- Downloadable Forms
> Behavioral Health Standard Consent to Share Health Information
> Medical Drug Prior Authorization Form
> THC Portal Registration Form
Claims
> Claims Processing Procedures
Medical Services Administration Forms
> MSA-1550 Beneficiary Verification of Coverage
> MSA-1959 Informed Consent to Sterilization
> MSA-2218 Acknowledgement of Receipt of Hysterectomy Information
> MSA-4240 Certification for Induced Abortion
Pharmacy Forms
> Medications Requiring Prior Authorization
> Specialty Drugs Requiring Prior Authorization
> Specialty Pharmacy Prior Authorization Form
- Documents & Information
Claims
> Claims Processing Procedures
Guidelines
> Referral & Prior Authorization Guidelines
Pharmacy
> PHYSICIAN ADMINISTERED DRUG NDC CODES
> MSA POLICY BULLETIN 10-26 NATIONAL DRUG CODE REPORTING
Provider Directories
> Provider Directory – Commercial
> Provider Directory – Medicaid
> Participating Hospital Provider ID Numbers
Provider Manual
Other Documents & Information
> Member Rights and Responsibilities
> Provider Portal/Dashboard Manual
- Useful Links
> Current Disciplinary Action Reports – Bureau of Health Professions
> Excluded Parties List System
> Global Strategy for the diagnosis, management and prevention of COPD
> MDCH Publications & Brochures
> Michigan Quality Improvement Consortium (MQIC) Guidelines
> OIG Avoiding Medicare & Medicaid Fraud and Abuse
> OIG HEAT Provider Compliance Training
> Recommended Immunization Schedule
- Newsletters
Provider Newsletters
- Quality Improvement
Forms & Documents
Interested in becoming a member?
Find a Plan Now. Need more information about our plans? If you can't find the information you need below, please contact us.
Go
Total Health Care wants you to make the smart choice. Click here to find the best options available for you.
SMALL BUSINESSES
Businesses with 50 or fewer employees can also select a plan directly through Total Health Care. However, the Small Business Health Care Tax Credit is not available through these plans.
Go
LARGE BUSINESSES
We have a variety of Total Health Care Group Plans from which to choose. Find one that best fits your healthcare needs and budget.
Go
Medicaid
Medicaid is a comprehensive health plan that covers low-income adults and children.
Find out if you qualify.
Healthy
Michigan
The Healthy Michigan Plan provides health care coverage for low-income adults and children who make too much to qualify for Medicaid and Medicare.
Find out if you qualify.