Michigan Medicaid Changes: What to Expect in 2020

Michigan Medicaid Changes: What to Expect in 2020

Jul 02 2019

Michigan’s Medicaid program is changing. Here’s what you need to know about the upcoming rollout.

As you may (or may not) have heard, changes are coming to Michigan’s Medicaid program in 2020—let’s review what’s changing and what you need to do to meet the new requirements.

What’s being changed?

Beginning on January 1, 2020, members of the Healthy Michigan Plan, Michigan’s Medicaid plan, will have to meet a new set of work requirements in order to stay eligible for the program. How do you meet the requirements? Activities like working a job, going to school, searching for a job or several others may meet the requirements. However, there are exemptions for the work requirements. Exempt people include pregnant women, people receiving unemployment benefits from the state, full-time students and more. You can find a full list of requirements and exemptions on the state’s website.

Also beginning in October 2020, Healthy Michigan Plan members will be required to pay a premium of 5% of income and either complete a yearly health risk assessment (HRA) or complete a healthy behavior yearly. In this case, healthy behaviors include: weight loss, dental visits, getting help for alcohol or drug abuse and more. This new policy will affect Healthy Michigan members if they have an income over 100% of the federal poverty level, are enrolled in a health plan or have been enrolled in a Healthy Michigan Plan for a total of 48 months or more. If you’re affected by this change, you’ll receive more information from the Michigan Department of Health and Human Services when the changes are made.

So what should you do in the meantime if you’re enrolled in a Healthy Michigan Plan? For starters, stay tuned for more information. The state will send communications to those currently enrolled in Medicaid to keep you updated on the latest news and any changes. You should also start thinking about your yearly “healthy behaviors,” such as scheduling a doctor visit and completing a health risk assessment, which you can learn more about here.

If it’s time for you to renew your Medicaid eligibility, you can do so at michigan.gov/mibridges

If you want to learn more about Medicaid and Michigan’s own state program, you can read more in our Medicaid 101 article.

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