MIHP is a pay-per-visit, Medicaid-reimbursed model. Provider agencies are paid through fee-for-service Medicaid or through the client’s Medicaid Health Plan for each completed visit. Agencies do not receive administrative cost reimbursement. If a provider agency enrolls a Medicaid-eligible family and the family either chooses to not apply for benefits or is denied, then the agency does not receive reimbursement for services rendered and must absorb the cost if it continues to provide services.
Based on a 2010 study, the average cost of providing prenatal MIHP services was $518 per family, with an average of five prenatal visits to mothers. The figure does not include the administrative costs associated with operating the program. No information is available on the costs included in the figure.