Healthy Michigan - 2017 Extension Application

Michigan requests an extension of its section 1115 demonstration, titled "Healthy Michigan Plan" with no changes. Beneficiaries above 100 percent of the federal poverty level (FPL) must pay monthly premiums equal to two percent of household income; all beneficiaries pay state plan copayments based on the prior six months of copayment experience. Beneficiaries may reduce premiums and copayments by completing healthy behaviors. Beginning April 2018, beneficiaries with income above 100 percent FPL who are not medically frail will choose between 2 options: coverage through a Healthy Michigan Plan or through a Qualified Health Plan on the Marketplace. Beneficiaries choosing to remain in a Healthy Michigan Plan must complete a healthy behavior. Those enrolled in the Marketplace Option will pay premiums and can re-enroll in the Healthy Michigan Plan if they meet a healthy behavior. The federal comment period will be open from December 22, 2017 through January 21, 2018.

Application Document

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