WebMore than 2,500 diagnoses are potentially eligible. View a list of these diagnoses (PDF). There is a fee to join CSHCS. This fee is waived if your child is on Medicaid, or MIChild. This fee is based upon income. Please call us at 231-995-6130 or the Family Phone line (800-359-3722) if you have specific questions about this fee. Applying for CSHCS WebFax: 517-335-9491 CSHCS DIVISION . PO BOX 30734 . LANSING MI 48909-8234 • If you have any questions, contact a CSHCS representative at your local health department, or call 1-800-359-3722. SECTION 1 – Client and Household Information (Adult or Minor Client) 1. Enter the name of the client applying for CSHCS services. 2.
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WebRequest for Authorization Form. The fax number is 1-317-233-1342; the telephone number is 1-317-233-1351 or 1-800-475-1355, PA option (Opt. 3) Below is a list of services that require prior authorization to allow payment by CSHCS; however, this list is not all-inclusive. Inpatient services (hospitalizations) WebLocal Health Department Contact List; Manuals 1. CSHCS Guidance Manual for Local Health Departments 2. Michigan Medicaid Provider Manual Look for the following … how to remove hatch from text in autocad
Children & Families with Special Needs Kent County, Michigan
WebEffective on 01/01/2024, All Services with a cost greater than or equal to $500.00 will require a PA. Please contact the CSHCS Medical Eligibility/PA Section at 1-800-475-1355 and … WebCSHCS PORTAL ENROLLMENT & CHANGE REQUEST State Form 54354 (R4 / 2-12) ... the primary contact person should complete section 1 and check the Change Request box. Enter any changes to your account in the appropriate section(s) below. ... Please list the NPI numbers that the Billing Company is authorized to view claims history … WebMeridian: 888-437-0606. Transportation: 800-821-9369. Healthy Living Medical Supply: 866-779-8512. Pharmacy: 855-323-4580. For more information regarding the management or prevention of a variety of diseases or conditions, visit Meridian’s CSHCS Education and Information or review our Member Newsletters. noreen nutley