Michigan Medicaid
Updated 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 |
| Expanded Medicaid | Yes |
| Website | michigan.gov |
| Phone | 800-803-7174 |
| Apply Online | https://newmibridges.michigan.gov/ |
| Appeal a Denial | Medicaid Fair Hearings |
| Find a Local Office | County Directory |
Eligibility Requirements
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:*
- Pregnant
- 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) |
| 1 | $17,131 |
| 2 | $23,169 |
| 3 | $29,207 |
| 4 | $35,245 |
| 5 | $41,284 |
| 6 | $47,322 |
| 7 | $53,360 |
| 8 | $59,398 |
*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 |
| Lab | Vision |
| Medical supplies | X-ray |
Copayments
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 |
| Chiropractic Visit | $1 |
| Dental Visit | $3 |
| Hearing Aid | $3 per aid |
| Podiatric Visit | $2 |
| Vision Visit | $2 |
| 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.
