to begin your request. endstream endobj 205 0 obj <>stream The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. Information on DHS Applications and Forms grouped by category. Contact your clearing house and give them HAP's payor ID: 38224. Detroit, MI 48202, Monday through Friday, from 9:00 a.m. to 4:30 p.m. during the calendar year will owe a portion of the account deposit back to the plan. Check claims, payments, and fee schedules. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service These guidelines are researched, developed, and approved in partnership with thehttp://www.mqic.org/. 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. /_,2W(J@MYZQDtP)xRrv f:}bTW=ta-.:JL0kCKz%_2QHNMF`j?eV|'vu`+#.Y: When your annual out-of-pocket costs exceed $6,350. . %PDF-1.5 % Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. Prior Authorizations :: The Health Plan Some services and procedures require prior authorization. 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. HAP Empowered Duals (HMO SNP) - Are you Participating? Inpatient admissions & observations Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. Providers may access remittances and notifications free of charge through our secured provider portal. (800) 873-7526 TTY: 711. Any information we provide is limited to those plans we do offer in your area. (800) 422-4641 Electronic remittance advice - HealthPartners HAP HMO. Alliance Medicare Supplement: View their Remittance Advices. Medicaid Rates for FY23April and May 2023, Provider Request for Appeal of an Action Form. 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. SoonerCare Member Portal. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Call HAP Provider Inquiry at (866) 766-4661. HAP Senior Plus If you're a doctor bringing patients care or you work in a doctor's office, sign up for Your Health Alliance. This portal has replaced your current sign-in procedures for ACS and other Alliance applications. 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). 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. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. Access Alliance Claim System (ACS) Update - Changes for Specific Ultrasounds Coming Soon! 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 . 618 Kenmoor Ave SE, Suite 200 Upper Peninsula . Heritage Vision Plans provides affordable, high-quality vision benefits for companies of all sizes. Are there additional per remittance charges associated with this capability? The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. Please ACTIVATE your account as soon as possible. Tailored Plan - Effective October 1, 2023. EDI setup. You will then have access to all of your assigned applications. Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. For access to online applications log in here, click "Provider" then "Register". Universal caseload, or task-based processing, is a different way of handling public assistance cases. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. endstream endobj 206 0 obj <>stream Meridian 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. 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. 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. Billing and Enrollment Trainings Scheduled. It is not intended to replace the legal source. (313) 664-8940(Monday through Friday from 8 a.m. to 4:30 p.m.) To refer a member to an out-of-network provider, please contact ourReferral Management department at (313) 664-8950. 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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