Medicaid and Healthy Michigan Plan compared

Here's a brief comparison of Medicaid (Priority Health Choice MCD) and the Healthy Michigan Plan (Priority Health Choice HMI).

Plan name

Medicaid

ID card will read: Priority Health Choice MDC

Healthy Michigan Plan

ID card will read: Priority Health Choice HMI

Reimbursement

Medicaid

Medicaid fee schedule

Healthy Michigan Plan

Same

Eligible for PCP Incentive Program

Medicaid

Yes, if meeting continuous enrollment criteria

Healthy Michigan Plan

Same

Member eligibility

Medicaid

Income-based

Ages 0-64

Healthy Michigan Plan

Income-based, but don't qualify for Medicaid

Ages 19-64

Member enrollment

Medicaid

Facilitated through the MIBridges online application or local MDHHS office

Healthy Michigan Plan

Same

PCP

Medicaid

Member chooses within 30 days of enrollment

After 30 days, assigned automatically

Healthy Michigan Plan

Same

Health risk assessment (HRA) incentives

Medicaid

N/A

Healthy Michigan Plan

PCPs can earn $25 incentive and $25 bonus; see details

Members can earn incentives for completing initial PCP visit and HRA

Copays

Medicaid

No copays apply

Healthy Michigan Plan

Not collected at time of service

(Priority Health bills member)

Authorization requirements

Medicaid

See our authorization reference list

Healthy Michigan Plan

Same

Member authorization letters

Medicaid

Use both Medicaid and Priority Health ID numbers

Health Michigan Plan

Use both Healthy Michigan Plan and Priority Health ID numbers

Medical policies

Medicaid

See our medical policies

Health Michigan Plan

Same

Formulary

Medicaid

See the Approved Drug List

Health Michigan Plan

Same

Provider forms

Medicaid

Marked "all plans" and "Medicaid"

Health Michigan Plan

Marked "all plans" and "Medicaid" and "Healthy Michigan Plan"

Behavioral Health benefits

Medicaid

Yes

Health Michigan Plan

Yes

Habilitative benefits

Medicaid

See medical policy

Health Michigan Plan

See medical policy

Dental benefits

Medicaid

Ancillary services covered for children only (18 and under): Anesthesia, facility charges only

Health Michigan Plan

Delta Dental coverage, all members