Medicaid Provider Long Term Services and Support (LTSS)
Program Details
LTSS includes both Long-Term Care (LTC) and Home and Community Based Services (HCBS). Long-Term Care programs are when an individual is living in a facility-based care setting (such as a nursing home or intermediate care facility). Home and community-based services programs provide alternatives to living in facility-based care settings. These programs empower consumers to take an active role in their health care and to remain in the community. The programs serve people who are older adults, people with intellectual and/or developmental disabilities, or people with disabilities.
To enroll in Medicaid if not already enrolled please contact Michigan ENROLLS toll-free at 1-800-975-7630. TTY users may call 1-888-263-5897.
ELIGIBILITY
MI Health Link is a complete integrated health care program for Michigan residents!
To meet program requirements, an individual must:
- Are aged 21 or over
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Live in the Michigan counties of Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren, Wayne or any county in the Upper Peninsula.
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Are enrolled in both Medicare and Medicaid.
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Are not residing in a state-operated veteran's home
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Are not currently enrolled in hospice.
In order for MetPlus to better assist you with this process please fill out the Healthcare HIPPA Form
Met Plus | Michigan Long Term Services & Support Program Steps
1
After you enroll in the MI Health Link Program, you need to request Met Plus as the service provider to their new Care Coordinator
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Next, contact Met Plus by email at contactus@metplus.org or 866-371-1130 and state that you completed the steps for the LTTS Program and we will follow up with MI Healthlink.
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Feel free to contact our office and we will help guide you through the process
What We Do
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When will my opt-out or disenrollment from MI Health Link be effective?Disenrollments and opt-outs are effective the first day of the next month no matter which day of the month you call.
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Can I leave a message if I don’t want to hold for a call center representative?There is not an option to leave a message during the times the call center is open (Monday through Friday from 8AM to 7PM ET). If you reach the call center after hours, you may leave a message and call center staff will return your call. You must speak with call center staff to assist you with enrollment, disenrollment or opting out. Leaving a detailed message about enrollment or opting out is not the same as speaking with call center staff and will not be accepted as enrollment communication.
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When will my enrollment in MI Health Link be effective?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.
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What if I am a family member or friend of a person who wants me to call for him/her?The person you are calling for must first verify his or her information with Michigan ENROLLS and give you authorization to speak on his or her behalf.
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What information do I need when I call?The call center staff will ask you to confirm personal information to verify your identity. You will be asked your first and last name, date of birth, and address. You will also need to verify one of the following: Medicaid number, telephone number, or the last four digits of your social security number if the first two are not known.
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What if the person I am calling for is not able to answer the verifying the questions?You will not be able to speak with Michigan ENROLLS until you are granted authorization. Michigan ENROLLS would only be able to talk in general about the program. If you are the person’s court appointed guardian or the person granted you authorization for health care decisions through a durable power of attorney for health care, see the questions below addressing these situations.
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What phone option should I select for MI Health Link when calling Michigan ENROLLS?When you call Michigan ENROLLS, you will be asked to press 1 to continue in English, then you will be given different options. When prompted, select 3 to “enroll in a health plan.”
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Link to Download all required LTTS Program FormsHere is a link to download the required forms: https://www.michigan.gov/mdhhs/adult-child-serv/adults-and-seniors/forms-pubs
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Can I fax or mail information to Michigan ENROLLS?No, people must call Michigan ENROLLS to enroll, disenroll or opt-out. There is no paper process for enrollment, disenrollment or opting out of MI Health Link.
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Why would I need to call Michigan ENROLLS?You can call Michigan ENROLLS to • enroll in a MI Health Link health plan
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How do I enroll in MI Health Link?It’s easy to join MI Health Link! Call Michigan ENROLLS toll-free at 1-800-975-7630. TTY users may call 1-888-263-5897. The office hours are Monday through Friday (except holidays) 8AM to 7PM ET. Wait times are usually shorter before 10AM, after 2PM, and later in the week. If you have a Spenddown of Medicaid, please contact your State of Michigan case manager to see if you qualify for services or they can direct you on how to qualify.
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Can someone else call on my behalf?You must speak with the call center staff first to verify your 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.