Quick Reference Materials

HAP CareSource™ MI Coordinated Health (HMO D-SNP) 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 MI Coordinated Health. You will find key information that will make it easier to do business with us and assist you in serving our members.

HAP CareSource MI Coordinated Health Resources

Clinical Practice Guidelines

HAP CareSource MI Coordinated Health utilizes evidence-based nationally accepted standards and guidelines from the Michigan Quality Improvement Consortium (MQIC), which is a collaborative effort to develop and implement standard clinical guidelines and performance measures. The MQIC is overseen by the Michigan Association of Health Plans (MAHP), which recognizes the expertise and evidence-based knowledge that the guidelines represent. The CPGs are then adopted through the Market Provider Advisory Committee (PAC). The CPGs are reviewed every two years and are updated as necessary.

The use of these guidelines allows HAP CareSource MI Coordinated Health to measure their impact on member health outcomes. Additional CPGs, identified through review of member population demographics, analytical data, and state/national priorities are developed, discussed and approved through the Market PAC and CareSource Enterprise PAC. Guidelines may include, but are not limited to:

• Behavioral health (e.g., depression)
• Adult health (e.g., hypertension)
• Population health (e.g., obesity)

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 MI Coordinated Health 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.

• • Choosing Wisely

2. Helpful materials on healthcare for Children from the American Academy of Pediatrics, the largest physician organization dedicated to the health of children.

• • Patient Care Materials from American Academy of Pediatrics

Improving Quality Scores

• 2024-2025 HEDIS Provider Reference Guide (coming soon)
• CPT II Coding Guide (coming soon)

Quick Reference Guides

Below you will find quick reference guides and additional resources:

• After-Hours and Appointment Time Access Standards (coming soon)
• Navigate HAP CareSource MI Coordinated Health Quick Start Guide
• Navigate HAP CareSource MI Coordinated Health MLTSS Quick Start Guide
• Navigate HAP CareSource Provider Portal Flier
• Navigate HAP CareSource Provider Portal Quick Start Guide
• Navigate HAP CareSource Provider Portal User Guide
• Provider Transition Quick Reference Guide (coming soon)

Topics of Interest

Access the following topics to quickly find additional information:

• Member Plan Documents