Quick Reference Materials
HAP CareSource™ wants to equip you to work with our health plan to provide the best service for our members. The following materials will help familiarize you with the HAP CareSource Michigan Medicaid plan. You will find key information that will make it easier for you to do business with us and assist you in serving our members.
Quick Reference Guides
Below, you will find quick reference guides and additional resources:
- Clinical Practice Registry Guide
- HAP CareSource Provider Portal Quick Start Guide
- HAP CareSource Provider Portal Flier
- Provider Transition Quick Reference Guide
- After-Hours and Appointment Time Access Standards
- Pre-Exposure Prophylaxis (PrEP) Resources Flier
- HAP CareSource Member Rewards
Improving Quality Scores
Clinical Practice Guidelines
HAP CareSource™ approves and adopts evidence-based, nationally accepted standards and guidelines to help inform and guide providers about the clinical care of members. The Michigan Association of Health Plans (MAHP) recognizes the expertise and evidence-based knowledge that the guidelines represent and encourage the use of accepted standards of care to promote quality care and better health outcomes for Michiganders. The Consortium works to establish and update clinical practice guidelines for use by health care professionals and health plans. Guidelines are reviewed on a two-year cycle.
Clinical Practice Guidelines (CPGs) are available to providers and may be communicated to practitioners through newsletters, direct mailings, our Provider Manual and focused meetings with HAP CareSource Health Partner Engagement Specialists.
These guidelines assist in improving member health outcomes. Review and approval of CPGs are completed by the Market’s Provider Advisory Committee (PAC), with final approval by the Enterprise PAC. The Quality Enterprise Committee (QEC) is notified of guideline approval.
CPG topics are chosen through analysis of our member population demographics and state/national health priorities. The guidelines focus on key chronic diseases, preventive health measures and screening recommendations for both medical and behavioral health concerns.
Health literate member clinical practice guidelines and other health care resources are available on the member website, covering a broad range of health and wellness topics. Information may also be shared via newsletters or upon member request.
If you would like more information on HAP CareSource Quality Improvement, please call Provider Services at 1-833-230-2102.
Access the links below and visit our Health Care Links page for more clinical practice and preventive health guidelines:
- Clinical Practices Guidelines, based on updated evidence to inform clinicians in the delivery of adult care from the American College of Physicians: https://www.acponline.org/clinical-information/guidelines
- Clinical Practice Guidelines from the American College of Obstetricians and Gynecology: https://www.acog.org/clinical/clinical-guidance/clinical-practice-guideline
- Clinical Practice Guidelines from the American Academy of Family Physicians: https://www.aafp.org/family-physician/patient-care/clinical-recommendations.html
Care Guidelines
Below are several of the organizations that our clinical teams review in order to promote the most updated clinical practice guidelines to promote healthy outcomes for HAP CareSource members:
- To help patients engage their health care provider in these conversations and empower them to ask questions about what tests and procedures are right for them, patient-friendly materials were created based on the Physician Association lists of recommendations of appropriate tests and treatments.
- Helpful materials on healthcare for children from the American Academy of Pediatrics, the largest physician organization dedicated to the health of children
- Patient care materials from American Academy of Pediatrics