MICHIGAN STATE PROGRAMS REGULATORY REQUIREMENTS APPENDIXDownstream Provider Regulatory Requirements Appendix • May 11th, 2022 • Michigan
The requirements of this Appendix apply to Michigan Medicaid Assistance Program (“Medicaid”), Michigan MIChild Children’s Health Insurance Program (referred to in this Appendix as “CHIP”), and/or Michigan Children’s Special Health Care Services (“CSHCS”) benefit plans sponsored, issued or administered by UnitedHealthcare Community Plan, Inc. (”Health Plan”) under the State of Michigan’s Medicaid, CHIP and/or CSHCS program (the “State Program(s)”) as governed by the State’s designated regulatory agencies and pursuant to one or more of Health Plan’s contracts with the State to provide covered services to members which is synonymous with the definition of Customers or Members (referred to in this Appendix as “Customers”) as described in the Agreement. In the event of a conflict between this Appendix and other appendices or any provision of the Agreement, the provisions of this Appendix shall control except with regard to benefit plans outside the scope of this Appendix or unless otherwise
