Quick Reference Materials

HAP CareSource™ wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the HAP CareSource Michigan Medicaid plan. You will find key information that will make it easier for you to do business with us and assist you in serving our members.

Quick Reference Guides

Below, you will find quick reference guides and additional resources:

Improving Quality Scores

Clinical Practice Guidelines

HAP CareSource approves and adopts evidence-based nationally accepted standards to help inform and guide providers about their clinical care of members. Care guidelines help caregivers provide the right care at the right time using the most current evidence to result in the best outcomes. HAP CareSource’s clinical and medical policy team continue to evaluate scientific data, published evidence, and directives from trustworthy health care organizations to promote and establish clinical guidelines. These guidelines are used in combination with your clinical judgement and knowledge as a physician.

These guidelines are researched, developed, and approved in partnership with the Michigan Quality Improvement Consortium | iMPROve Health. HAP CareSource is a key participant in the Michigan Quality Improvement Consortium (MQIC)— an organization of health plans focused on the health of our members in Michigan. MQIC is led by physicians and other clinical team members who evaluate scientific data and develop guidelines to help support the work of primary care physicians. MQIC’s goal is to standardize these practice guidelines to help all physicians in Southeast Michigan; and HAP CareSource is helping these efforts. MQIC reviews the guidelines every two years or as needed.

Access the links below and visit our Health Care Links page for more clinical practice and preventive health guidelines:

Care Guidelines

Below are several of the organizations that our clinical teams review in order to promote the most updated clinical practice guidelines to promote healthy outcomes for HAP CareSource members:

  1. To help patients engage their health care provider in these conversations and empower them to ask questions about what tests and procedures are right for them, patient-friendly materials were created based on the Physician Association lists of recommendations of appropriate tests and treatments.
  2. Helpful materials on healthcare for children from the American Academy of Pediatrics, the largest physician organization dedicated to the health of children