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Healthy Michigan Plan

  • Healthy Michigan - 2017 Extension Application (modified: 1 year ago)
    Michigan requests an extension of its section 1115 demonstration, titled "Healthy Michigan Plan" with no changes. Beneficiaries above 100 percent of the federal poverty level (FPL) must pay monthly premiums equal to two percent of household income; all beneficiaries pay state plan copayments based on the prior six months of copayment experience. Beneficiaries may reduce premiums and copayments by completing healthy behaviors. Beginning April 2018, beneficiaries with income above 100 percent FPL who are not medically frail will choose between 2 options: coverage through a Healthy Michigan Plan or through a Qualified Health Plan on the Marketplace. Beneficiaries choosing to remain in a Healthy Michigan Plan must complete a healthy behavior. Those enrolled in the Marketplace Option will pay premiums and can re-enroll in the Healthy Michigan Plan if they meet a healthy behavior. The federal comment period will be open from December 22, 2017 through January 21, 2018.
  • Healthy Michigan - Amendment Request (modified: 8 months ago)
    Michigan proposes to amend its demonstration, "Healthy Michigan Plan." The state is requesting that in order for beneficiaries with income between 100 percent and 133 percent of the federal poverty level (FPL) to maintain eligibility after 48 months of cumulative enrollment, they must engage in annual healthy behaviors and non-exempt beneficiaries must pay a monthly 5 percent of income premium as a condition of continued Medicaid eligibility. The state is also requesting the authority to require beneficiaries to participate in community engagement requirements as a condition of continued Medicaid eligibility. Michigan is no longer seeking to implement the "Marketplace Option" and is no longer seeking continuation of the corresponding authorities. The federal comment period will be open from September 26, 2018 through October 26, 2018.
  • Healthy Michigan Plan (modified: 3 years ago)
    Michigan proposes to amend its Healthy Michigan demonstration by modifying the health care coverage program that will maintain coverage for approximately 600,000 individuals currently enrolled. Due to state law (Public Act 107 of 2013), individuals who are between 100 -133 percent of the federal poverty level and have had Healthy Michigan coverage for 48 cumulative months will choose between two options for coverage: option 1- receive services through the federal Marketplace or option 2 - receive services through a Medicaid health plan. The federal public comment period will be open from September 4, 2015 through October 3, 2015.