What Services Are Not Covered?

Some services are provided or covered by agencies other than Priority Health.

Services Covered by State of Michigan Medicaid
The following services are covered and/or arranged by the State of Michigan Medicaid program. If you have any questions about these services talk with your doctor, your FIA caseworker or contact the State of Michigan Recipient Hotline at 800-642-3195.

• Dental services
• Custodial care in the home or nursing facility
• Personal care or home help services
• Home and Community Based waiver program services

Services Covered by Community Mental Health
The State of Michigan has contracted with local Community Mental Health agencies to provide the following services to Medicaid recipients:

• Services to persons with developmental disabilities
• Substance abuse services
• Inpatient and outpatient hospital mental health services
• Treatment for severe and persistent mental illness, or severe emotional disturbances when such treatment cannot be provided within the 20-visit benefit provided by the health plan.

To obtain services, contact the local Community Mental Health agency. If you need assistance in reaching this agency, you may contact the Priority Health Behavioral Health Department at 616 464-8500 or toll free at 1 800 673-8043.

Further detail regarding covered and excluded services may be found in the Certificate of Coverage (COC). If you have any questions about what services are covered, call our Customer Service Department at 1 888 975-8102.