Medicaid Information
Serving our members has always been our top priority. And, we will continue to make your health the focus of our business because your health always comes first. As a member of CareSource, you will still be able to get all medically-necessary Medicaid-covered services as well as the Additional Services that CareSource offers.
We know that your health care options can be confusing. That's why we are here to answer your questions. We are always ready to help you get the care you need to stay healthy.
Announcements
2010
MDCH Changes to Carved Out Drugs for Medicaid Members Effective April 1, 2010
The State of Michigan Department of Community Health (MDCH) is making changes to coverage of certain medications for Medicaid Members. Starting April 1, 2010, Medicaid will pay for some of your medicines instead of CareSource. Your pharmacy knows what medicines Medicaid will pay for and what medicines CareSource will pay for. These medications include:
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Antidepressants
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Antianxiety
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Sedatives/hypnotics
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MAO inhibitors
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Anticonvulsants
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ADHD drugs
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When you go to your pharmacy to get more medicine, you will need to show both your green mihealth card and your CareSource Member ID card.
Prior to April 1, 2010, CareSource members do not have a co-pay for medications. Starting April 1, 2010, the State of Michigan requires a co-pay for Medicaid beneficiaries over 21 years of age. State of Michigan co-pays under Fee for Service are:
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$1.00 for generic medications
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$3.00 for brand name medications
Your pharmacy can tell you if your medicine is a generic or a brand medicine.
Your pharmacy can tell you how much your co-pay will be. You can call the First Health Beneficiary Help Line toll-free at 1-877-681-7540 to ask about co-pays.
Some medicines on the list may need to be approved by Medicaid. They will need to be approved before your pharmacy can give you the medicine. If your medicine needs to get approved by Medicaid, your doctor will get the approval.
If you have questions, you can:
- Call CareSource Member Services at 1-800-390-7102 (TTY: 1-800-750-0750 or 711)
- Call First Health Services Beneficiary Help Line toll-free at 1-877-681-7540
- Call the Medicaid Beneficiary Help Line toll-free at 1-800-642-3195, or
- Ask your pharmacy
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