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MMP 23-71: Healthy Michigan Plan Program Changes

Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan's Healthy Michigan Plan is eliminating MI Health Accounts and implementing point-of-service copayments effective January 1, 2024. HMP beneficiaries aged 21+ will now pay copayments directly at the time of service, ranging from $1 for generic drugs to $50 for non-emergent inpatient stays.

Action Required

Action needed
By January 1, 2024: Update billing system to collect point-of-service copayments from Healthy Michigan Plan beneficiaries aged 21+. Configure copayment amounts: $1 for generic drugs and chiropractic visits, $2 for office/urgent care visits, $3 for ER non-emergency visits and dental visits, $50 for non-emergent inpatient stays. Train front desk staff to collect copayments at check-in instead of billing MI Health Accounts. Remove chronic condition copayment exceptions from system.