On January 1, 2026, Michigan replaced the MI Health Link dual-eligible demonstration with MI Coordinated Health (MICH). MICH is a Highly-Integrated Dual Eligible Special Needs Plan (HIDE SNP) under the federal Dual Eligible Special Needs Plan (D-SNP) framework. It combines Medicare, most Medicaid benefits, and long-term services and supports into one plan, with one health insurance card, and everyone in the plan has a care coordinator.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
If you are a Michigan resident age 21 or older enrolled in both Medicare and Medicaid, MICH lets you run both programs through one plan instead of two. This guide explains who qualifies, which counties are covered in 2026, which plans are contracted, what it costs, and how to enroll.
What Is MI Coordinated Health?
MI Coordinated Health (MICH) integrates Medicare Parts A, B, and D with most Michigan Medicaid benefits, including long-term services and supports, into a single plan operated by one of nine contracted health plans. Members need only one health insurance card, and everyone in the plan has a care coordinator.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
MICH is a Highly-Integrated Dual Eligible Special Needs Plan (HIDE SNP), a higher-integration form of D-SNP that also takes on Medicaid long-term services and supports. The Centers for Medicare & Medicaid Services (CMS) authorized this transition under the federal rule (CMS 4192-F) that lets state Medicare-Medicaid Plans like MI Health Link convert into integrated D-SNPs.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
What Happened to MI Health Link
MI Health Link, Michigan's Medicare-Medicaid Plan (MMP) demonstration, ended December 31, 2025. MDHHS said current MI Health Link enrollees had the option of moving into MI Coordinated Health with no break in coverage.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
MICH is not a simple rebrand. It is a structurally different program, built under the federal D-SNP framework rather than the older demonstration framework. What MICH carries: integrated Medicare and Medicaid coverage, no co-pays or deductibles for in-network services except in some instances for Part D drugs, a care coordinator for every member, and one health insurance card. What is new: seven-year contracts with three one-year optional extensions, a phased county footprint starting with 10 named counties plus most of the Upper Peninsula and expanding statewide in 2027, and a new set of contracted plans.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
Who Qualifies for MICH
MDHHS says MICH is for Michigan residents who:Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
- Are age 21 or older.
- Are enrolled in both Medicare and Michigan Medicaid.
- Do not live in a state-operated veteran's home.
- Are not currently enrolled in hospice care.
- Live in a MICH-available county in 2026 (listed below).
MDHHS states the Medicare-and-Medicaid criterion without naming a Medicaid benefit level, so if your only Medicaid help is a Medicare Savings Program, ask MDHHS whether that qualifies you before you plan around MICH. Separately, under the federal Integrated Care Special Enrollment Period, effective January 1, 2025, full-benefit dually eligible individuals may elect an integrated D-SNP in any month.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
Which Counties Are Covered in 2026
For 2026, MICH is available in 10 named counties plus most of the Upper Peninsula, with statewide expansion planned for 2027.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
Named counties: Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren, and Wayne.
Upper Peninsula: any Upper Peninsula county except Chippewa, Gogebic, and Menominee.
If you live outside these areas, MICH is not available to you in 2026.
The Nine Contracted Plans
MDHHS awarded seven-year MICH contracts, with three one-year optional extensions, to nine health plans:Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
- Aetna Better Health of Michigan
- AmeriHealth Michigan
- HAP CareSource
- Humana Medical Plan of Michigan
- Meridian Health Plan of Michigan (Wellcare-Meridian)
- Molina Healthcare of Michigan
- Priority Health Choice
- UnitedHealthcare Community Plan
- Upper Peninsula Health Plan
Not every plan serves every region. MDHHS lists the 2026 plans by service region:Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
- Region 1: Upper Peninsula Health Plan (not available in Chippewa, Gogebic, or Menominee counties in 2026).
- Region 8: Aetna, Molina (not available in St. Joseph County in 2026), Priority, UnitedHealthcare, and Wellcare-Meridian.
- Region 10: Aetna, AmeriHealth, HAP CareSource, Humana, Molina, Priority, UnitedHealthcare, and Wellcare-Meridian.
- Region 12: Aetna, AmeriHealth, HAP CareSource, Humana, Molina, Priority, UnitedHealthcare, and Wellcare-Meridian.
MDHHS publishes these regions on a coverage map rather than as a county-by-county list, so it does not say in print which of the 10 named counties falls in which region. Confirm which plans serve your specific county with MDHHS or with the plans themselves before you enroll. MICHIGAN ENROLLS, Michigan's Medicaid managed-care enrollment line (1-888-367-6557), can also answer general questions about Medicaid benefits and tell you which doctors, pharmacies, and hospitals are part of each health plan.State of Michigan. (n.d.). MDHHS — Hotlines (statewide MDHHS phone directory). michigan.gov. Retrieved Aug 1, 2026, from https://www.michigan.gov/mdhhs/inside-mdhhs/hotlines
What MICH Covers
MICH covers all Medicare benefits and most Medicaid benefits, including long-term services and supports, in one plan.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
Medicare Benefits (Parts A, B, and D)
- Hospital inpatient and outpatient care
- Doctor visits and specialist care
- Lab and X-ray
- Skilled nursing facility care (post-acute)
- Medicare home health
- Durable medical equipment
- All Part D prescription drugs
Michigan Medicaid Benefits
MICH covers most Michigan Medicaid benefits, including long-term services and supports.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps Michigan Medicaid itself covers medically necessary services including nursing home care, home health care, personal care services, dental, vision, hearing and speech services, non-emergency medical transportation, and medicine prescribed by a doctor. MDHHS cautions that some of these services are limited, may not be covered for beneficiaries age 21 and older, and may require prior approval.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits
Care Coordination
Everyone in the MICH plan has a care coordinator.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
Individual MICH plans may offer benefits beyond the MICH package. Those vary plan to plan, so compare each plan's own materials before you enroll.
What MICH Does Not Cover (Carve-Outs)
MICH covers all Medicare and most Medicaid benefits but excludes certain behavioral health services and some community transition services, which continue through Michigan's existing systems.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
- Specialty behavioral health and substance use disorder services are managed under MDHHS contracts with regional Prepaid Inpatient Health Plans (PIHPs), which manage the network of behavioral health providers including Community Mental Health Service Providers.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits If you use those services, ask your MICH plan how it works with your PIHP.
- Some community transition services sit outside MICH as well.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps Separately, home and community-based long-term care for adults who need a nursing-facility level of care is delivered through the MI Choice Waiver Program.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits MDHHS's published MICH materials do not spell out how MI Choice and MICH fit together, so ask your MICH plan and MDHHS before you enroll if you receive MI Choice services.
What MICH Costs
For most members, MICH has no co-pays or deductibles for in-network services. The specifics:Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
- No co-pays or deductibles for in-network services, except in some instances for Medicare Part D drugs.
- Part D prescription drug costs follow Extra Help (the Medicare Part D Low-Income Subsidy, or LIS) rules. The former partial-subsidy tier was eliminated effective January 1, 2024, so everyone who qualifies now receives the full subsidy, which in 2026 caps covered-drug copays at $5.10 per generic and $12.65 per brand-name drug.U.S. Social Security Administration. (n.d.). SSA POMS HI 03030.025 - Resource Limits for Subsidy Eligibility. secure.ssa.gov. Retrieved Jun 22, 2026, from https://secure.ssa.gov/poms.nsf/lnx/0603030025
- PEME and PPA still apply. Members who have Pre-Eligibility Medical Expenses (PEME) or a Patient Pay Amount (PPA) are still required to pay those expenses when enrolled in MICH.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
If you enter a nursing facility on Medicaid, Michigan's standard post-eligibility patient-pay rules apply: you contribute your income toward the cost of care above a protected personal allowance, which in 2026 is $60 per month for a resident expected to be in long-term care for the full month ($90 per month for a veteran receiving an Improved Pension).Office of the Law Revision Counsel, U.S. House of Representatives. (n.d.). 42 U.S.C. 1396r-5 (Social Security Act sec. 1924, spousal impoverishment), U.S. Code prelim, Office of the Law Revision Counsel — the CSRA is the GREATEST of four alternatives; the dollar cap binds only clauses (i) and (ii)(II); the (e)(2) hearing and (f)(3) court-order routes carry no dollar amount. uscode.house.gov. Retrieved Aug 4, 2026, from https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396r-5&num=0&edition=prelim
Eligible for MICH and trying to pick a plan? Chat with Brevy and we will walk you through the comparison: which plans serve your county, which of your doctors are in-network, and which extra benefits matter most for your situation.
How Enrollment Works
Under the federal Integrated Care Special Enrollment Period, effective January 1, 2025, full-benefit dually eligible individuals may elect an integrated D-SNP in any month. The process:Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
Confirm your eligibility
MDHHS's criteria are age 21 or older, enrolled in both Medicare and Michigan Medicaid, not living in a state-operated veteran's home, not currently in hospice care, and living in a covered county.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
Compare plans
MICHIGAN ENROLLS, Michigan's Medicaid managed-care enrollment line, answers general questions about Medicaid benefits and can tell you which doctors, pharmacies, and hospitals are part of each health plan. Call 1-888-367-6557.State of Michigan. (n.d.). MDHHS — Hotlines (statewide MDHHS phone directory). michigan.gov. Retrieved Aug 1, 2026, from https://www.michigan.gov/mdhhs/inside-mdhhs/hotlines
Or get free Medicare counseling
Michigan's State Health Insurance Assistance Program (SHIP), run by MDHHS's Aging, Community Living and Supports Bureau, is the state's free, unbiased resource for navigating Medicare. Its local certified counselors give personal assistance at no charge and do not sell Medicare plans. Call 1-800-803-7174.State of Michigan. (n.d.). MDHHS — Hotlines (statewide MDHHS phone directory). michigan.gov. Retrieved Aug 1, 2026, from https://www.michigan.gov/mdhhs/inside-mdhhs/hotlines
Enroll with the plan
Once you choose a plan that serves your county, contact that plan or MDHHS to enroll and ask when your coverage would start.
Change plans if it does not work
The federal Integrated Care Special Enrollment Period lets full-benefit dually eligible individuals elect an integrated D-SNP in any month.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
MI Coordinated Health vs. Other D-SNPs
A Dual Eligible Special Needs Plan (D-SNP) is a Medicare plan built for people who have both Medicare and Medicaid. MI Coordinated Health is a HIDE SNP, the higher-integration variety of D-SNP that also takes on Medicaid long-term services and supports.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
| Feature | MICH (HIDE SNP) | Other D-SNPs |
|---|---|---|
| Medicare benefits | All Medicare benefits | Varies by plan |
| Medicaid long-term services and supports | Included in the plan | Varies by plan |
| Care coordinator | Every member has one | Varies by plan |
| Health insurance card | One card | Varies by plan |
| In-network co-pays and deductibles | None, except in some instances for Part D drugs | Varies by plan |
The MICH column is what MDHHS publishes for the program.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps Other D-SNPs set their own benefit packages, so compare each plan's own Summary of Benefits. One change is already scheduled federally: certain integrated D-SNPs must issue a single integrated member ID card serving both the Medicare and Medicaid plans, beginning no later than contract year 2027.U.S. Government Publishing Office. (n.d.). 42 CFR 422.2267 - Required materials and content (member ID card). ecfr.gov. Retrieved Aug 22, 2026, from https://www.ecfr.gov/current/title-42/chapter-IV/subchapter-B/part-422/subpart-V/section-422.2267
For most people in a MICH-available county, MICH means one plan and one care coordinator spanning both programs.
Common Misconceptions
"I have to enroll in MICH because my MI Health Link is ending." MDHHS said current MI Health Link enrollees had the option of moving into MICH with no break in coverage, and the federal Integrated Care Special Enrollment Period lets full-benefit dually eligible individuals elect an integrated D-SNP in any month.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps Ask MDHHS or your plan what coverage you are in now before you assume.
"MICH covers all my behavioral health." Not all of it. MICH excludes certain behavioral health services,Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps and Michigan's specialty behavioral health and substance use disorder services are managed by the regional PIHP under contract with MDHHS.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits
"MI Choice and MICH are the same." They are not. MI Choice is Michigan's Medicaid waiver delivering home and community-based long-term care to adults who need a nursing-facility level of care.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits MICH is a HIDE SNP that integrates Medicare and Medicaid coverage.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
"MICH is only for seniors." MDHHS's criterion is age 21 or older, not 65 or older.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
"I have to switch doctors if I enroll in MICH." Only if your current doctors are not in your MICH plan's network. Check each plan's provider directory before enrolling; MICHIGAN ENROLLS can also tell you which doctors, pharmacies, and hospitals are part of each health plan.State of Michigan. (n.d.). MDHHS — Hotlines (statewide MDHHS phone directory). michigan.gov. Retrieved Aug 1, 2026, from https://www.michigan.gov/mdhhs/inside-mdhhs/hotlines
Where to Get Free Help
Michigan lists two free phone resources that can help you sort out your coverage:State of Michigan. (n.d.). MDHHS — Hotlines (statewide MDHHS phone directory). michigan.gov. Retrieved Aug 1, 2026, from https://www.michigan.gov/mdhhs/inside-mdhhs/hotlines
Frequently Asked Questions
Who qualifies for MI Coordinated Health (MICH)?
MDHHS says MICH is for Michigan residents age 21 or older who are enrolled in both Medicare and Medicaid, do not live in a state-operated veteran's home, are not currently enrolled in hospice care, and live in a MICH-available county.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
What counties have MICH in 2026?
In 2026, MICH is available in Barry, Berrien, Branch, Calhoun, Cass, Kalamazoo, Macomb, St. Joseph, Van Buren, and Wayne counties, plus any Upper Peninsula county except Chippewa, Gogebic, and Menominee.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps Statewide expansion is planned for 2027. Confirm the plan options in your county with MDHHS or with the plans directly before you enroll; MICHIGAN ENROLLS, Michigan's Medicaid managed-care enrollment line, can be reached at 1-888-367-6557 for general Medicaid benefit questions.State of Michigan. (n.d.). MDHHS — Hotlines (statewide MDHHS phone directory). michigan.gov. Retrieved Aug 1, 2026, from https://www.michigan.gov/mdhhs/inside-mdhhs/hotlines
What happened to MI Health Link?
MI Health Link, Michigan's Medicare-Medicaid Plan demonstration, ended December 31, 2025, and MDHHS said current enrollees had the option of moving into MI Coordinated Health with no break in coverage.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps MICH is structurally different, a HIDE SNP under the D-SNP framework rather than a demonstration, and it carries integrated Medicare and Medicaid coverage, a care coordinator for every member, and no in-network co-pays or deductibles except in some instances for Part D drugs.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
What does MICH cost?
For most members, MICH has no co-pays or deductibles for in-network services, except in some instances for Medicare Part D drugs.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps Part D drug costs follow Extra Help rules; everyone who qualifies for Extra Help now receives the full subsidy.U.S. Social Security Administration. (n.d.). SSA POMS HI 03030.025 - Resource Limits for Subsidy Eligibility. secure.ssa.gov. Retrieved Jun 22, 2026, from https://secure.ssa.gov/poms.nsf/lnx/0603030025 Members with Pre-Eligibility Medical Expenses or a Patient Pay Amount still owe those expenses.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps If you enter a nursing facility on Medicaid and are expected to be there the full month, you keep a personal allowance of $60 per month and contribute the rest of your income toward care.Office of the Law Revision Counsel, U.S. House of Representatives. (n.d.). 42 U.S.C. 1396r-5 (Social Security Act sec. 1924, spousal impoverishment), U.S. Code prelim, Office of the Law Revision Counsel — the CSRA is the GREATEST of four alternatives; the dollar cap binds only clauses (i) and (ii)(II); the (e)(2) hearing and (f)(3) court-order routes carry no dollar amount. uscode.house.gov. Retrieved Aug 4, 2026, from https://uscode.house.gov/view.xhtml?req=granuleid:USC-prelim-title42-section1396r-5&num=0&edition=prelim
How do MICH and MI Choice relate?
They are different programs. MICH integrates Medicare with most Michigan Medicaid benefits, including long-term services and supports.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps MI Choice is Michigan's Medicaid waiver delivering home and community-based long-term care to adults who need a nursing-facility level of care.Centers for Medicare & Medicaid Services. (n.d.). Medicaid.gov - Mandatory & Optional Medicaid Benefits (federal state-plan benefit taxonomy). medicaid.gov. Retrieved Sep 4, 2026, from https://www.medicaid.gov/medicaid/benefits/mandatory-optional-medicaid-benefits MDHHS's published MICH materials do not spell out how the two fit together, so if you receive MI Choice services, ask your MICH plan and MDHHS before you enroll.
How do I enroll in MICH?
Pick a MICH plan available in your county and enroll with that plan. For help comparing coverage, MICHIGAN ENROLLS, Michigan's Medicaid managed-care enrollment line, can tell you which doctors, pharmacies, and hospitals are part of each Health Plan at 1-888-367-6557, and Michigan's State Health Insurance Assistance Program (SHIP) offers free, unbiased help navigating Medicare at 1-800-803-7174.State of Michigan. (n.d.). MDHHS — Hotlines (statewide MDHHS phone directory). michigan.gov. Retrieved Aug 1, 2026, from https://www.michigan.gov/mdhhs/inside-mdhhs/hotlines Under the federal Integrated Care Special Enrollment Period, full-benefit dually eligible individuals may elect an integrated D-SNP in any month.Centers for Medicare & Medicaid Services. (n.d.). CMS — D-SNPs: Integration & Unified Appeals & Grievance Requirements. cms.gov. Retrieved Sep 4, 2026, from https://www.cms.gov/medicare/medicaid-coordination/about/dsnps
Related Terms
- Managed Care Organization (MCO): MICH plans are a specialized form of MCO.
- HCBS waiver: MI Choice is an HCBS waiver that coordinates alongside MICH.
- Nursing Facility Level of Care (NFLOC): required for long-term services and supports, including MI Choice.
Learn More
Find personalized help comparing MI Coordinated Health plans at brevy.com.
The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.