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Medicaid is a federal and state funded health care program that provides comprehensive health care coverage for the medically indigent.  This page supplies coverage, billing and reimbursement policies and other important information for enrolled providers.  Much of the information provided also applies to other health care programs administered by MDCH (e.g., Healthy Michigan Plan, MOMS, Plan First!, Children's Special Health Care Services, etc.)

For questions related to the content of the Medicaid Provider pages, please email MSAPolicy@michigan.gov.


 

 

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Provider Enrollment 
Access provider enrollment forms and information, as well as instructions for initiating Electronic Funds Transfers (EFT) 

Eligibility Verification 
Access information and options available related to verifying beneficiary eligibility.

Draft Policy Bulletins for Public Comment 
Draft policy bulletins issued for public review and comment.

Hand WritingGet information about Policy and Forms like the Medicaid Provider Manual, draft and final policy bulletins, etc.  Bills with Paid markedBilling and Reimbursement  has information necessary for claim submission, including billing tips, provider-specific procedure code databases (including fee screens), electronic billing information, Sanctioned Provider list, Beneficiary Co-Payment Requirements, Third Party Liability, etc. 
People in training sessionCommunications and Training gives access to Provider Update newsletters, numbered letters, information on training opportunities, etc.  Hands ShakingPrior Authorization gives access to the Medicaid Nursing Facility Level of Care Determination tool. 
Group of People ClappingWaivers 
includes information related to current and proposed Medicaid waivers. 

 

 





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