UPHP Membership: May 2018
UPHP Programs Update
Healthy Michigan Plan and Medicaid Work Requirements
As of April 2018, the Healthy Michigan Plan (HMP) had 689,724 enrollees or about 11% of the state population age 19 to 64. HMP enrollment in the Upper Peninsula is at 16,043. UPHP continues to make outreach calls to members (specifically HMP members) encouraging them to complete their Health Risk Assessment in the first 60 days of enrolling with their Primary Care Provider.
Senate Bill 897 would require able-bodied Medicaid recipients to work 29 hours per week. The bill does contain exemptions including those who are under age 18, older than 65, pregnant, have a disability, certain caregivers of dependents with disabilities, full-time students, medically frail or foster care youth age 20 or younger. The bill heads next to the House, where lawmakers in that chamber will debate it. It’s been referred to the House Appropriations Committee.
The bill would need to be approved by the full House and signed by Gov. Rick Snyder to become law.
The program would largely impact enrollees in HMP, which insures Michigan residents age 19 to 64 with an income below 133% of the federal poverty line, or about $16,000 for a single person or $21,600 for a two-person household (Gongwer, 2018).
Pregnancy Benefit Member Notification – Dental Services
Effective July 1, 2018, members who are or become pregnant are able to access dental services during their pregnancy and postpartum period directly through their Medicaid Health Plan. Pregnant members will be able to see dentists that are contracted as part the UPHP provider network. Members may also receive transportation to and from scheduled dental appointments.
To receive dental services the member must:
- Notify UPHP of the pregnancy and due date by calling the customer service number at
Members should also notify their caseworker of their pregnancy and due date.
Region 1 Perinatal Care System Collaborative Update
Upper Peninsula Perinatal Collaborative was formed in July of 2017 to support the Michigan Department of Health and Human Services’ (MDHHS) Regional Perinatal Care System goal of ensuring mothers and babies are healthy and thriving across in our region. A motivated and diverse group of stakeholders from across the region, representing Community Mental Health agencies, Federally Qualified Health Centers, Early Childhood Education and Early/Head Start Program agencies, the Michigan Public Health Institute, Tribal Health and Human Services, Health Departments, Planned Parenthood, Upper Peninsula Health Plan, Upper Peninsula Health Care Solutions and its network of member hospitals and hospital-affiliated clinics, are active participants of the Collaborative.
The Region 1 Collaborative is pleased to join the existing Regional Perinatal Care System Initiatives across the state, and support the shared goal of improving birth outcomes for mothers and babies, including the elimination of health disparities across its 15-county region. Neonatal Abstinence Syndrome (NAS) and maternal opioid use have emerged as key priority areas for our region, as the Upper Peninsula has the highest incidence of NAS in Michigan. The planning phase of the Regional Perinatal Collaborative, supported by funding from the MDHHS began in late 2017 and focuses on building a locally linked, coordinated network to support the highest standards of health for mothers and their babies in the UP.
2017-18 project activities include:
- Convening the UP Regional Perinatal Collaborative regularly and recruiting people, who represent organizations germane to our goals, to add to our roster of over 80 members.
- Researching, funding and promulgating workforce development opportunities that are pertinent to NAS and perinatal care for collaborative members.
- Through a partnership with the Michigan Public Health Institute, complete a multi-faceted cross-system needs, resources and opportunities NAS assessment for Marquette County.
Compilation, distribution and maintenance of resource directories targeted at mothers and families, health care providers, and service agencies in the Upper Peninsula.
Focusing on Social Determinants of Health and Building Our Resource Knowledge Base
Upper Peninsula Health Plan and Upper Peninsula Health Care Solutions worked together to coordinate an educational session with Community Action Alger – Marquette (CAAM) on Monday, April 23rd at UPHP. Corey Holcomb, Interim Director of CAAM provided UPHP and UPHCS staff with an overview of the nutrition, education, and housing services and supports CAAM offers to community residents. Research supports the increasingly apparent relationship between “upstream factors” (i.e. social determinants, such as income, education, occupation) and health status. Assisting UPHP members, UP residents, providers, and care teams in navigating social determinants of health (SDOH) supports will continue to be important in supporting quality healthcare delivery across our region.
Connected Communities for Health (CC4H) is Upper Peninsula Health Plan’s care initiative that aims to address its member’s social determinants of health in collaborating with community, state, faith based, and other non-traditional health care network partners to fulfil basic resource needs. UPHP Customer Service, Transportation and Clinical Departments also work with members on a daily basis, not only assisting members with their complex medical needs, but also resolving any social need(s) they may have. See more information about CAAM’s program offerings in Marquette and Alger Counties, prepared by Renee Anderton, Community Health Worker, CAAM program.
Are there other agencies serving UPHP members/UP residents that you would like to learn more about? Please contact Renee (firstname.lastname@example.org), and we may coordinate additional 1-hour education sessions in the near future.