MI Health Link is a health care option for Michigan adults, ages 21 or over, who are enrolled in both Medicare and Medicaid. MI Health Link offers a broad range of medical and behavioral health services, pharmacy, home, and community-based services and nursing home care, all in a single program designed to meet individual needs. A Better Group is proud to be a MI Health Link service provider.
MI Health Link is a program that will help people get health care and services covered by both Medicare and Medicaid more easily.
Enrollees enjoy single plan coverage for:
Care coordination is also a key benefit of MI Health Link. The care coordinator will get to know the member and help create a personal care plan based on their goals. The care coordinator will connect the member to supports and services they need to be healthy and live where they want.
If you have Medicare health or drug coverage from an employer or union sponsored plan, you can leave that coverage and enroll in MI Health Link. However, you or your dependents could lose that employer or union coverage completely and not get it back if you join MI Health Link. Contact your benefits administrator if you have questions about your current coverage.
The MI Health Link health plan is responsible to provide your personal care services. You can continue with your current caregiver. Ask your caregiver to contact your MI Health Link health plan to enroll as a provider. The health plan will pay your caregiver for personal care services. If you live in a specialized residential setting, the MI Health Link health plan and the PIHP/CMH must work together to ensure that personal care services continue as they are currently being provided.
If you opt-out or disenroll from MI Health Link, you will still have Medicaid through regular (also known as fee-for-service) Medicaid. There will no longer be a Medicaid Managed Care health plan for people in a MI Health Link county, except through MI Health Link. Regular or fee-for-service Medicaid means people find a provider or specialist who participates with Medicaid, and makes their own arrangements for services. The providers bill Medicaid directly for services they provide.
Opting out of MI Health Link has no impact on your Medicare plan choices or existing Medicare plan as long as you opt-out before the start date of enrollment in MI Health Link.
If you are currently in a Medicaid Health Plan and choose to not enroll in MI Heath Link, you will have regular or fee-for-service Medicaid which means:
Here are a few examples of how MI Health Link health plans coordinate services:
Dental – Adult dental services are covered through the MI Health Link health plan. Each MI Health Link health plan has a network of dental providers. If you need assistance, the care coordinator will help schedule appointments with a dentist in the plan’s network.
Long Term Supports and Services –MI Health Link enrollees receive the supports and services necessary for them to live independently in the community. Medicare Advantage and Medicaid health plans do not provide Long Term Supports and Services.
Transportation – The MI Health Link health plan must arrange for transportation to covered medical services when no other transportation is available. This service coverage is unlimited as long as transportation is for a medical need.
Behavioral Health – People with behavioral health, substance use disorder or intellectual/developmental disability needs will have access to the services they need. People who currently receive services through Community Mental Health or a Pre-paid Inpatient Health Plan (PIHP) will not have any change to existing service plans.
Nursing Facility Care – The MI Health Link care coordinator will continue to work with the enrollee during a long term nursing facility stay to ensure all of the enrollee’s needs are met. The care coordinator will also help with transitions between the nursing facility and a person’s home.
The person that will be receiving MI Health Link benefits must speak with the call center staff first to verify their personal information. At this time, you can give verbal authorization for someone to speak with Michigan ENROLLS on your behalf and have that person get on the phone to continue the call. This verbal authorization is valid for that day only. If the person you gave authorization to calls back that day, they will be asked the verifying questions again and once those are answered the call center can speak to them.
*If you are a court appointed guardian, durable power of attorney or designated patient advocate for a person eligible for MI Health Link, first contact Michigan ENROLLS to determine if you are identified as the guardian or other authorized representative in the system. Michigan ENROLLS will ask you specific questions to verify the information contained in its records. If this verification cannot be confirmed, you will need to submit the court issued Letters of Guardian, durable power of attorney, patient advocate designation or other documents to the Michigan Department of Health and Human Services (MDHHS). Once reviewed and approved, this information will be transmitted to Michigan ENROLLS so you will be able to speak on behalf of the person for whom you are authorized.
Enrollment into a MI Health Link health plan is effective the first day of the next month if you call before the last five days of the month. For example, if you call on May 15 to enroll in a MI Health Link health plan, your enrollment will be effective on June 1. If you call within the last five days of the month, your enrollment in a MI Health Link work plan will be delayed for a month due to the time needed to process your enrollment. For example, if you call on May 28 to enroll, your enrollment will be effective on July 1.
When you call to join MI Health Link or the state notifies you that you are being enrolled, you will be disenrolled from your Part D plan. The letter you received is in response to your upcoming enrollment in MI Health Link. You still have Part D coverage until the date specified in the letter.
You will no longer need your Medicare Part D drug coverage because the MI Health Link health plan will provide the drug benefit to enrollees.
For personal care services, the MI Health Link health plan must maintain the current provider and level of services for 90 days after the member's enrollment. After the 90 days, the personal care service provider must be enrolled as a provider in the member's health plan to continue to be reimbursed for the services provided to the member.
A Better Care Group believes that quality care is a basic human right that should be available to everyone. We can help low-income individuals receive the services they need with no out-of-pocket cost.