The Highly Integrated Dual-Eligible Special Needs Plan (HIDE-SNP) combines Medicare, Medicaid and Long-Term Services & Supports (LTSS) into one plan for an integrated member and provider experience.
The Priority Health HIDE-SNP will be called PriorityMedicare Dual Premier® (HMO). MDHHS refers to the HIDE-SNP program as the Michigan Coordinated Health plan, or MICH (replacing MI Health Link).
HIDE-SNP vs. D-SNP
HIDE-SNP is replacing D-SNP in certain Michigan regions in 2026 (then all Michigan regions in 2027). D-SNP is coordination-only—so members could have Medicare and Medicaid plans from different payers. Now it will be one plan, with one payer. Providers will now have one health plan to interact with for each member, rather than two. This applies to member eligibility, claims, appeals and grievances, inquiries, etc.
Participating with PriorityMedicare Dual Premier
If you’re not yet a participating provider with Priority Health, please join our networks. If you are a participating provider but aren’t currently contracted with our Medicare or Medicaid product, submit a new enrollment request in prism. While you only need to be enrolled in one of these to be in-network for our HIDE-SNP plan, we encourage you to enroll in both. Also, to be fully reimbursed, you must be enrolled in the Community Health Automated Medicaid Processing System (CHAMPS). Finally, if you’re participating but your practice is closed, consider opening to new members.
Member eligibility requirements
Members must be 21 or over at the time of enrollment, must live in one of the eligible Michigan counties and be enrolled in both Medicare and full Medicaid. They also cannot be residing in a state-operated veteran’s home or be incarcerated, and they can’t be currently enrolled in hospice, unless the member elects hospice while on the HIDE-SNP plan.
Beginning Jan. 1, 2026, HIDE-SNP will be offered in the following counties: Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren and Wayne. In 2027, HIDE-SNP will be offered in all regions of Michigan’s Lower Peninsula. D-SNP will no longer be offered as of Jan. 1, 2027.
Identifying HIDE-SNP members
ID cards: Member ID cards will read "PriorityMedicare Dual Premier" in the upper-left corner and have the MDHHS logo in the upper-right corner.
Member Inquiry: In the prism Member Inquiry tool, HIDE-SNP members will be identified under “plan type” as “PriorityMedicare Dual Premier.”
Billing
Providers bill once. The Medicare side of the member’s plan pays out first, then Medicaid picks up the difference, if there is one. If the provider is out-of-network for Medicare or Medicaid, that side of the claim will be paid at the out-of-network level on the fee schedule.
Member cost share
HIDE-SNP members will have no costs from deductibles, premiums, coinsurance, copayments and cost sharing of any kind, with the exception of PPA or certain medication copays. Providers are forbidden from balance-billing HIDE-SNP members, regardless of network status.
Member information
Eligible members should be directed to priorityhealth.com/mapd-plan-info/dual-plan-documents for more information. They can also find a full list of benefits on the Annual Notice of Changes.
LTSS
Long-term services and supports (LTSS) encompass the variety of health, health-related, and social services that assist individuals with functional limitations due to physical, cognitive or mental conditions and disabilities. Examples include:
- Adaptive medical equipment & supplies
- Adult day program
- Chore services
- Community transition services
- Environmental modifications
- Private duty nursing
- Respite
LTSS are delivered in both institutional (e.g., nursing homes) settings, community-based settings and member homes.
Under HIDE-SNP, members who meet specific eligibility requirements will receive LTSS that will be provided through Priority Health’s partnership with the Michigan Area Agency on Aging (AAA).
Members will either be identified by MDHHS as LTSS-eligible or by our Care Management team. Our initial estimate is that 10% of HIDE-SNP members will be eligible for LTSS.
HIDE-SNP provider manual
A downloadable Priority Health HIDE-SNP provider manual will be available here by Jan. 1, 2026. For now, see our provider FAQs for more questions.