06/17/2025

Health Alliance Plan

Health Alliance Plan Managed Care Committee Member

April Danish, CHONC - Newland Medical Associates

Henry Ford Infusion – Preferred Provider for Home Infusion of Specialty Medications for HAP Commercial Members
Effective August 1, 2025, HAP Commercial members residing in Macomb, Oakland, and Wayne counties must receive specialty medications professionally administered at home from our preferred specialty provider – Henry Ford Home Infusion. We will contact members affected by this change.

These medications are marked with SPC in the Key column on our Services that Require Prior Authorization List. When submitting a request via our online authorization application for any HCPCS codes that are designated with SPC, you will be alerted that the medication must be provided by our preferred specialty provider.

If you are providing specialty medication home infusion services to members outside of Macomb, Oakland, and Wayne counties, please complete our HAP Infused Medication Form.

This change does not affect services administered in the clinic or infusion center. We will update our Home Infusion Policy. You can find the policy when you log in at hap.org and select Benefit Admin Manual under More.

HAP CareSource Monthly Updates – May 2025
Below are updates from the HAP CareSource Newsroom & Announcement pages for each HAP CareSource plan.

Marketplace

• Updates & Announcements 
• Pharmacy Policy Updates May 2025 
• Policy Updates May 2025 

Medicaid

• Updates & Announcements 
• HAP CareSource Cardiac and Musculoskeletal Surgical Quality and Safety Management Program in Partnership with TurningPoint - Update 
• Home Health Care Agencies contracted with a Medicaid Health Plan start using EVV today! 
• May 2025 Policy Updates 

MI Health Link

• Updates & Announcements 
• May 2025 Policy Updates 

Accessing the HAP CareSource Newsroom

HAP provider portal

• Log in at www.hap.org 
• From the home page, select Medicaid, MI Health Link, and Marketplace Plans-Business under Provider Newsroom Updates

From HAP CareSource

• Visit www.hapcaresource.com 
• Select Providers
• Select Updates & Announcements under Tools & Resources
• Select the appropriate plan

Reminder – Plans Offered Through HAP CareSource
Below is an outline of the plans offered through HAP CareSource.

Marketplace

• These plans are Commercial HMO. If you are participating in HAP HMO Commercial plans, then you are participating in the HAP CareSource Marketplace plans.
• Available in Genesee, Lapeer, Macomb, Oakland, Shiawassee, and Wayne counties.
• These plans are on-exchange and have gold, silver, and bronze tiers. There are also chronic-condition health plans:
  • Diabetes (gold and silver)
  • Healthy Heart (gold and silver)
  • HDHP Preventive and Preventive (silver)

Medicaid

• Programs include: Medicaid, Healthy Michigan Plan, Children’s Special Healthcare Services, MIChild, and Health Care Coverage for People Impacted by Flint Water.
• Available in the following counties: Clinton, Eaton, Genesee, Hillsdale, Huron, Ingham, Jackson, Lapeer, Lenawee, Livingston, Macomb, Monroe, Oakland, Sanilac, Shiawassee, St. Clair, Tuscola, Washtenaw,  and Wayne

MI Health Link

• Medicare-Medicaid plan available in Macomb and Wayne counties

Online Resources
You can verify eligibility and benefits, submit prior authorization requests, view claims, and more via the HAP CareSource secure portal. We offer a single sign-on from the HAP portal:

• Log in at www.hap.org with your HAP username and password.
• Select the HAP CareSource link.

You can find general information about prior authorization requirements, claims, provider manuals, and more when you visit www.hapcaresource.com, select Providers, and then the appropriate plan. 

Monthly Reminders
Below are several reminders related to our benefit coverage policies, pharmacy information, our preferred lab partner, updating your provider information, and prior authorization guidelines.

Appeals Information
Appeals processes can be found online. Log in at www.hap.org and select Provider Manual under Quick Links.

Benefit Coverage Policies
Log in at www.hap.org, select More, Benefit Admin Manual. You can easily search for policies by term, code, or
phrase. To see changes from the previous month, select Recent Changes.

Pharmacy Information
Prior authorizations – choose the correct Request Type in the online application
There are a few choices related to specific drugs. Otherwise, you need to select a “DRUG-General Request”
and ensure you are choosing the correct location for administration (home infusion, infusion center, or office).

Submitting Prior Authorization Requests for Part D Drugs

• Electronically through CoverMyMeds platform Helping People get the Medicine They Need 
• Formularies: Visit www.hap.org/providers/provider-resources, select Formularies
• Policies: Log in at www.hap.org, select Resources, Working with HAP, Policies and Procedures.

Preferred Lab Partner
Joint Venture Hospital Laboratories (JVHL) is a network of community hospital labs. JVHL offers lab services at most of HAP’s participating hospitals. HAP has an affiliation with JVHL as our preferred lab for Commercial HMO members. Providers are expected to use JVHL labs whenever possible. For more information on locations and services, please visit the JVHL website.

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