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Health
programs

You deserve care that focuses on you and your specific health needs. Our programs aim to do just that. They'll help you manage conditions, prevent health problems and stay as healthy as you can.

Need help using your benefits? 

Just call Member Services at 1-866-316-3784 (TTY: 711). Then, ask to speak with a care manager. We’re here for you Monday through Friday, 8 AM to 5 PM.

Learn more about your benefits

Check which topics might be helpful to you.

We’ll help you learn more about health screenings, such as breast cancer, and wellness programs, like mindfulness or weight management. You learn ways to get and stay healthier. And we’ll even provide health info through community events. 

 

Learn more about how to stay healthy 

 

Want to get health coaching? Or just learn more about wellness? Register for MyActiveHealth. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more.  

Are you expecting a child? We’ll help you get the care you need through pregnancy and after birth by: 
 

  • Providing screenings 
  • Offering proven treatments 
  • Working closely with your providers 

 

Maternal Infant Health Program (MIHP)
 

Get care in the home. This home visiting program promotes healthy pregnancies, better birth outcomes and stronger infant growth and development.
 

MIHP covered services include:
 

  • Prenatal teaching 
  • Childbirth classes 
  • Nutrition support, tips and counseling 
  • Breastfeeding or formula feeding support 
  • Help with personal problems that may affect your pregnancy 
  • Newborn baby checkups
  • Referrals to local resources and help finding baby cribs, car seats, clothing, etc. 
  • Support for stopping smoking
  • Help with substance misuse 
  • Personal care or home help services

 

In addition to getting help with pregnancy and birth care, you can also earn rewards. Check it out.

 

Pregnancy care
 

Get tips on staying healthy while pregnant

Some medicines pass through the mother’s bloodstream to the baby’s blood. Severe drug withdrawal symptoms can happen after the baby is born. NAS is the medical name for this condition.

 

Do you use alcohol, street drugs or even prescription medicine? These can harm you and your baby. Stopping suddenly can also cause harm. So be sure to get help from your doctor. 

 

Questions? Just call us at 1-866‑316-3784 (TTY: 711).

Children’s Special Health Care Services (CSHCS) is a state program that serves children and some adults with special health care needs. Those who are eligible can get the support they need at no extra cost. 
 

More about CSHCS

Some members have special health care needs and medical conditions. Our care managers include nurses who can:
 

  • Work with different providers, agencies and groups to help you get the care you need 
  • Help you make appointments
  • Talk about your care with your doctor

Care managers can also help members with:

  • High-risk pregnancy
  • Neonatal intensive care (NICU) for babies after birth
  • Treatment of substance use for women and their babies after birth

If you think you need help from a care manager, call us at 1-866-316-3784 (TTY: 711). Then, ask if you qualify for care management.

 

Care management 

We help our members with chronic conditions be as healthy as they can. We’ll mail you health info to help you manage your condition. You may also get a call from a care manager, who can help you or your child manage chronic conditions like:
 

  • Asthma
  • Diabetes
  • Chronic obstructive pulmonary disease
  • Coronary artery disease
  • Congestive heart failure
  • Sickle cell disease
  • Hepatitis C
  • Depression

 

Questions about chronic condition management? Just call us at 1-866-316-3784 (TTY: 711).

 

Chronic condition management  

Want to get health coaching to help you manage your condition? Just register for MyActiveHealth. You can get healthy living tips, watch videos about wellness, learn about a healthy lifestyle and more.

It can be hard to figure out the type of care you or your family members may need. We can help you decide whether to go to the ER or urgent care.

 

Remember, you can use any hospital for emergency care, even if it’s not in our network. Just show your member ID card.


24-Hour Nurse Line

This doesn’t take the place of your PCP. But if it’s late at night or you can’t reach your PCP, a nurse can help you decide what to do.

 

To reach a nurse, just call 1-866-711-6664 (TTY: 711). We’re here for you 7 days a week, 24 hours a day. And we can link you to the right resources.

 

Behavioral health crisis

Call 911 or go to the nearest hospital if:

  • You’re thinking about hurting yourself or someone else
  • ou have an urgent behavioral health emergency

To get help in a crisis, you can contact:

  • Our crisis line: Call 1-866-827-8704 (TTY: 711). We’re here for you 7 days a week, 24 hours a day. And we can link you to the right resources.
  • 988 Suicide & Crisis Lifeline: Call or text 988. Trained counselors can help you 24 hours a day, 7 days a week. You can also chat online with a counselor through their Lifeline Chat service. 

Care management after acute care

Have you or your child had a hospital stay recently? If so,;you may get a call from our care management team. They’ll ask if you

  • Scheduled a follow-up appointment with a PCP or specialist
  • Were able to get any prescribed medicine
  • Understood the discharge instructions
  • Have any other needs, so they can refer you to one of our care managers

Check out some of these articles to learn more about getting the right care at the right time:

Flu

Most members 6 months and older can get a flu shot every year. Studies show which flu viruses may be the most common during the upcoming season. Seasonal flu shots protect against those three or four flu viruses. Just ask your doctor about getting the shot.

 

Learn how to protect yourself from the flu

 

COVID-19
 

Members can get the vaccine for the coronavirus (COVID-19). You can ask your doctor about getting this shot. Or check with the Centers for Disease Control and Prevention (CDC) for more info about the COVID-19 vaccine.

Substance use disorders or substance misuse happen when the repeated use of alcohol or drugs causes impairment. This includes:
 

  • Health problems
  • Disability
  • Failure to meet major responsibilities at work, school or home

 

These illnesses are common, serious and tend to repeat. But many people recover with treatment.  

 

We do not directly cover substance use disorder treatment services for Medicaid members. These services for both inpatient and outpatient occurrences are coordinated and covered solely by the local Prepaid Inpatient Health Plans (PIHP)/Community Mental Health (CMH) service providers. 

 

Exceptions for emergencies: In the event of an emergency hospital admission, treatment services will be covered until the member is stabilized medically.
 

Substance misuse treatment services
 

Treatment services for substance misuse are not part of your coverage, but you can still get help. We work with prepaid inpatient health plans (PIHP)/community mental health (CMH) services providers to get you the care you need.
 

If you need help, you can call any of these local agencies:

Southwest Michigan Behavioral Health
 

Detroit Wayne Integrated Health Network

                           

Community Mental Health Partnership of Southeast Michigan
 

 

Oakland Community Health Network
 

Oakland County: 1-800-341-2003

 

Macomb County Community Mental Health
 

Macomb County: 1-586-307-9100

 

Mid-State Health Network
 

(Bay, Arenac, Clare, Gladwin, Isabella, Mecosta, Midland, Osceola, Clinton, Eaton, Ingham, Jackson, Hillsdale, Huron, Midland, Gratiot, Ionia, Montcalm, Newaygo, Saginaw, Shiawassee and Tuscola counties)

1-844-405-3095

Find treatment for addiction

Find resources in your community

Learn more about your behavioral health benefits

Get help in a crisis

If you’re thinking of hurting yourself or someone else, get help right away. You can call:
 

Get help with SUDs

Read this article about SUDs

 

Also of interest: