Updates About Agency Policy Updates

The Michigan Department of Health and Human Services (MDHHS) announced that they will be hosting the Medicaid Health Plan Common Formulary over Zoom on Tuesday, Oct. 27, from 9:30 a.m. to noon. The purpose of the meeting will be to discuss the list of prescription drugs covered under Michigan Medicaid health plans.

During the meeting, the public community partners, and other interested parties will have an opportunity to provide comments on the prescription drug list. The common formulary was created in 2016 to streamline prescription drug coverage policies and ensure consistent coverage across contracted Medicaid health plans.

To view the full press release and how to RSVP for the Zoom call, click here.

As a reminder, starting on October 1 only legal permanent residents, Cuban and Haitian entrants, and Compacts of Free Association (COFA) migrants will be able to receive full Medicaid coverage. Certain individuals will still need to meet the five-year waiting period for full coverage. Anyone who falls under a different immigration status will qualify for emergency services only (ESO). These changes will put Michigan in compliance with Section 71109 of H.R. 1, commonly referred to as “The One Big Beautiful Bill Act”.

Due to Michigan providing coverage under section 214 of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIRPA), pregnant individuals and children under the age of 21 who are legal residents will not have their coverage affected by H.R. 1.

The Michigan Department of Health and Human Services Michigan Medicaid Policy bulletin detailing the changes can be viewed here.

The Michigan Department of Health and Human Services recently sent out a Michigan Medicaid Policy bulletin reminding Medicaid providers of the upcoming policy changes. In compliance with Section 71109 of H.R. 1, commonly referred to as “The One Big Beautiful Bill Act”, beginning October 1 only legal permanent residents, Cuban and Haitian entrants, and Compacts of Free Association (COFA) migrants will be able to receive full Medicaid coverage. Certain individuals will still need to meet the five-year waiting period for full coverage. Anyone who falls under a different immigration status will qualify for emergency services only (ESO).

Due to Michigan providing coverage under section 214 of the Children’s Health Insurance Program Reauthorization Act of 2009 (CHIRPA), pregnant individuals and children under the age of 21 who are legal residents will not have their coverage affected by H.R. 1.