"We are pleased to
announce this payment brings the total state General Fund and Healthy Michigan
payments in April to PIHPs and Community Mental Health Authorities to a statewide total of $26.9 million and exceeds
the March state General Fund and Adult Benefits Waiver payment total of
$26.6 million," the MDCH said in a statement.
The payment is a full retro-eligibility payment and covers
the newly eligible Healthy Michigan members enrolled after the Adult Benefits
Waiver auto-enrollments for the full month of April, the MDCH said. The payment ensures
maximum April capitation is received for the month in which members
enroll. The remaining April members enrolled in the final week of April
will also be reimbursed for the entire month of April and will be paid in
mid-May, the department said.
The first retro payment represents the number of persons
who enrolled in Healthy Michigan during the first three weeks of April in each
region and is being transmitted in advance of final April enrollment to help
alleviate concerns with cash flow during this time of transition.
"We will
continue to monitor enrollment and assess the need for retroactive payments on
a monthly basis through the fiscal year ending Sept. 30, 2014," the statement said.
The additional payment is an estimate and will
need to be reconciled with eligibility and payment files in the future, according to the MDCH.
It is expected that PIHPs will expedite cash flow related to these
retro payments consistent with regional and CMH agreements regarding regular
payments.
