WebWelcome to the Modivcare Facility web site for Michigan. This site hosts information and forms that medical facilities in MI can use to schedule non-emergency Medicaid transportation for people living in Wayne, Oakland and Macomb counties who are on Medicaid and dually enrolled Medicaid/Children's Special Health Care Services (CSHCS) … Webas it pertains to the Eligibility and Claims of the covered participants of the CSHCS Program via a secured Portal. To obtain a login to the CSHCS Portal, this Enrollment Form must be completed in full and returned to: Indiana State Department of Health Attention: OTC/EDI Department 2 N. Meridian Street, 3K Indianapolis, IN 46204
Michigan UnitedHealthcare Community Plan
WebCSHCS Eligibility Section at 1-317-233-1351 or 1-800-475-1355, Option 2. Contact regarding enrollment. Care Coordination Section at 1-317-233-1351 or 1-800-475-1355, Option 6, or via email at [email protected]. Contact regarding care coordination, referrals or other information. Flu Information WebNew IRPA form: The updated Income Review Payment Agreement form that is reflective of the new Federal 1040 tax form is located in the CSHCS database under the LHD Forms Download link. Anita Wilson . Quality & Program Services Section . Children’s Special Health Care Services Division . Medical Services Administration tt fatality 2022
Login - Indiana
WebRequest for Authorization Form. The fax number is 1-317-233-1342; the telephone number is 1-317-233-1351 or 1-800-475-1355, PA option (Opt. 3) Below is a list of services that … WebFax: 517-335-9491 CSHCS DIVISION . PO BOX 30734 . LANSING MI 48909-8234 • If you have any questions, contact a CSHCS representative at your local health department, or call 1-800-359-3722. SECTION 1 – Client and Household Information (Adult or Minor Client) 1. Enter the name of the client applying for CSHCS services. 2. WebMar 31, 2024 · CSHCS is a state of Michigan program that serves children, and some adults, with special healthcare needs. CSHCS covers more than 2,700 medical diagnoses. CSHCS is not a separate insurance, but it can cover some services not covered by Meridian if the service is related to the condition for which you/your child are/is enrolled. phoenix blazing pixelmon server