Skip to Main Content

Documents and Forms

The Provider Manual has everything you need to know about member benefits, coverage, and provider guidelines. Click the link below to view or save a copy. 

Healthy Michigan Plan beneficiaries are encouraged to work in collaboration with their health care provider to establish annual health goals. The Healthy Michigan Plan HRA should be completed by member and provider together and faxed to the health plan at 833-341-2052. For a HRA to be considered complete the provider must complete all of section 4. Please visit the MDHHS Health Risk Assessment for HRA resources and templates.

MDHHS Health Risk Assessment Website

Ambetter Manuals & Forms

For Ambetter information, please visit our Ambetter website.

Last Updated: 07/21/2022