Health Plan of Michigan Behavioral Health Transition FAQ
Q: What information do I need to take to the pharmacy when I need a prescription filled?
A: You should take both your Health Plan of Michigan and mihealth cards to the pharmacy when you have a prescription to be filled. You should also take personal identification, like a driver’s license or state issued identification card, with your picture on it. HPM does not charge a co-payment for covered medications. Medications covered by Michigan Medicaid (Carved-out), there may be a co-payment.
Starting April 1, 2010, Medicaid will pay for some medicines that used to be covered by the Health Plan of Michigan (such as some mental health drugs). You will need to show both your green mihealth card and your health plan card when you go to the pharmacy to get the medicine. For members who are age 21 or over and need one of these medicines covered by Medicaid, you will have a co-pay. Your co-pay will be $1.00 for generic medicines or $3.00 for brand name medicines. Your pharmacy can tell you if your medicine is a generic or brand medicine.
B-10-02-Listing of Carved Out Drugs.pdf
Beneficiary Letter From Michigan Medicaid.pdf
Q. How do I find a PCP in my area?
A. You can look at our provider directory on this website or you can
call our Member Services Department at 1-888-437-0606 for help.
Q. Does HPM have co-pays?
A. No, HPM does not charge co-pays for any covered services.
Q. How do I get transportation to my doctor's office?
A. HPM has FREE transportation to your doctor's appointments if you
do not have a ride. We may ask you to use your local bus service unless
there is a medical reason you can not do so. You must call 5 days in
advance for routine transportation. You can call 1-800-821-9369 to schedule
routine transportation, 7 days a week, 24 hours a day
Q. Do I need a referral to see a specialist?
A. Yes you do need a referral from your PCP to see a specialist. You
do not need a referral for routine vision care, chiropractic services,
or mental heath/counseling services.
Q. My neighbor has HPM but she only speaks and reads Spanish. Do
you have someone that can speak her language?
A. Yes we have interpreters for over 140 different languages and we
also have our Member Handbook in Spanish.
Q. Does HPM cover dental services?
A. No HPM does not cover your dental benefit; it is covered by regular
Medicaid. You can contact your caseworker or the Medicaid Helpline at
1-800-642-3195 to learn how to get dental services.
Q. Does HPM cover routine vision services?
A. Yes, HPM covers one eye exam and one pair of glasses every two years for members who are 21 years old and older. For members under the age of 21, HPM covers one eye exam and one pair of glasses every 12 months. Members younger than 21 years old are also covered for two replacement pairs per year if their glasses are lost or broken. HPM members who have diabetes are covered for one eye exam and one pair of glasses every 12 months.
Behavioral Health Frequently Asked Questions
Do I need a referral from my PCP for behavioral health services?
No, a referral from your PCP is not needed. The behavioral health department can refer you to a provider in your area. You can reach the Behavioral Health department at 1-888-222-8041.
Do I need prior authorization for behavioral health services?
No, prior authorization is not needed for behavioral health service from HPM.
What are the hours of operation for HPM?
Health Plan of Michigan is open weekdays from 8:00 am to 5:00 pm.
If you or your provider has any questions, please call Member Services at 1-888-437-0606.
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