Priority Health: Michigan Medicaid redetermination is restarting on June 1, 2023

May 8, 2023

What’s changing?

On June 1, 2023, the state of Michigan will restart full eligibility reviews for D-SNP, Healthy Michigan and Medicaid members.

What is Medicaid redetermination?

Medicaid redetermination is the process by which Medicaid members must reapply for their Medicaid benefits and prove they qualify for Medicaid.

In Spring 2020, the federal government issued a COVID Public Health Emergency (PHE) which resulted in the Medicaid redetermination process being put on hold during the PHE. Prior to 2020, Medicaid members were sent notifications, advising them to reapply for benefits and verify their income on a 12-month rolling basis. This process will resume in June. 

To learn more about Medicaid redetermination, visit the MDHHS website.

How we’re communicating to members 

The Michigan Department of Health & Human services (MDHHS) will send renewal packets by mail, text message or via the member’s MIBridges account one month prior to their renewal date. For example, members with a June renewal date will receive communications in May.

Priority Health is also sending MDHHS-approved communications about Medicaid renewals to all Medicaid members prior to their renewal date and after their renewal date passes.

What should you know?

  • To ensure you get paid, check your Medicaid patients coverage prior to providing services. Members may lose coverage if they didn’t renew their information or if they couldn’t be contacted during their Medicaid re-enrollment period.
  • If a member no longer has Medicaid coverage and believes they still qualify, encourage them to reapply through their MIBridges account, by calling the Medicaid Beneficiary Hotline at 1.800.642.3195 or by visiting their local MDHHS office.
  • If a member is no longer eligible for Medicaid after a full renewal, they’ll receive information on when enrollment ends, how to appeal and to enroll in other health coverage.

How we’re communicating to you  

We’ve also included this information in the April 13 Virtual Office Advisory (VOA) and the Q2 quarterly physician & practice news digest and will continue sharing resources including approved messaging by the state, webinars and more.