Does Medicaid Cover Therapy In Michigan


Contact Our Coordinated Behavioral Health Team

What are the Michigan Medicaid Eligibility Guidelines/Requirements?

The Coordinated Behavioral Health team clinical staff is comprised of a licensed social worker, a limited license psychologist, a licensed professional counselor and a psychiatrist.

  • All clinical staff are licensed and required to have at least five years of experience in treating patients with a mental health condition, substance abuse addictions or both.
  • The licensed social worker, limited licensed psychologist and licensed professional counselor must have a minimum of a master’s degree in a behavioral medicine-related field.

You can reach us at 444-5755. Were available Monday through Friday from 8 a.m. to 5 p.m.

In the event of an urgent situation, a clinical case manager is available 24/7 by calling 444-5755.

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Free Or Low Cost Mental Health Care

Community Mental Health Service Programs:

Find more information on Community Mental Health Service Programs here.

Community Health Centers:Many community health centers offer mental health care services. Community health centers care for you even if you have no health insurance. You pay what you can afford based on your income. Find a community health center near you.

Find more information on community health centers here.

Free Clinics:Some free clinics offer free mental health care. Free clinics use volunteer health care providers to give free or low cost care to people without insurance.

In Quiet Decision Michigan Continues Medicaid Coverage Of Gender Changes

Michigan Gov. Gretchen Whitmers administration with little fanfare last month clarified that sex change surgery and hormone replacement therapy would be covered under the states Medicaid program.

People like Beau VanSolkema, who once had a full beard at the same time as DDD-cup breasts, say the procedures can be life-saving.

If you cant look the part of how you see yourself, theres a stress thats always there, said VanSolkema, 36, of Grand Rapids, who once sliced worthless into this thigh and tried to commit suicide when he was 25.

Related:Michigan doctors reach out to LGBTQ community to narrow health disparities

Michigan made the change by adding three paragraphs to the states 2,060-page Medicaid Provider Manual, affirming that the state Medicaid program doesnt discriminate and referring to the non-discrimination provision of the 2010 Affordable Care Act.

That means comprehensive health care, including prescription drugs, and benefits inclusive of sex, gender identification, and sexual orientation, said Bob Wheaton, spokesman for the Michigan Department of Health and Human Services. Medical care for patients transitioning from one gender to another will be provided according to standards set by the World Professional Association for Transgender Health, he said.

Those states have carved out transgender care through changes in adminsistrative policies and legislative actions, said Logan Casey, the nonprofits policy researcher.

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How Much Does Therapy Cost With The Medicaid Plan

With many Medicaid plans, expect to pay a copayment of $0-25 per therapy session with an in-network therapist. This means that every time you see your therapist, you are responsible for that amount.

Because each state offers their own version of Medicaid, the cost for therapy under Medicaid plans can vary. However, many Medicaid plans make seeing a therapist affordable because they value mental and behavioral health access.

It is important to note that in some states, Medicaid limits the number of covered therapy visits, often to 30 sessions per year. After a client has reached this number of visits, they may need to start paying the session fee in its entirety.

Michigan To Begin Changing How It Funds Mental Health Addiction Services

Does Medicaid Cover Therapy? Know Your Rights Before ...

FEMA Regional Administrator James K. Joseph, left, and Congressman John Moolenaar listen as U.S. Senator Debbie Stabenow addresses the press during a press conference at the Midland Law Enforcement Center on Saturday, May 23, 2020.Jenna Kieser

More than a dozen behavioral health clinics across Michigan will now be able to turn to Medicaid to fund its services, the same way community health centers can do for physical care.

The new avenue for funding will allow clinics that meet quality standards to expand access to services, including 24-hour psychiatric crisis services, which is expected to reduce unnecessary visits to jails and emergency rooms as a result of no community mental health services.

U.S. Sen. Debbie Stabenow, D-Lansing, unveiled the states new transformational behavioral health initiative Wednesday, Oct. 13, during a virtual call with reporters. She was joined by Lt. Gov. Garlin Gilchrist II and Elizabeth Hertel, director of the Michigan Department of Health and Human Services.

In our country, we havent been funding mental health and addiction treatment as healthcare, Stabenow said. For too long, weve said health care above the neck is treated differently than health care below the neck.

It may not sound like much, but this is fundamental to changing the way we provide mental health and addiction services in the community.

The 13 clinics that will qualify for the new funding reimbursement include:

Read more on MLive:

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Assisted Living Facilities In Michigan

If you are enrolled in Medicaid or MI Choice , your regular benefits will cover some of your expenses while you live in an assisted living facility, like physical therapy or prescription costs. However, Michigan does not have a Medicaid program that will pay for room and board in an assisted living facility.

How Does The 2020 No

The new Michigan No-Fault law replaces the exclusive unlimited lifetime PIP coverage with a range of options. These include:

  • Unlimited coverage which is the same as the old system
  • $500,000 coverage
  • $250,000 limit with PIP medical exclusion
  • $50,000 limit which is available only to recipients of medicaid
  • $0 coverage which is available only to those enrolled in Medicare A and B
  • If you are a Michigan No-Fault policyholder, you can choose to keep your old unlimited PIP coverage or select one of the new capped medical coverage options.

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    What Does Medicaid Cover

    The coverage offered by Medicaid is broad and can assist in covering many costs associated with long-term care. Medicaid covers things like doctor visits, nursing home stays, emergency services, outpatient services, medical equipment, and hospice care. As one can see, Medicaid can be a great help for individuals requiring long-term care, such as those individuals with Alzheimers disease or the elderly who have severe mobility issues.

    Michigan Cmh System Know Your Rights

    Medicaid expansion in Michigan: What primary care providers say

    Adults and children with intellectual and developmental disabilities, mental illness, and substance use disorders may receive community-based behavioral and mental health services and supports through their local Community Mental Health Service Provider, known as the CMH or CMHSP.

    Intake or access staff at local CMH offices conduct assessments and eligibility screenings to evaluate the level and types of services needed. They may also provide brief crisis services.

    Medicaid recipients are entitled to obtain services that are medically necessary if they have a serious mental illness, serious emotional disturbance, or intellectual/developmental disability. Priority is given to the most serious forms of disability and to those in urgent situations. At times, people who do not qualify for Medicaid will be placed on a waiting list if there is not enough funding to provide services from a recommended program. However, no one may be denied services because they cannot afford to pay for services.

    The CMHSPs are overseen by the Behavioral Health and Developmental Disabilities Administration , which is located within the Michigan Department of Health & Human Services.

    There are 46 CMHSPs that are managed by 10 Prepaid Inpatient Health Plans view this link to a map of community mental health service programs to find yours.

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    My Take: Mental Health Reform Is Heating Up In Lansing

    Sen. Aric Nesbitt wrote an op-ed in The Sentinel arguing it’s time for mental health reform.

    He writes: Nearly every single insurance plan offered in the commercial market by an employer integrates mental health services with physical healthcare coverage. Unfortunately, integrated care is not provided for more than 2 million Michigan residents on Medicaid. To receive treatment for severe mental health conditions, these residents are forced to use and rely upon an antiquated government-run patchwork system of state, county and private medical providers. They have no choice or options.

    More:Letter: Medicaid reform: Time to provide choice and integrate care

    Private health plans are not allowed to even offer Medicaid consumers certain mental health services even if the care is more accessible, better quality and or cheaper than the current state-run system.”

    As one can imagine, it’s impossible for Nesbitt to completely lay out his arguments in a short editorial. However, he simplifies a very complicated system and needs context for understanding. It is true that commercial health plans integrate mental health and physical health. But what Nesbitt does not explain is this:

    Here is what I suggest:

    Also, we need to do everything we can to engage people earlier in their journey with mental illness and substance use disease. These need to be our north star in any reform effort.

    When Should You Go To A State Mental Health Program

    Few mental health providers outside of those in the public sector are able to immediately serve people in crisis. This usually makes public mental health services the best option for anyone who is having a mental health crisis and who needs help right away. The people who answer crisis lines are qualified to determine the best response to a crisis, whether it’s inpatient treatment or an appointment with a counselor.

    In most cases, community mental health programs serve as alternative providers for people who lack the means to access services in the private sector. County mental health programs prioritize people with severe mental illness that impairs their functioning and that puts them at risk of hospitalization. However, Michigan’s system also includes contracted providers that serve people with a wide range of mental health needs. If you don’t have insurance, you can call providers in your public network to see if you qualify for services and what payment plans are available. If you’re not finding what you need through the public mental health system in Michigan, you can search for free or low-cost local counselors on or try affordable online counseling at BetterHelp .

    Read Also: Nursing Homes In Huntsville Al That Take Medicaid

    Will Medicare Pay My Medical Expenses If I Get Injured In A Car Accident

    Yes, they well. However you will have to prove you currently have no other health coverage available to you. Under the new No-Fault reforms, Medicare will pay for medical bills that are related to the accident. Do note, however, that Medicare is entitled to a lien or reimbursement from any claim you may have against the negligent driver.

    Michigan Medicaid Coverage For Addiction And Mental Health Treatment

    Quick hit: Anti

    Michigan Medicaid is only available to low-income residents who also meet other requirements.

    Some eligibility requirements for Michigan Medicaid include:

    • children up to age 19
    • young adults under age 21
    • undergoing an asset test
    • having a physical or mental disability
    • not qualifying for any other medical assistance programs

    Medicaid in Michigan operates under both fee-for-service and managed care plans. Fee-for-service members receive health care by presenting their Medicaid card and paying a certain fee.

    Managed care plans for Michigan Medicaid are facilitated by commercial insurance carriers.

    Michigan Medicaid recipients can choose from the following managed care plans:

    • Aetna Better Health of Michigan
    • Blue Cross Complete of Michigan
    • Harbor Health Plan
    • Upper Peninsula Health Plan

    Recommended Reading: Phone Number For California Medicaid

    Health Care Behavioral Health Care Mental Health Services And More

    MI Health Link is a health plan that launched on March 15, 2015 and is available to many of you in our area. MI Health Link will allow you to use one card to get health care, behavioral health care, home and community-based services, nursing home care and medications all through one health plan. Nearly 8,000 people in the Southwest Region have already been enrolled in this plan. You will have your choice of doctors and other providers within your health plans network who will work together to give you the care you want and need.

    If you choose to join the MI Health Link health plan, you will have your own Care Coordinator who will help link you to your doctors, pharmacies, behavioral health care and long term care supports and services through your health plan. The Care Coordinator will also help make sure that all your doctors and other providers work together to meet your needs and honor your choices. This person will assist with your care plan, answer your questions, help get appointments and services, arrange transportation, and more.

    About The Current State Of Medicaid & Mental Health Services

    If you have Medicaid, know that you have access to an array of mental health services you need for yourself and your children. In fact, Medicaid is the largest national single-payer for mental health services in the United States, so rest assured. After all, many others who use Medicaid have found mental health services that are covered, which means you can too its all about knowing where to look.

    Theres even more good news: Thanks to the Affordable Care Act, Medicaid is currently expanding its role in the reimbursement of substance use disorder services and behavioral health disorder services to provide more help to more Americans. Congress enacted these laws to improve mental health and substance use disorder services for those with Medicaid, making it easier for you to find a mental healthcare provider without having to pay out of pocket.

    The most recent law, the Mental Health Parity and Addiction Equity Act extended coverage for mental health services to millions of Medicaid beneficiaries who participate in Managed Care Organizations, State alternative benefit plans, and Medicaid for children .

    Medicaid has greatly expanded its mental health service coverage, which is good news for those seeking therapy, rehabilitation, or other assistance. This coverage has been updated to reflect the current key mental health priority access across the nation for the next several years including:

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    How Can You Find Out More About Local Programs In Michigan

    Most PIHPs and CMHSPs operate crisis lines that you can call to request or learn more about local mental health services. The people who answer crisis lines can guide you through mental health crises, inform you about local services, make referrals, and sometimes even help you set up appointments. Which crisis or access line you should call depends on your county of residence. Most crisis lines also serve as general information and access lines and can help connect you with local mental health services even when you are not in crisis.

    The following list includes numbers for every PIHP and CMHSP in Michigan, as well as contact information for affiliated providers that offer counseling and other outpatient services for adults. Note that most providers accept clients from across their entire service region. You can call these programs directly to find out if you qualify for their services.

    Michigan Mental Health Services Guide

    Impact of Medicaid expansion coverage on health and work lives of low-income Michigan residents

    Many people don’t realize that publicly-funded mental health services are available in their state. People looking for free or low-cost counseling often think their only options are counselors in private practice and don’t know that publicly-funded providers in their communities may also offer counseling services.

    While state-based programs are not for everyone, they are often a great place to start for people who face geographic or financial barriers to therapy. Intake specialists at community mental health programs can help people learn whether they qualify for state-funded services and can refer people who don’t qualify to other low-cost programs that may be able to meet their needs.

    Also Check: Assisted Living Facilities In Arkansas That Accept Medicaid

    Do I Need To See My Primary Doctor Before Starting Therapy

    Depending on your states Medicaid health insurance plan, you may need to see your primary care physician to get a referral for therapy services. However, this isnt the case for all states, so determining the requirements for coverage for your plan specifically will potentially save you time and you can begin your search for the right therapist as soon as youre ready.

    Find vetted therapists who are in-network with Medicaid

    Learn About Your Available Pip Coverage Options Is You Currently Have Medicare

    Under the old Michigan No-Fault insurance which was adopted in 1973, car accidents were not covered by Medicare. This meant that recipients had to charge their medical expenses that were related to the auto accident to their unlimited lifetime Personal Injury Protection coverage, a requirement for all motor vehicle owners.

    However, new laws that took effect on July 1, 2020 changed this rule. Now, drivers can choose from six different levels of PIP benefits and even opt-out if they prefer to. Provided that certain conditions are met, those covered by Medicare Parts A and B can opt-out of PIP coverage entirely.

    If Medicare covers you, here are a few things you should know about the new No-Fault laws in Michigan.

    Recommended Reading: Dentist In Louisiana That Accept Medicaid For Adults

    Covered Addiction Treatment Services

    Medical Assistance programs in Michigan cover necessary addiction treatment services, including inpatient and outpatient treatment programs.

    General addiction treatment services covered by Michigan Medicaid plans include:

    • counseling
    • support groups
    • continuing care

    Each individual at Key Development Center will receive personalized case management. The rehab center also offers specialized services for women, making parenting and pregnant women a priority for treatment.

    The Key Development Center also offers a series of student involvement services, called Project Success, to encourage continued sobriety and recovery dedication.

    Key Development Center accepts Michigan Medicaid, self-pay options, and provides many scholarship/funding opportunities for individuals with low income.

    Location and contact information:

    2060 Grand River Annex, Suite 600Brighton, Michigan 48114



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