Frequently asked questions | Medicaid Learning Center (2024)

Virtual care, or telehealth, is a convenient way to get care for a variety of common illnesses, without having to go to the emergency room or urgent care center. For non-emergency issues, you can connect with a doctor 24/7 through your smart phone or computer to receive care where you are, when you need it.

You can use virtual care for things like allergies, back pain, bites and stings, cold, cough and flu, fever, pink eye and more. Check with your PCP to see if they offer virtual care, or log in to your Spectrum Health account and schedule a virtual care visit.

Yes! Transportation servicesare handled in-house and are available to Priority Health Choice Inc. Medicaid members to get to and from doctor appointments, to pick up covered medicine from a pharmacy, or to travel for other covered services like physical therapy.

Call our Transportation Call Center at 888.975.8102 (TTY users call 711) Monday - Thursday 8:30 a.m. - 5 p.m. and Friday 9 a.m. - 5 p.m. to see if you qualify for transportation services or mileage reimbursem*nt, or to schedule your travel service.

As a member of a Priority Health Choice Inc. Medicaid plan, we can help you arrange short-term treatment for mental or emotional needs for adults. For more information, call the number on the back of your member ID card.

Treatment for long- term, severe mental conditions, inpatient or intensive outpatient treatment, as well as severe disturbances for children must be arranged through your local Community Mental Health Services Program (CMHSP) agency. If you have questions, we can help. Call our Behavioral Health department at 800.673.8043 (TTY users call 711).

If you applied for Medicaid benefits, the State of Michigan will tell you if you've been approved. Once you're approved for Medicaid, you'll get a plastic mihealth card in the mail along with a welcome letter. Check the card to make sure all of your personal information is correct.

Next, you'll need to select a health plan to help manage your care. Call Michigan Enrolls at 888.367.6557 (TTY users call 711) to select a health plan. If you selected Priority Health Choice, Inc., we will send you a member ID card. Show this card and your mihealth card when you need any care.

You have 90 days to switch plans once you're enrolledin a Medicaid health plan. To change to a different health plan, call Michigan Enrolls at 888.367.6557 (TTY users call 711). They can help you choose a new plan.

If you've been enrolled in a Medicaid plan for more than 90 days, you can change health plans once you've reached your open enrollment month, which is 12 months from when you enrolled in the plan. The State will send you a notice when you're allowed to change health plans.

If you change plans and start using Medicare or one offered by your employer, notify your Michigan Department of Health and Human Services case worker and they will make the change to your file.

For questions related to eligibility, what services are covered, providers to use or how to get a replacement card, contact a case worker by calling your local Michigan Department of Health and Human Services office.

If you're already a Priority Health member and have questions about your plan and how it works, or have an update that may affect your coverage, call our Customer Service at the phone number on the back of your member ID card.

Yes! Get easy access to your health plan information when you download the Priority Health Member app from the App Storeor Google Play.

You'll need your member ID card and your contract ID number, found on your member ID card.

To find in-network pharmacies, use our Find a Doctor tool.

Select "Medicaid/Priority Health Choice MDC"or Healthy Michigan Plan/Priority Health Choice HMI"in the Choose a plandrop down menu to see covered locations. You may also call our Customer Service at the phone number on the back of your member ID card and a representative can help you.

Need help finding a doctor? Use our Find a Doctor tool to find in-network doctors. Select "Medicaid/Priority Health Choice MDC" or "Healthy Michigan Plan/Priority Health Choice HMI" in the Choose a plan drop down menu to see Medicaid and MIChild providers.

You may also call our Customer Service at the phone number on the back of your member ID card and a representative can help you. You can also request a printed list of providers be sent to you.

It's important to build a good relationship with your doctor, known as a primary care physician, or PCP, so you can stay ahead of any health issues before they arise. Your PCP will know your health history, can provide care, order lab tests, prescribe medicine and help you plan a hospital visit if you need one. If you don't choose a PCP, one will be chosen for you.

The emergency room is for problems that can seriously harm your health or that are a matter of life and death. If you have a medical emergency, go to the emergency room or call 911 right away. You do not need to call your PCP before getting care.

If you need care right away, but it's not life-threatening, such as sprains and strains or X-rays and lab tests, an urgent care center may be the best place for you to go. You should call your PCP first and your PCP will tell you if you need to go to an urgent care center, or give you other instructions.

After an emergency room or urgent care visit, be sure to call your PCP for any follow-up care. To find in-network doctors, hospitals, urgent care centers and pharmacies, use our Find a Doctor tool. Select "Medicaid/Priority Health Choice MDC" or "Healthy Michigan Plan/Priority Health Choice HMI" in the Choose a plan drop down menu to see covered providers and locations.