Managed Care Systems Portal
For Consumers:
The MCS Portal is one way to file an appeal or complaint. More information about appeals and complaints can be found on the MDH HMO Enrollee External Appeals and Complaints page. You can access the portal here: Managed Care System Portal. No login or account is required to file an appeal or complaint online.
For regulated entities:
The Managed Care Systems section (MCS) is in the process of creating a portal that will serve as a one-stop shop for all reporting from Health Maintenance Organizations (HMOs), Insurance Companies, County Based Purchaser (CBPs) and Pharmacy Benefit Managers (PBMs). This includes network adequacy information, regulatory activities including supplemental annual reporting, updates to licensure documents, and quality assurance examinations.
The MCS Portal became available in May 2025, and additional functionality will continue to be added through June 2026.
Accessing the Portal
Use the Managed Care System Portal to access MCS services below.
MCS Portal User Guide (PDF) provides instructions on how to access and use the portal regulated entities. Last updated August 2025.
Current Portal Functionality
- Network Adequacy Annual Filings
- HMO and CPB Annual Supplemental reporting
- PBM Network Adequacy documents
- Network Adequacy Provider File updates
- Network Adequacy Termination Reports
In the future, the MCS Portal will allow entities to upload:
- Updates to HMO Licensure documents
- Quality Assurance exam document and file uploads and exchanges