Michigan Medicaid Eligibility and Enrollment

In this article...
  • How do you know if you're eligible for Medicaid in Michigan and what benefits you can receive? Find out how to access Medicaid for medically necessary care.

Michigan Medicaid is a government health care program designed to help people across the state access a wide range of medical resources. The Michigan Department of Human Services manages the state’s Medicaid program and determines eligibility.

Medicaid in Michigan is known as Medical Assistance (MA), but the program provides more than simple health care benefits for low-income people. The Michigan Medical Health Care Program is set up to serve people who are 65 years of age and older; blind, pregnant or disabled; children in foster care; and people under 21 in psychiatric hospitals. 

Michigan Medicaid also provides long-term care for those in nursing homes, adult foster care and assisted living facilities. 

Who Is Eligible for Medicaid in Michigan?

There are a few requirements for applicants to qualify for Medicaid in Michigan. To be eligible for the federal and state health care program, applicants must be a resident of Michigan, a U.S. national citizen, in need of medically necessary treatment and have a financial situation that makes it difficult to afford basic care. 

Additionally, applicants must fall into one of the following categories: 

  • Be blind

  • Be a parent or caregiver to a child 17 years old or younger
  • Have a permanent disability or live with a family member in the household who has a permanent disability

What Is the Income Limit for Medicaid in Michigan?

The Michigan Department of Human Services determines eligibility through the Modified Adjusted Gross Income methodology. Under those guidelines, enrollees between the ages of 19 and 64 are eligible for Michigan Medicaid if their annual income does not exceed $16,000 for a single person or $33,000 for a family of four. 

What Is Michigan Child Health Insurance Program? 

Children in Michigan are eligible for Medicaid or the Children’s Health Insurance Program (CHIP) through the state’s MIChild health care program, which is handled by the Department of Community Health. 

The program is designed to serve low-income, uninsured children from Michigan’s working families. The program is for kids 19 years of age and younger. There is a $10 per family monthly premium fee, regardless of how many children in the household receive services. Beneficiaries receive comprehensive health care benefits, including dental, mental health and vision care in addition to well-check appointments. 

Services for MIChild include: 

  • Ambulance transportation
  • Dental services
  • Doctor visits and well-check appointments
  • Hearing and speech therapy
  • Immunizations
  • Mental health services
  • Physical therapy
  • Prenatal care and support services
  • Surgery
  • Vision care

The income limits are different for enrollees in the MIChild program. Participants must not earn more than $16,971 for a single person and $34,846 for a family of four. 

How Do I Enroll in Medicaid in Michigan?

More than 2.5 million people are enrolled in Michigan Medicaid. If you think you qualify and you need health care, visit the Michigan Medicaid website and apply. Applicants can also call the Michigan Health Care Helpline at (855) 789-5610 and ask questions or get assistance applying for benefits. Beneficiaries can apply for Healthy Kids MIChild coverage online at the Michigan web portal.

Contact Information for Michigan Medicaid

There are several ways to contact the Michigan Medicaid office. The public can dial (517) 241-3740. General correspondence can be sent here: 

Michigan Department of Health and Human Services 

333 S. Grand Avenue

P.O. Box 30195

Lansing, Michigan 48909

If you have concerns about fraud or believe you have information about abuse or neglect of vulnerable people, you can contact Michigan’s fraud hotline at (855) 643-7283.