Michigan MedicaidUpdated April 9, 2021 Medicaid
The Michigan Medicaid Health Care Program is intended to provide medical and health-related assistance to low-income individuals and families who have no medical insurance or have inadequate medical insurance.
|Program Name||Michigan Medicaid|
|Appeal a Denial||Medicaid Fair Hearings|
|Find a Local Office||County Directory|
To be eligible for Michigan Medicaid, you must be a resident of the state of Michigan, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:*
- Be responsible for a child 17 years of age or younger
- Have a disability or a family member in your household with a disability
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
|Household Size*||Maximum Income Level (Per Year)|
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
|Ambulance||Medicine prescribed by a doctor|
|Chiropractic||Mental health services|
|Dental||Non-emergency medical transportation|
|Doctor visits||Nursing home care|
|Emergency services||Personal care services|
|Family planning||Physical and occupational therapy|
|Hearing and speech services||Podiatry (foot care)|
|Home health care||Pregnancy care|
|Hospice care||Private duty nursing|
|Immunizations (shots)||Substance use treatment services|
|Inpatient and outpatient hospital care||Surgery|
The copayment requirements apply to most Michigan Medicaid Fee-for-Service (FFS) beneficiaries age 21 and older. Exceptions to some copayment requirements may apply.
|Physician Office Visit||$2|
|Outpatient Hospital Visit||$2|
|Emergency Room Visit for Non-Emergency||$3|
|Inpatient Hospital Stay||$50|
|Pharmacy||$1 preferred drug|
$3 non-preferred drug
|Hearing Aid||$3 per aid|
|Urgent Care Center Visit||$2|
Services excluded from the copayment requirement are:
- Pregnancy-related services
- Family planning-related services
- Some preventive care services
- Some mental health specialty services
- Services provided by a Federally Qualified Health Center or Rural Health Clinic
There are no copayment requirements for the Maternity Outpatient Medical Services (MOMS), MIChild, and Children’s Special Health Care Services (CSHCS) programs.