Comagine Health's Role
Comagine Health became the Human Services Department/Medical Assistance Division (HSD/MAD) Medicaid Third-Party Assessor (TPA) on March 1, 2015.
We review all requests for the Mi Via program. We review initial and annual level of care (LOC) requests. We also review the Service and Support Plan (SSP) and budgets.
If a waiver participant chooses to move to another waiver, the Department of Health (DOH) will send us the Waiver Change Form. The DOH will also inform us of any new waiver allocations by sending us the completed Primary Freedom of Choice (PFOC).
Submitting To Comagine Health
To submit budget requests for Mi Via services or goods, please use the FoCos system. You can fax supporting documents and LOC documents to 800-251-9993.
If you have any questions or concerns, our customer service staff are available to help you Monday-Friday, 8 a.m.-5 p.m. at 866-962-2180 (toll-free).
Your Mi Via consultant has access to our portal. They can submit requests, upload documents and check status for you.