Public Notice: The Michigan Department of Community Health (MDCH) intends to submit §1915(b)/(c) waiver applications for the MI Health Link demonstration program. The purpose of this waiver is to coordinate supports and services for individuals who are eligible for both Medicare and Medicaid, are age 21 or older, and reside in any of the following Michigan counties: Alger, Baraga, Barry, Berrien, Branch, Calhoun, Cass, Chippewa, Delta, Dickinson, Gogebic, Houghton, Iron, Kalamazoo, Keweenaw, Luce, Mackinac, Macomb, Marquette, Menominee, Ontonagon, St. Joseph, Schoolcraft, Van Buren, and Wayne. Some population exclusions do apply – please see the waiver applications for details. Medicare and Medicaid supports and services will be provided through managed care organizations called Integrated Care Organizations (ICOs) under contract with CMS and MDCH. All enrolled individuals may receive physical health care services through the MI Health Link §1915(b) waiver. MI Health Link HCBS is a §1915(c) waiver which will operate concurrently with the MI Health Link §1915(b) waiver. The MI Health Link HCBS waiver offers home and community-based services (HCBS) to MI Health Link enrollees who are elderly and/or physically disabled and meet nursing facility level of care. If approved by CMS, the MI Health Link §1915(b)/(c) waiver applications will be effective January 1, 2015. It is expected that the entire MI Health Link demonstration will be cost neutral, not spending more money than would be spent absent the demonstration.
The MI Health Link §1915(b)/(c) waiver applications and related cost effectiveness information may be viewed online at: www.michigan.gov/mihealthlink. Any comments on, or requests for copies of, the MI Health Link §1915(b)/(c) waiver applications and cost effectiveness information may be submitted in writing to: Michigan Department of Community Health, Integrated Care Division, Bureau of Medicaid Policy and Health Systems Innovations, Attention Heather Hill, P.O. Box 30479, Lansing, Michigan 48909-7979. Comments must be submitted no later than September 17, 2014. Comments may also be submitted by email to email@example.com. If you submit comments to this email address, please type “Waiver Application Comment” in the email subject line. Written comments may be reviewed by the public at Capitol Commons Center, 400 South Pine Street, Lansing, Michigan. There is no public hearing scheduled for this proposed policy.