HAP Senior Plus Monday through Friday, from 8 a.m. to 7 p.m. Detroit area: (313) 872-8100 Every year, Medicare evaluates plans based on a 5-star rating system. Or get everything you need to manage your relationship with HAP online. Empower Healthcare Solutions, LLC (Empower) is a Provider-led Arkansas Shared Savings Entity (PASSE). 0 Information on resources in your community and volunteer recruitment and training, and services provided at local DHS offices. This site is operated by Health Alliance and is not the Health Insurance Marketplace site. HAP Senior Plus(PPO) With that in mind, we want to make it easy for you to do business with us. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. Who do you currently receive an ERA from? Click to register for the new Hally member portal. We do not sell leads or share your personal information. Commercial You can also use our formulary drug list tools to search for drugs we cover. Tell Your Story #MySoonerCare. Alliance Medicare Supplement: Please ACTIVATE your account as soon as possible. 1414 E. Maple View answers to important and frequently asked questions. 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! Call HAP Provider Inquiry at (866) 766-4661. 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. 'https:' : 'http:') + 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. EDI setup. Urgent requests should be marked urgent. 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. Look Up Providers. Report a compliance concern or potential fraud, waste or abuse. Harvard Pilgrim HealthCare. Contact your clearing house and give them HAP's payor ID: 38224. SoonerCare Member Portal. Quick and easy access to. 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 The specialist may require a referral from the members PCP. 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 . For information regarding our Pharmacy Benefit Manager (PBM), MeridianRx, visit the MeridianRx website. Contact your clearing house and give them HAP's payor ID: 38224. 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. For a complete list of services that require authorization,log inandselect Procedure Reference Lists under Quick Links. 246 0 obj <>stream 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. Request prior authorization. Upper Peninsula . Our. 2023 Medicare Advantage Plan Details . 201 0 obj <> endobj (800) 422-4641 And it continues to grow. (313) 664-8800(Monday through Friday from 8 a.m. to 5 p.m.) If you need assistance, please Click Here or contact the ProviderPortal SM Support Team at When your annual out-of-pocket costs exceed $6,350. 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. Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Monday through Friday, from 9:00 a.m. to 4:30 p.m. money from Medicare into the account. Medicaid Rates for FY23April and May 2023, Provider Request for Appeal of an Action Form. 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). HAP Empowered Duals (HMO SNP) - Are you Participating? This portal has replaced your current sign-in procedures for ACS and other Alliance applications. HAP HMO. Recruiting Physical Health Care Providers. You can access your HAP account 24/7. Access Alliance Claim System (ACS) Our customer-first approach works well for members, clients, providers and agents. This section is for health care providers and prescribers only. var gcse = document.createElement('script'); Commercial Medicare evaluates plans based on a 5-Star rating system. 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. No Surprises Act information for non-contracted providers U.S. News does not have a relationship with, or receive remuneration from HAP Empowered MI Health Link. Wednesday 04/26/2023 10:27 PM. 2023 Medicare Advantage Plan Benefit Details for the HAP Midwest MI Health Link (Medicare-Medicaid Plan) - H9712-001-. 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. For access to online applications log in here, click "Provider" then "Register". Login or Register. Monthly Drug Premium *Included in Monthly Plan Premium. Information on American Indian Services, Employment and Training. What version is accepted? '//cse.google.com/cse.js?cx=' + cx; information about the Department's public safety programs. Full contact information (address, phone and email), Mail claims to: Alliance Health and Life Insurance Company P.O. We are an independent education, research, and technology company. If you need additional assistance with the enrollment process, please contact the Alliance Helpdesk at [emailprotected]. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan. J>hm&$TN:0PbSy?7xx&:DA'Ix"LeB]8@bv H\_k@|ylJ4s 2850 W. Grand Blvd. Expanded Coverage and Reimbursement for Virtual Visits and Telehealth, HAP Billing Guidelines for COVID-19 Related Services, New Requirements Coming for Nursing Homes to Report COVID-19 Cases, New Policy - Respiratory Virus Panel Tests, Updated Member Cost-Sharing Updates for Treatment and Testing of COVID-19, Member Cost-Sharing Updates for Treatment and Testing of COVID-19, MDHHS Medicaid Specific Information on COVID-19, Durable Medical Equipment Providers FAQ's During the COVID-19 Pandemic, MDHHS Bulletin on Updated Coding Guidance, Testing Coverage and Copay Exemption, Updated Coverage and Reimbursement for Virtual Visits and Telehealth, Autism Coverage Update - Guidelines for Telehealth, Reminder of Appropriate Prescribing and Dispensing, Skilled Nursing Facility Admissions Prior Authorization Temporarily Waived, New! The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Learn about our responses to Coronavirus and find the latest program guidance. Provider Network Specialists - Contact your assigned network development specialist. endstream endobj startxref Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. . 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. Monday through Friday, from 9:00 a.m. to 4:30 p.m. You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Are there additional per remittance charges associated with this capability? You will also find a link to subscribe to the MDHHS Michigan Medicaid listserv to receive Medicaid final bulletins. hb```f`` zAX,6$400X>$LMCrc~e:*::;:;@dEG\'PsKb )LE"oxrVie9 )ar%at.530Ae`pL@u\ ]- Access our provider portal to begin your request. Information & resources for Community and Faith-Based partners. Call Provider Services at 888-773-2647 (TTY 711) with any questions. %%EOF Universal caseload, or task-based processing, is a different way of handling public assistance cases. Toll free: (800) 422-4641, Provider Inquiries: . We are a well-known health plan with many doctors statewide. (800) 873-7526 TTY: 711. If you cannot afford child care, payment assistance is available. We are not compensated for Medicare plan enrollments. Information on the Safe Delivery Program, laws, and publications. 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. Are they able to accept ANSI 835 transactions? The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change. View their Remittance Advices. Star Ratings are calculated each year and may change from one year to the next. var s = document.getElementsByTagName('script')[0]; Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. After enrollment, it is time to active your account. Didnt find what youre looking for? Molina Healthcare of Michigan is one of the largest health plans in Michigan. The Provider Portal application will be unavailable on Saturday, May 6th 12:00 PM CST - 12:00 AM CST for special maintenance activities. Representatives are available Monday - Friday 7 a.m. - 9 p.m. Central Time. HAP Senior Plus And it continues to grow. Search Physicians Search Hospitals Contact Us Home. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. These changes took effect on the evening of Thursday May 19, 2022. You must continue to pay your Part B premium. Create and manage Users. 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. Information on the Children's Foster Care program and becoming a Foster Parent. 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. Until then people will keep getting services the way they do now. (800) 888-9885 (TTY: 711) MondayFriday, 8 am to 8 pm. Join HAP. The activation email expires thirty days from the date issued. (313) 664-8833, #3 (Monday through Friday from 8 a.m. to 5 p.m.) Information on communicable & chronic diseases. Questions and Answers (Q&A) - View answers to important and frequently asked questions. 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. Whether you're a provider, broker or employer group, when you partner with us, you get the support and materials you need, like key forms, announcements and other . 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. 855-699-6694, Minnesota Uniform Practitioner Change Form, Meeting the Challenges of Opioids and Pain, Elderly waiver and personal care assistants. 2850 W. Grand Blvd. For prescription drug on formulary at in-network pharmacy. Member Handbook. A sample remittance advice is included at the end of this section. Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Register and create your account to access your remittance on the secure provider portal. The application will also allow Alliance to implement additional security features in the future, such as multi-factor authentication. Contracted providers can be found in ouronline provider directory. Representatives are available Monday through Friday, 8:30 a.m. to noon and 1 to 5 p.m. Fees for a primary . area. Welcome to Harvard Pilgrim's Provider Portal! For additional information, please see the Alliance Health Portal Provider User Guide. Is the remittance one line item or an entire check? Allied partners with several high-performing provider networks, so you can customize your care options to align with your needs. You will also find advice and guidance for providers. In this section, youll find numerous resources here that will help you serve our members. Inpatient rehab at hospitals; SNFs; long-term care at hospitals; sub-acute rehab and Lodge), Flint Lobby Customer Service (888) 564-5487oreviCore.com. Medicare has neither reviewed nor endorsed the information on our site. One of HAP's greatest strengths is our large and diverse provider network. Be sure to sign and date the W-9 form or it will be returned. In certain situations, you can. 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. 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. Self-service portal for providers. Or, you can always contact your Provider Network Development Representative. 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. Pharmacy benefit managers typically use DEA and NPPES systems to send required patient-level notices, such as transition letters and approval or denial letters. (800) 888-9885 (TTY: 711) MondayFriday, 8 am to 8 pm. All rights reserved. To see all of these plans, go to the Health Insurance Marketplace at HealthCare.gov. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. Already have an account? Protect your access to the HealthPartners Provider Portal by reviewing our Password Practices & Tip Sheet. 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. Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. gcse.async = true; Bus ireann's family portal closes on April 28th for transport services for the 2023/2024 school year. 8:00 - 4:00 CST (888) 658-2536 TTY: 711 Alliance Medicare Supplement: W-9 changes. Medical Prior Authorization Request Form . 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). Check claims, payments, and fee schedules. Programs for healthy children & families, including immunization, lead poisoning prevention, prenatal smoking cessation, and many others. Call HAPs Provider Line at (888) 427-6464. Not affiliated with or endorsed by any government agency.