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Michigan Department of Community Health Medicaid program

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 Magellan Medicaid Administration, Inc. for the Medicare Part B co-insurance amount(s). If you have questions on billing, contact Magellan Medicaid Administration, Inc.'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 www.mmapinc.org/.
MDCH Beneficiary Helpline 1-800-642-3195. TTY users should call 866-501-5656.

Pharmacies
Medicare's Pharmacy Line 866-835-7595 or www.cms.hhs.gov/Pharmacy/.
Low Income NET (LI NET): for Point-of-sale facilitated enrollment in a Part D plan for Medicare/Medicaid dual eligibles, pharmacies can use the new 4 step process, contact the LI NET Helpdesk at Humana 800-783-1307 or download the LI NET payer sheet and other resources at www.humana.com/provider/pharmacists/pharmacy-services/linet-information
Michigan Pharmacists Association 517-484-1466 or www.michiganpharmacists.org/.
Magellan Medicaid Administration, Inc.'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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