HHSS

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Third Party Liabilities

Third Party Liabilities

Third Party Liabilities

Centers:

While Medicaid pays for medical care for eligible individuals, it pays only after all other resources available to these individuals have been exhausted. Other resources, or third parties, may include Medicare, employment-related health insurance, and private health insurance, among others. Third Party Liability work allows the state to save Medicaid money by finding these other resources and documenting them to ensure that Medicaid money is used only after third party payers have fulfilled their obligations to the individual. Each liability coverage the Third Party Liability team adds averages nearly $200 in cost avoidance per member, per month. This savings can be used to support other individuals on Medicaid, and helps to ensure that beneficiaries get the health coverage they need.

Other populations impacted.

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Medicaid Operations

Medicaid Operations

Medicaid Operations

Centers:

MPHI supports Medicaid operations in the state of Michigan by providing staff with specialized knowledge to aid the Medical Services Administration in a variety of activities created by changing policy, laws, and administrative rules. By utilizing MPHI’s existing talent base and resources pool, the Medical Services Administration is able to access the expertise it needs to complete its projects efficiently and effectively. With additional expert knowledge on hand, many common barriers to project success may be avoided, enabling Michigan Medicaid to function more smoothly and effectively, and ultimately benefiting all Michigan residents.

Other populations impacted.

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Behavioral Health 1115 Waiver Evaluation

Behavioral Health 1115 Waiver Evaluation

Behavioral Health 1115 Waiver Evaluation

Centers:

The Section 1115 Pathway to Integration waiver proposal in Michigan is a behavioral health waiver. It is aimed at integrating the coverages of services and supports for individuals with serious mental illness, substance use disorders, intellectual and developmental disabilities, and serious emotional disturbances. These individuals often have a high need for support services, and this integrated coverage could streamline the process for the state to develop initiatives aimed at helping these individuals. New initiatives can lead to a reduced cost and a better quality of care for recipients. For this integration to occur, the waiver must be evaluated, approved, and implemented.

Other populations impacted.

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Section 298 Integration Project

Section 298 Integration Project

Section 298 Integration Project

Centers:

The Section 298 Initiative is a statewide effort to improve the coordination of publicly funded physical and behavioral health services in Michigan. The Michigan Department of Health and Human Services selected MPHI to provide project management and facilitation for the development and implementation of these pilots.

Other populations impacted.

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Contact Info

2436 Woodlake Circle Suite 300 Okemos, MI 48864 Phone: (517) 324-8300 Fax: (517) 381-0260 Email: info@mphi.org