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BAM 402 4 of 20 MA BENEFITS BPB 2021-026 10-1-2021

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

CCC Bldg. PO Box 30479 Lansing, MI 48909-7979 Michigan Enrolls: 1-888-367-6557 A list of the health plans available in each county is on the Michigan Department of Health and Human Services (MDHHS) website (Medicaid Link). This list is updated monthly. The MDHHS website address is: www.michigan.gov/mdch. Other Insurance Health plan enrollees with other insurance should advise their health plan of their insurance coverage. Covered Services The health plan is responsible for providing and arranging for all medically necessary services covered by Medicaid with the excep- tion of: • Dental care (services rendered by an oral surgeon are included in the health plan capitation rate). • Mental health services including inpatient psychiatric services (the health plan is responsible for up to 20 outpatient visits). • Substance abuse treatment. • Medical transportation for the three services listed above; see BAM 825. • Personal care services. • School-based services. The health plan is responsible for providing up to 45 days of restor- ative health care which is intermittent or short-term, restorative or rehabilitative nursing care. The health plan may also provide services that are not covered by MA.

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Official source

BAM 402 4 of 20 MA BENEFITS BPB 2021-026 10-1-2021

BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES

CCC Bldg. PO Box 30479 Lansing, MI 48909-7979 Michigan Enrolls: 1-888-367-6557 A list of the health plans available in each county is on the Michigan Department of Health and Human Services (MDHHS) website (Medicaid Link). This list is updated monthly. The MDHHS website address is: www.michigan.gov/mdch. Other Insurance Health plan enrollees with other insurance should advise their health plan of their insurance coverage. Covered Services The health plan is responsible for providing and arranging for all medically necessary services covered by Medicaid with the excep- tion of: • Dental care (services rendered by an oral surgeon are included in the health plan capitation rate). • Mental health services including inpatient psychiatric services (the health plan is responsible for up to 20 outpatient visits). • Substance abuse treatment. • Medical transportation for the three services listed above; see BAM 825. • Personal care services. • School-based services. The health plan is responsible for providing up to 45 days of restor- ative health care which is intermittent or short-term, restorative or rehabilitative nursing care. The health plan may also provide services that are not covered by MA.