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BEM 101 14 of 15 MA DESK AIDS BPB 2017-008 4-1-2017

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

Private Enrollments Only - Managed Care Plans/HMOs

Code Description 89 Do not use for Medicaid enrollments. Private enrollments only - Managed Care Plans/Health Maintenance Organizations (includes HMO, PPO and POS plans). Carriers assigned this code include, but are not limited to:

 Priority Health  Prudential Health Care  Qual Med  Security Health Plan  SelectCare  Select Health Plan  Share Health Plan of Illinois  Total Health Care  Tricare Champus  Tuft Associated Health Plan  United Health Care  Wellness Plan  Wisconsin Health Organization