HAP CareSource Plans

Welcome to HAP CareSource

We have lots of plan choices to help your family stay healthy and well. We offer personalized help, so you’ll better understand your health care benefits. When you join, you have access to more than 10,000 of our doctors. This includes doctors from the Henry Ford, Beaumont, DMC, and Ascension St. John systems. You also have access to other benefits like transportation to appointments, 24-Hour Nurse Advice Line, medications, vision, maternity and care management services.

Medicaid programs through HAP CareSource:

HAP CareSource Medicaid Plan

Our HAP CareSource plan has the health benefits and services to help you get and stay healthy.  It gives you the care you need when you need it. 

It’s hard to predict when you or a family member will need medical care. That’s why HAP CareSource gives you access to a large support system of doctors, specialists, hospitals, and pharmacies. It’s part of our commitment to help you and your family live healthier.

What’s covered

  • Office visits
  • Prescriptions
  • Hospital stays
  • Emergency visits
  • Home health care
  • Preventive care and exams
  • X-rays
  • Asthma and diabetes programs
  • Physical therapy
  • Chiropractic services
  • Lead screening tests for children
  • Immunizations
  • Family planning services
  • Pregnancy and OB/GYN visits
  • Well-baby and well-child visits
  • Health, education and outreach
  • Transportation to and from medical appointments

Visit the Plan Documents page to view the Member Handbook for more covered services.

HAP CareSource Healthy Michigan Plan

Health insurance you can afford

Do you need health insurance, but haven’t been able to afford it? If you have a limited income, you may be eligible for our HAP CareSource Healthy Michigan Plan (HMP). With the Healthy Michigan Plan, you get the coverage you want and the support you need. Plus, we’re local and part of your community. So, when you need us, know that help is here. We’ll help guide you along the way.

Who’s eligible?

You may be eligible for the HMP plan if you are:

  • Between the ages of 19 and 64
  • Not in or qualified for Medicare
  • Not pregnant when applying for the Healthy Michigan Plan
  • Earning up to 133 percent of the Federal Poverty Level
  • A resident of the State of Michigan

What’s covered?

You’ll have coverage for:

  • Visits to your primary care physician, nurse practitioner, outpatient hospital visits, surgical centers and more
  • Dental
  • Vision
  • Hearing
  • Prescription drugs
  • Laboratory and X-ray services
  • Preventive and wellness services and chronic disease management
  • Transportation service to and from your appointments

Visit the Plan Documents page to view the Member Handbook for more covered services.

Enroll in the Healthy Michigan Plan today

HAP CareSource Children’s Special Health Care Services Plan

If your child has a serious chronic medical condition, he or she could be eligible for Children’s Special Health Care Services Plan (CSHCS Plan). This program serves children (and some adults) with special health care needs.

What conditions qualify?

CSHCS covers more than 2,700 diagnoses. Certain criteria must be met. See a full list of diagnoses. All children applications are reviewed by a Michigan Department of Health and Human Services medical consultant.

Is my child eligible?

The child, or a parent of the minor child, or court-appointed guardian must be one of the following:

  • A U.S. citizen
  • A documented noncitizen who has been admitted for permanent residence
  • A noncitizen legally admitted migrant farm worker

In addition:

  • Children must be under the age of 26.
  • Those who are 26 and older with certain conditions may also qualify.
  • Must live in Michigan.
  • Families with any income are eligible (previous terms must be met).
  • There’s a fee to join CSHCS. This fee is waived if the child has Medicaid, MIChild, a court-appointed guardian or lives in a foster home.

How to apply

Ask your child’s specialist to submit a medical record that is less than a year old to MDHHS. This can be in the form of a letter or report that describes the condition and treatment plan. Your specialist will need permission to send the medical information to CSHCS. Here’s the Authorization to Disclose Protected Health Information form.

For questions:

Additional MDHHS Resources:

Family Center

The Family Center for Children and Youth with Special Health Care Needs (Family Center) can help with concerns about your child. This group is made up of support parents who listen to your concerns and share information about resources. Call the CSHCS Family Phone Line at 1-800-359-3722 to learn more.

Children with Special Needs Fund

Children with Special Needs Fund (CSN). The CSN Fund provides family centered support for children in Michigan with special health care needs. They help pay for equipment for the child not covered by insurance, other state or federal programs. This fund may cover part or all costs of equipment such as: adaptive recreational equipment, electric service upgrades, therapeutic tricycles, weighted blankets, wheelchair ramps, and much more. To find out more about how CSN Funds:

Health Care Transition

The Health Care Transition (HCT) program facilitates the process of moving from a child/family-centered health care model to an adult/patient-centered model, starting prior to the age of 14 and continuing into young adulthood for CSHCS enrollees. The goal of HCT is to assist youth in achieving independence in self-managing their health care needs as they enter adulthood.

Got Transition

The Got Transition® program can help to improve transition from pediatric to adult health care. Visit GotTransition.org and get help with things like:

  • Health care transition quiz
  • Easy to Use HCT timeline (ages 12+)
  • Family tool kit for parents/caregivers and youth. The tool kit outlines the steps to better prepare youth for the transition to adult care.

As your child becomes an adult, they can qualify for extra benefits. Visit the MDHHS website at www.michigan.gov/disabilityresources to learn more.

MIChild

MIChild plan provides health care to uninsured Michigan’s children of working families. Learn more about MIChild.

Health Care Coverage for People Impacted by Flint Water

The state of Michigan offers health care to certain Flint, Michigan residents who were affected by the water crisis. See if you qualify at Michigan Department of Health & Human Services.

*Starting April 1, 2022, postpartum coverage for eligible members is extended to 12 months after the month the pregnancy ends