Blue Cross Blue Shield of Michigan Medical and Dental Phasing out of MIChild, Program Transitions to New Plans

By Natasha Robinson, MPCA Program Specialist

The Michigan Department of Community Health (MDCH) is encouraging MIChild providers to work with health plans that will be expanding their MIChild networks and Medicaid plans that are becoming MIChild Health Plans as Blue Cross Blue Shield of Michigan (BCBSM) transitions its coverage out of MIChild. MIChild is the Children’s Health Insurance Program in Michigan designed to provide comprehensive health and dental insurance to children under age 19 for only $10 per month per family. The Michigan Department of Community Health (MDCH) is working to transition the MIChild enrollees currently in BCBSM to other MIChild Health Plans.

In a letter to providers, MDCH said the health plans will reach out to providers with contract details as they develop their coverage networks. Draft MIChild medical rates for October 1, 2013, are substantially higher than current Medicaid rates, MDCH said.

BCBSM will no longer be a plan option for MIChild beneficiaries. There are 38 counties in Michigan where BCBSM is the only MIChild plan option. In another 38 Michigan counties, BCBSM and only one other plan cover MIChild services. In all cases but one, these MIChild Health Plans are also currently contracted Medicaid Health Plans. This transition will begin in July for new and renewing MIChild enrollees. For current BCBSM MIChild enrollees, the transition will begin on October 1, 2013. The new model will streamline and coordinate administration and oversight of the MIChild and Medicaid government programs.

MDCH is also working to transition the current MIChild Dental members who have Blue Dental coverage with Blue Cross Blue Shield of Michigan to Delta Dental, effective October 1, 2013.

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