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Michigan Medicaid
Providers
Providers
Reminder: Michigan Medicaid Reimburses Medicare Part B Co-Insurance
This is
a reminder to pharmacy providers that Michigan Medicaid continues to reimburse the Medicare
Part B co-insurance for Medicare/Medicaid beneficiaries. Pharmacies must bill the Medicare Part
B Carrier before billing Michigan Medicaid's PBM First Health Services Corporation for the Medicare
Part B co-insurance amount(s). If you have questions on billing, contact First Health's Technical
Call Center at 877-624-5204.
Helpful Medicare Part D Phone Numbers and Links
Beneficiaries
Medicare 800-MEDICARE (800-633-4227). TTY users should call 877-486-2048.
Michigan Medicare/Medicaid Assistance Program (MMAP) 800-803-7174 or
http://www.mymmap.org/.
MDCH Beneficiary Helpline 1-800-642-3195. TTY users should call 866-501-5656.
Pharmacies
Medicare's Pharmacy Line 866-835-7595 or http://www.cms.hhs.gov/Pharmacy/.
Facilitated point-of-sale enrollment of a beneficiary eligible, yet not enrolled in a Part D plan
pharmacies can use the 4
step process or contact WellPoint NextRx help desk at 1-800-957-5147.
- Enhanced E1 tip sheet for Pharmacists
- Wellpoint/Anthem Contingency Plan for Medicare Part D
- CMS Pharmacy Reference document for Pharmacists
Michigan Pharmacists Association 517-484-1466 or http://www.michiganpharmacists.org/.
First Health's Technical Call Center (the MDCH Pharmacy Benefit Manager) 877-624-5204.
How to Report TPL/Other Insurance Changes
Pharmacy providers can report TPL/Other insurance changes on behalf of beneficiaries using one
of three methods. Get more information here. Beneficiaries should contact the MDCH Beneficiary Helpline at (800)
642-3195 to report insurance changes.
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