Michigan Medicaid Care Management Programs

Meridian delivers focused, member-centered care management programs designed to support the comprehensive health needs of Michigan Medicaid beneficiaries. Our programs address physical, behavioral, oral, and social health — including health-related social needs (HRSN) — to promote whole-person care. Below is an overview of available services aimed at connecting Meridian members with the right support at the right time.

Available Services

Medicaid Care Management Program	Overview
*Foster Care*	For youth currently or formerly in foster care Ensures medical and behavioral health screenings within 30 days of system entry Coordinates transitions (e.g., adulthood, hospital discharges) Connects to needed services and smooths healthcare navigation
*Pediatric Health*	Supports children (and some adults) with complex health needs, including members enrolled in the Children Special Health Care Services (CSHCS) Program Help build personal care plans Supports Neonatal Intensive Care Unit (NICU) inpatient and discharge Services include: Help with authorizations & equipment Local Health Department (LHD) support Transition to adult care
*Maternal Health*	Predictive, data-driven maternity support Focus on reducing complications, preterm births & low birth weight Offers education, tools, and ongoing care coordination through prenatal and postpartum period
*Chronic Conditions*	For members with emerging or diagnosed chronic conditions Individualized care plans guided by licensed clinicians Focus on HEDIS gap closures and self-management education Complex Care Management (CCM) available for severely ill members
*Mental Health*	Prioritizes early intervention, ongoing support & prevention Includes SUD support, suicide prevention & post-discharge care Collaborates with PIHPs for coordinated behavioral health services
*Sickle Cell Disease*	Focus on improving outcomes for members with SCD Supports treatment adherence, education, and provider outreach Aims to reduce ER and inpatient visits
*Emergency Department (ED) Diversion*	Targets members with high ED usage Educates on condition management & care navigation Connects members to appropriate providers and follow-up care
*Transition of Care (TOC)*	For high-risk or recently discharged members Collaborative process between Medical & Utilization Management clinical teams Starts at admission, continues post-discharge to address care barriers

Roles Within Care Management Program

Meridian Care Team:

Each care management program has a dedicated care team model, comprised of a variety of expert clinical and non-clinical staff to support members across their health care continuum.

Care Navigator: Primary point of contact for member and/or guardian. Will support with non-clinical education and needs.

Care Manager: Assigned to the member if the Care Navigator finds complex needs requiring registered nurse involvement to help meet healthcare goals.

Community Health Worker: Assigned to the member if the Care Navigator identifies additional social determinants of health needs. They can complete face-to-face home visits and can connect members to resources regarding:

Food
Housing
Health & Healthcare
Education
Transportation
Financial Support

Questions or Referrals?
If you have questions or need help, please contact your Meridian Provider Services Representative or call Meridian Provider Services at 1-888-437-0606.

If you would like to refer a member to one of our programs, please email the designated email inboxes.

Care Management Program	Shared Email
Foster Care	MeridianFosterCarePod@mimeridian.com
Maternal Health	MeridianMaternityPod@mimeridian.com
Pediatric Health	MeridianPediatricsPod@mimeridian.com
Chronic Conditions	MIMeridianChronicConditionsPod@mimeridian.com
Mental Health	MeridianMentalHealthPod@mimeridian.com
Sickle Cell Disease	MeridianSickleCellPod@mimeridian.com

Last Updated: 11/25/2025