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The Michigan Department of Health and Human Services is replacing MI Health Link with MI Coordinated Health (MICH), a special needs plan model for dual-eligible members that launched in limited regions on January 1, 2026, and expands to the entire state on January 1, 2027. MDHHS releases updated coverage-region and participating-plan information each calendar year during this rollout, and a practice with dual-eligible patients needs to check the current regional status rather than assume statewide coverage exists yet.
Corewell Health formed from the merger of Beaumont Health and Spectrum Health, creating one of Michigan's two largest systems alongside Henry Ford Health. Referral relationships, contract terms, and even patient record systems that existed separately under Beaumont and Spectrum now route through a single combined organization, and a workflow still built around the pre-merger structure needs updating.
Michigan House Republicans introduced a four-bill package in 2026 to create a hospital cost review board with regulatory authority over nonprofit hospital pricing, acquisitions, and mergers, including a proposed cap tying allowable price increases to the rate of inflation. The legislation hadn't passed as of this writing, but it signals the direction of state-level scrutiny on hospital pricing practices that a billing team should track.
National Government Services administers Part A and Part B Medicare claims for Michigan under Jurisdiction 8, shared only with Indiana. Home health and hospice claims, however, route through Jurisdiction 6 instead, a separate NGS jurisdiction covering a much larger group of states. A billing team submitting the wrong claim type to the wrong jurisdiction's portal creates avoidable rejections.
Claims submission built around Michigan's current MI Coordinated Health rollout region, not a statewide assumption.
Learn MoreFull-cycle RCM that routes Part A/B and home health claims to the correct NGS jurisdiction every time.
Learn MoreProvider enrollment across Blue Cross Blue Shield of Michigan, Priority Health, and the major hospital-affiliated networks your referrals come from.
Learn MoreA free audit that checks specifically for MI Coordinated Health eligibility issues and jurisdiction-routing errors.
Learn MoreFront-desk and administrative support that scales with a growing Michigan practice without new office overhead.
Learn MoreBenchmarks your claims data against current Michigan payer-specific denial patterns, including the post-merger Corewell Health network.
Learn MoreLocal visibility support built for a market shaped by a small number of large, consolidating hospital systems.
Learn More| Michigan Regulation | The Generic Billing Trap | The MD Revenue Group Approach |
|---|---|---|
| MI Coordinated Health | Routing dual-eligible claims through legacy MI Health Link tracks in counties that have transitioned to MICH. | We audit enrollment files and route dual-eligible claims through coordinated special needs plans. |
| Corewell Health Merger | Submitting claims under outdated Spectrum or Beaumont facility provider codes, leading to contracting credential denials. | We map affiliations directly to Corewell's unified database and update contract NPI pathways. |
| Split Medicare MACs | Failing to separate home health and hospice claims (Jurisdiction 6) from standard physician Part A/B claims (Jurisdiction 8). | We segment claim routing portfolios, submitting each service type to its respective NGS MAC clearinghouse. |
| Healthy Michigan Plan | Overlooking income-based cost-sharing limits and redetermination loops for expanded Medicaid patients. | We monitor Healthy Michigan Plan redetermination dates and verify incentives to prevent lapses. |
We check your last 90 days of claims for MI Health Link transition errors and Medicare Part A/B vs home health split-MAC routing issues.
A written plan targeting the specific leakage points the audit found, not a generic onboarding checklist.
Your existing vendor keeps running while we credential and build claim rules in parallel, proven on real claims first.
Real-time reporting on collections, denials, and A/R velocity, so you see the recovery as it happens, not at quarter-end.
Our local Michigan billing experts identified legacy Spectrum credentialing mismatches and corrected split Medicare MAC jurisdiction submitter parameters.
See What We Can Recover For YouMDHHS is replacing the legacy MI Health Link program with the MI Coordinated Health special needs plan model. Rolled out regionally since January 2026 and expanding statewide in January 2027, practices must verify active regional plans to prevent claims rejections during the dual transition.
The integrated Corewell Health system has consolidated hospital contracts, provider networks, and intake systems. Prior-authorizations and referral registrations must align with Corewell's unified registry, replacing legacy Beaumont or Spectrum IDs.
Michigan Part A and Part B Medicare claims are administered by NGS under Jurisdiction 8. However, home health and hospice claims must be routed through the separate NGS Jurisdiction 6. Submitting claims to the wrong MAC portal causes immediate processing denials.
We check specifically for MI Coordinated Health regional status, Corewell Health system credentialing, and split Medicare MAC jurisdiction rules.
