Redetermination Member Q & A
What is Redetermination and when am I supposed to do it?
What is Redetermination and when am I supposed to do it?
The Michigan Department of Health and Human Services (MDHHS) must annually re-determine if you are eligible for Medicaid benefits. This is called Redetermination. During the Public Health Emergency (PHE), the annual review was paused. It will now resume on a monthly rotation. Your redetermination month will be the same month your benefits became effective. The Redetermination process includes a full review of all areas that determine your eligibility for benefits. You may receive a request from your case worker. If you do, please complete the paperwork in a timely manner. Please call Member Services at (866) 916-0917, Monday - Friday, 10 a.m. to 8 p.m. EST if you have any questions.
There are 3 easy steps you need to take to help determine if you still qualify for coverage:
1. Update your contact information at www.Michigan.gov/MIBridges. Update Now
2. Check your mail or text messages for a notification letter from MDHHS. Learn More
3. Complete your MDHHS renewal packet if you get one.
Before you submit your Medicaid renewal, be sure to have the following documentation handy (as they apply to you). You need proof of:
Age: Birth Certificate, Driver's License, ID Card
Income: Paystubs, Tax Returns, Social Security, Veteran's Benefits
Assets: Bank Statements, Retirement Accounts, Other Financial Documents
Citizenship: Birth Certificate, U.S. Passport, Voter Registration Card, USCIS ID Card
Disability Status: SSD Documents, Other Proof of Disability Status
Other Insurance: ID Cards from Other Insurance, Medicare Card (red, white and blue card)
After you send in your renewal, you may receive a Verification Checklist if any documents are missing.
Be sure to review and respond to this request if you receive it. If you do not respond, your Medicaid may be terminated and you may lose your Medicaid benefits.
Helpful Resources from the Michigan Department of Health and Human Safety (MDHHS)
• Redetermination Brochure
• Update Your Contact Info
Molina has customer service representatives available to help with the process. If you need help, email healthplanrenewals@molinahealthcare.com or call (866) 916-0917. We're here to help!
Q. Where do I turn in my Redetermination paperwork?
A. Once you have completed your Redetermination paperwork, you must return it along with your proofs to your assigned MDHHS caseworker. Your Redetermination paperwork should be taken to your local MDHHS office or returned by mail to your local MDHHS office by the date listed on your Redetermination paperwork. Click here to find your local MDHHS office phone number. Make sure you have your ID number or case number before you call. You can also fax the packet to (571) 346-9888.
To renew your benefits online and access your case, please visit www.newmibridges.michigan.gov.
Q. What do I do if I want to submit my paperwork online, but I do not have Internet access from my home?
A. Contact your local library or your local MDHHS office regarding Internet access. Click here to find your local library address and phone number. Click here to find your local MDHHS office phone number. Reach out to your primary care physician (PCP) office to see if they have resources available.
Q. Who do I contact to get my “Redetermination” paperwork if I haven’t received it?
A. If you have not received your Redetermination paperwork you must contact your assigned MDHHS caseworker. Click here to find your local MDHHS office phone number in order to contact your caseworker. Make sure you have your ID number or case number before you call. Molina has customer service representatives available to help with the paperwork. If you need help completing your paperwork, please call (866) 916-0917.
If you need additional assistance, MDHHS has a Phone Renewal Help Line at (833) 599-6444, TTY (866) 501-5656. The call may take 20 minutes or more and other program benefits (such as food assistance) cannot be renewed through this help line.
Q. What if I need assistance completing my “Redetermination” paperwork?
A. If you need assistance with your Redetermination paperwork, Molina has customer service representatives available to help. If you need help, please call (866) 916-0917, Monday - Friday, 10 a.m. to 8 p.m.
Q. What information do I need to fill out my “Redetermination” paperwork?
A. You will need the following information, in order to fill out your Redetermination paperwork, in addition to submitting copies of these documents “as they apply to your situation” as proofs to your local MDHHS caseworker:
- Your ID (driver's license)
- Social Security numbers for everyone in the household who is applying
- Income (current or date it stopped)
- Application or receipt of unemployment compensation benefits (UCB)
- Bank account statements, 401k and other investment account balances, investment accounts and trust funds
- Shelter expenses. This includes rent receipt, mortgage payment, property tax bill, home owner insurance, heat, electric, phone and water.
- Paid child support
- Daycare expenses
- Medical or health insurance card
- Unpaid medical bills
- Shut-off notices for shelter, heat or utilities
- Alien/Immigration status
- Marriage Certificate
- Divorce Decree
- Paternity form
- Pregnancy, expected date of delivery and number of children expected
Q. How often do I need to fill out my “Redetermination” form?
A. You may receive a request from your case worker. If you do, please complete the paperwork in a timely manner. Molina has customer service representatives available to help with the paperwork. If you need help completing your paperwork, please call (866) 916-0917, Monday - Friday, 10 a.m. to 8 p.m. EST if you have any questions. If you have a life change, you are required to contact your local MDHHS caseworker to inform them of the change. Life changes include:
- Name change
- Address change
- Income change. This include pay rate, employer, hours worked per week if more than a 5 hour difference, if anyone stops getting Social Security, pension changes, child support changes, or any unearned income change more than $50 since the last reported change.
- Job starts, changes and stops
- Changes in the number of people living in your home. This includes having a new baby.
- Shelter expenses. This includes rent receipt, mortgage payment, property tax bill, home owner insurance, heat, electric, phone and water.
- Work Related Activities. You must report if anyone in your household participated in approved employment-related activities such as Work Participation program, High School completion, GED or College.
- Child Care or Disabled Adult Care. You must report any need for, or change in, child care or disabled adult.
- You should report such changes as buying, selling, giving away, transferring, or receiving any assets. This includes bank accounts, land, cars and other vehicles, boats, life insurance, investments, lawsuit settlements and any other property.
- Health insurance changes
- Medical expenses
- School attendance
Q: What if I no longer qualify for Medicaid Benefits?
A: If you no longer qualify for Medicaid, you can save on benefits like free annual exams and virtual care, as well as protect your health with a great network of local providers—all with a Molina Marketplace plan. Call (844) 794-3635 or visit healthcare.gov to learn more.
If you are turning 65 or have certain disabilities, you may qualify for Medicare. If you currently are eligible or may become eligible for Medicare, call (866) 403-8293, TTY/TDD: 711. You can add on Molina Medicare even if you are still eligible for Medicaid.