Monday, April 2, 2012

Michigan's Dual Eligibles plan: Comments due April 4, 2012

Comments on the revised version of Michigan's Proposal for Dual Eligibles (now called Medicare-Medicaid Eligibles), must be received no later than close of business on April 4, 2012.

Comments can be submitted by e-mail to:  or by mail to:

Integrated Care
Medicaid Services Administration
PO Box 30479
Lansing, MI  48909-7979

Review of the proposal for Medicare-Medicaid Eligibles or Dual Elig

Last year Michigan received $1 million from the federal Centers for Medicare and Medicaid Services to devise a plan that would integrate the care of people who are eligible for both Medicare and Medicaid. The purpose of the plan is to save money and improve both physical and mental health care for this population. The plan does not directly affect people who are now covered only by Medicaid, but it will have implications for the entire mental health system because it would shift a large part of the funding to the new system. Other effects are inevitable with the radical changes that are being proposed to parts of the system. The populations covered by both Medicare and Medicaid include people who are elderly, physically disabled, mentally ill, developmentally disabled, and low-income.

Most people with developmental disabilities qualify for Medicaid when they become an adult at age 18. When the parent of a disabled child retires, dies, or becomes disabled, the DD son or daughter becomes eligible for both Medicare and Medicaid.

Briefly, the plan creates Integrated Care Organizations (ICOs) for physical health and long-term care and retains Pre-Paid Inpatient Health Plans (PIHPs) for behavioral health and DD specialty services. The Washtenaw Community Health Organization (WCHO) is currently the PIHP for four counties in southeastern Michigan that passes on funding to local Community Mental Health agencies and provides other administrative services to local CMHs. Under the proposal, there would be fewer PIHPs covering much larger geographic areas of the state.

Resources for understanding and commenting on the Proposal:

Websites and blogs for more information:

DD Advocates of Western Michigan  

DD Advocates of Michigan

Jill Barker
Friends of DD
Ann Arbor, Michigan

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