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As the Plan First! program winds down, MDHHS reminds beneficiaries about Medicaid eligibility review process
December 07, 2015
For Immediate Release: December 7, 2015
LANSING, Mich. – The Michigan Department of Health and Human Services (MDHHS) is reminding Plan First! beneficiaries that as the program comes to an end, the Department will conduct reviews to determine eligibility for other Michigan Medicaid programs including the Healthy Michigan Plan.
Eligibility will be automatically reviewed for current Plan First! beneficiaries who do not have additional health care coverage on record. Plan First! coverage will end once the department has reviewed the eligibility for beneficiaries without additional health care coverage on file.
Current Plan First! beneficiaries who have additional health care coverage through a third party must opt-in to the eligibility review process no later than December 11, 2015. To have your eligibility reviewed call 877-522-8050 before the December 11, 2015 deadline. If you have additional health care coverage and do not call, your Plan First! coverage will end January 31.
With the launch of the Healthy Michigan Plan and other coverage initiatives, eligible Plan First! beneficiaries now have access to more comprehensive healthcare coverage. In early November, MDHHS mailed letters to all residents enrolled in Plan First! reminding them that the program is ending, and outlining the eligibility determination process for other Medicaid programs.
Plan First! was approved by the Centers for Medicare and Medicaid Services (CMS) in 2006 as a Demonstration Waiver for family planning services for uninsured women 19 to 44 years of age who were not eligible for Medicaid. Since that time, the Healthy Michigan Plan launched and expanded health care coverage to more than 600,000 residents who were previously ineligible for traditional Medicaid. CMS has approved the termination of the Plan First! program.
Most individuals eligible under the Plan First! Demonstration waiver are eligible to receive full healthcare coverage including family planning services under the Healthy Michigan Plan or through other options on the Federal Facilitated Market Place.
MDHHS is encouraging Plan First! beneficiaries who have questions about their current health care coverage to contact the Department before December 11, 2015 to ensure that, if needed, they can request a Medicaid eligibility review before Plan First! benefits end on January 31, 2016.
Individuals with questions should call the Beneficiary Help Line at 1-800-642-3195 or TTY 1-866-501-5656.
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