HMA reminder
Priority Health launched a new product on Jan. 1, 2025, called HMA. HMA is a third-party administrator (TPA) product, but HMA plan members have access to Priority Health's PPO network. Make sure you accept this health plan, as you would with any Priority Health plan.
Medicaid in lieu of services
Beginning June 1, some Priority Health Medicaid members will be covered for food delivery services under the Michigan Department of Health & Human Services (MDHHS) in lieu of services (ILOS) initiative. The goal for ILOS is to improve health and reduce the future need for medical services by addressing food insecurity and ensuring members have access to nutritious foods.
Medicaid Maternal Incentive Program rewards are here
Medicaid members can earn rewards when they complete select services.
Virta
Beginning July 1, some Priority Health members with coverage through their employers will have access to digital health resources through Virta Health for treating type 2 diabetes and losing weight sustainably. This is an optional buy-up benefit. Some members with the benefit may have a rider that adds GLP-1 coverage options for weight management to the formulary.
New virtual digestive health support platform
Beginning June 1, all commercial (group and individual) Priority Health members will have access to a virtual gastrointestinal (GI) health platform through Ayble Health. Ayble provides GI-specialized nutrition guidance, behavioral skills training, health coaching and additional care team support to a wide range of digestive health patients.
HMA landing page
We’ve created an HMA page in our provider manual for our Priority Health TPA product, including all relevant information and resources.
2025 product updates
We have a number of product changes taking effect on Jan. 1, 2025. To inform you about these updates taking effect across lines of business—commercial group, individual and Medicare—we’ve created a 2025 Product Guide for Providers.
At-home test kits for your Priority Health Medicare patients
We're sending at-home test kits to close care gaps for your Priority Health Medicare patients.
Medicaid rebid doesn't impact Medicare
Southwest Michigan providers: Changes impacting Priority Health Medicaid members resulting from the recent Medicaid rebid do not impact member eligibility for any other plan types, including Marketplace, Medicare, MAPD, D-SNP or Medigap plans.
Transportation assistance moving to SafeRide for Medicaid members
Starting September 8, all transportation assistance for your Priority Health Medicaid patients, including non-emergent medical transportation (NEMT), will be scheduled through SafeRide.
Find a Doctor functionality update
A recent change in functionality on the Find a Doctor tool means that you’ll need to do something slightly different to see whether a provider is accepting new patients and what tier a provider is in for tiered networks.
Medicaid rebid provider impacts
The first Medicaid rebid since 2015 was just finalized, and the results will impact your work with Priority Health Medicaid members if you’re a provider in Northern or Southwest Michigan. The changes take effect on October 1.