What is Transitional Medicaid in Michigan

Transitional Medicaid in Michigan is a health insurance program for adults between the ages of 19 and 64 who have low incomes and have certain qualifying conditions, such as a disability or a history of mental illness. The program provides coverage for a range of health care services, including doctor visits, hospital stays, prescription drugs, and mental health services. Transitional Medicaid is designed to help people who are transitioning from one type of health insurance to another, such as from a job-based plan to Medicaid, or from Medicaid to Medicare. It can also provide coverage for people who do not have access to other types of health insurance, such as people with disabilities who are not eligible for Medicare.

Transitional Medicaid in Michigan

Transitional Medicaid is a temporary health insurance program that provides coverage to low-income people who have lost their job-based health insurance. It helps bridge the gap between losing job-based health insurance and being eligible for Medicaid or other health insurance programs. Transitional Medicaid is jointly funded by the state and federal government.

Eligibility

To be eligible, you must:

  • Be a Michigan resident
  • Be under the age of 65
  • Have lost your job-based health insurance within the past 60 days
  • Meet income and asset limits

    Assets

    The asset limit for Transitional Medicaid is higher than the asset limit for regular Medicaid. This means that you can have more savings or investments and still be eligible for Transitional Medicaid.

    The asset limits are as follows:

    • Single: $2,000
    • Couple: $3,000
    • For each additional person: $2,000

      Income

      To be eligible for Transitional Medicaid, your income must be below 138% of the federal poverty level (FPL). The FPL is a measure of poverty that is used by the government to determine eligibility for certain programs. The FPL is adjusted each year based on the cost of living.

      The income limits for Transitional Medicaid are as follows:

      Income Limits for Transitional Medicaid
      Household SizeAnnual Income Limit
      1$18,754
      2$25,101
      3$31,448
      4$37,795
      5$44,142
      6$50,489
      7$56,836
      8$63,183

      Transitional Medicaid in Michigan

      Transitional Medicaid is a Medicaid program that provides health coverage to certain low-income people who lose their Medicaid coverage when their income goes up. It can help you cover the cost of medical care, prescription drugs, and other health-related expenses.

      How to Apply for Transitional Medicaid in Michigan

      To apply for Transitional Medicaid in Michigan, you can do the following:

      • Go to the Michigan Department of Health and Human Services (MDHHS) website or call the MDHHS Medicaid Customer Service line at 1-888-642-3195.
      • Fill out a Medicaid application.
      • Provide proof of your income, assets, and citizenship or immigration status.
      • Submit your application to the MDHHS.

      You can also apply for Transitional Medicaid in person at a MDHHS office.

      Eligibility for Transitional Medicaid in Michigan

      To be eligible for Transitional Medicaid in Michigan, you must meet the following requirements:

      • You must be a Michigan resident.
      • You must be a U.S. citizen or a qualified immigrant.
      • Your income must be below certain limits.
      • You must have lost your Medicaid coverage due to an increase in income.

      The income limits for Transitional Medicaid in Michigan are different for different family sizes. For example, in 2023, the income limit for a family of four is $3,545 per month.

      Benefits of Transitional Medicaid in Michigan

      Transitional Medicaid in Michigan can provide you with a variety of benefits, including:

      • Medical care
      • Prescription drugs
      • Mental health services
      • Substance use disorder treatment
      • Dental care
      • Vision care
      • Hearing aids

      Transitional Medicaid can also help you cover the cost of long-term care services, such as nursing home care and home health care.

      Duration of Transitional Medicaid Coverage

      Transitional Medicaid coverage can last for up to 36 months.

      Income Limits for Transitional Medicaid in Michigan
      Family SizeIncome Limit
      1$2,523
      2$3,364
      3$4,205
      4$5,046
      5$5,887
      6$6,728

      Transitional Medicaid in Michigan

      Transitional Medicaid in Michigan is a temporary health insurance program that provides coverage to individuals who have lost their Medicaid eligibility due to changes in their income or other circumstances.

      This program is designed to help people bridge the gap between losing Medicaid and gaining coverage from another source, such as employer-sponsored insurance or Medicare.

      Benefits Covered Under Transitional Medicaid in Michigan

      • Medical care, including doctor visits, hospital care, and prescription drugs
      • Mental health and substance abuse treatment
      • Vision and dental care
      • Long-term care services and supports

      Eligibility for Transitional Medicaid in Michigan

      To be eligible for Transitional Medicaid in Michigan, you must meet the following criteria:

      • You must be a Michigan resident.
      • You must be under the age of 65.
      • You must have lost your Medicaid eligibility due to changes in your income or other circumstances.
      • You must meet the income and asset limits set by the state.

      How to Apply for Transitional Medicaid in Michigan

      To apply for Transitional Medicaid in Michigan, you can:

      • Apply online through the Michigan Department of Health and Human Services website.
      • Call the Michigan Department of Health and Human Services at 1-800-642-3199.
      • Visit your local Michigan Department of Health and Human Services office.

      Duration of Transitional Medicaid Coverage in Michigan

      Transitional Medicaid coverage in Michigan can last for up to 12 months. In some cases, coverage may be extended for an additional 12 months.

      To maintain your coverage, you must continue to meet the eligibility criteria and pay any premiums or copayments that are required.

      Duration of Transitional Medicaid Coverage in Michigan

      Individuals eligible for Transitional Medicaid in Michigan can receive coverage for up to 12 months after their Medicaid eligibility ends due to increased income or changes in family circumstances.

      To be eligible for Transitional Medicaid, individuals must:

      • Have been enrolled in Medicaid for at least 12 consecutive months.
      • Have income that exceeds the Medicaid eligibility limit but is below 138% of the federal poverty level (FPL).
      • Meet other Medicaid eligibility requirements, such as age, citizenship, and residency.

      The duration of Transitional Medicaid coverage can be extended in certain circumstances, such as:

      • If the individual is pregnant, coverage can be extended up to 60 days after the end of the pregnancy.
      • If the individual is receiving disability benefits, coverage can be extended for the duration of the disability.
      • If the individual is participating in a qualified work program, coverage can be extended for up to 24 months.

      Individuals who are eligible for Transitional Medicaid can receive the following benefits:

      • Medical care, including doctor visits, hospital stays, and prescription drugs.
      • Mental health and substance abuse treatment.
      • Dental care.
      • Vision care.
      • Long-term care services.

      To apply for Transitional Medicaid, individuals can contact their local Medicaid office or visit the Michigan Department of Health and Human Services website.

      Table 1: Duration of Transitional Medicaid Coverage in Michigan
      CircumstanceDuration of Coverage
      Standard Coverage12 months
      PregnancyUp to 60 days after the end of pregnancy
      DisabilityDuration of the disability
      Participation in Qualified Work ProgramUp to 24 months

      And that’s a wrap! We hope this article has enlightened you on the ins and outs of Transitional Medicaid in Michigan, giving you a clearer understanding of who’s eligible, what it covers, and how you can benefit from it. Remember, knowledge is power, and we encourage you to explore more on our website and other reputable sources to stay well-informed. We’re always working to bring you the latest updates and valuable information, so be sure to visit us again soon. Your curiosity and thirst for knowledge are what keep us going, so until next time, keep exploring, keep asking questions, and keep learning!