MDCH - Medicaid Policy Bulletins for Year 2004

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Medicaid Policy Bulletins for Year 2004

Agency: Community Health

Policy Bulletins

This page contains policy bulletins issued in 2004.

For bulletins issued in 2009, click here.

For bulletins issued in 2008, click here.

For bulletins issued in 2007, click here.

For bulletins issued in 2006, click here.

For bulletins issued in 2005, click here.

For bulletins issued in 2003, click here.

For bulletins issued in 2002, click here.

For bulletins issued between November 2000 and December 2001, click here.

For Notices of Proposed Policy, click here

Issue Date	Bulletin Number	Subject
December 15, 2004	All Provider 04-18	Adult Benefits Waiver Enrollment
December 1, 2004	All Provider 04-17	Updates to Medicaid Provider Manual
December 1, 2004	MSA 04-24	January 1, 2005 Procedure Code Updates
December 1, 2004	MSA 04-23	Healthcare Common Procedure Coding System 2005 January Update
December 1, 2004	MSA 04-22	Changes in Medicaid Reimbursement for Vaccines Covered Under the Michigan Vaccine Replacement Program
December 1, 2004	MSA 04-21	Change in Co-payment Requirement
December 1, 2004	MSA 04-20	Hospital Leave Days
December 1, 2004	MSA 04-19	Medicaid Enrollment for Provision of Outpatient: Occupational Therapy; Physical Therapy; Speech-Language Pathology; Audiology
December 1, 2004	MSA 04-18	Emergency Department Attending Physician Payment Limits and Utilization Adjustor
December 1, 2004	Hearing and Speech Centers 04-03	2005 HCPCS Coding Changes
December 1, 2004	Dental 04-03	Implementation of CDT-5 Dental Procedure Codes
December 1, 2004	School Based Services 04-07	Code Revisions
December 1, 2004	Medical Suppliers 04-07	Policy Clarification for Power Operated Vehicles (POVs), Seating Systems, Lower Extremity Prostheses and Speech Generating Devices; New Coverage of HCPCS Codes for Prostheses
November 23, 2004	Health Care Eligibility Policy 04-07	Establishment of the Michigan Quality Community Care Council (QCCC)
November 1, 2004	Health Care Eligibility Policy 04-06	Program of All Inclusive Care for the Elderly (PACE) Policy
November 1, 2004	School Based Services 04-06	Clarification of Bulletin (School Based Services 03-04)
November 1, 2004	MSA 04-17	Correction and Clarification to Policy Bulletin MSA 04-15
November 1, 2004	MSA 04-16	Payment Adjustments for Practitioner Services Provided Through Designated Public Entities
October 2004	All Provider 04-16	Sanctioned Providers
October 1, 2004	Nursing Facilities 04-07	Nursing Facility Certification, Survey and Enforcement Chapter of the Medicaid Provider Manual
September 2004	All Provider 04-15	FY 2004-2005 Coverage and Reimbursement Changes
October 1, 2004	MSA 04-15	Admission Requirements for Medicaid Nursing Facilities, MI Choice Program, and PACE (Michigan Medicaid Nursing Level of Care Determination)
September 17, 2004	MSA 04-14	Ventilator Dependent Beneficiaries; Ventilator Dependent Care Unit Prior Authorization Forms; Memorandums of Understanding
September 2004	All Provider 04-13	Updates to the Medicaid Provider Manual
September 1, 2004	Mental Health/Substance Abuse 04-03	Changes to Program Requirements; Additional Mental Health Services; Additional Substance Abuse Services
September 1, 2004	Private Duty Nursing 04-01	MI AuthentiCare
August 24, 2004	MSA 04-13	Outreach Activities
August 23, 2004	Nursing Facilities 04-04	Medicaid Reimbursement for a Nursing Facility Bed Following a Qualifying Medicare Hospital Stay
August 23, 2004	Hospital 04-11	Reduction in Hospital Payments; EO Reductions; GME Reductions; Elimination of GME Weighting Factors; Phase-in of Revised GME Formula; GME Payments Schedule
August 16, 2004	All Provider 04-12	Termination of Special Health Plan (SHP) Contracts
August 11, 2004	MSA 04-12	Second Revision to Nursing Facilities Bulletin 03-08, Section 2; and Revision to Nursing Facilities 04-01 and Hospice 04-01 Bulletin (MSA 04-09)
August 1, 2004	MSA 04-11	Provision of Speech-Language Pathology and Audiology Services to Beneficiaries Under 21 Years of Age; Requirements for Audiology
August 1, 2004	All Provider 04-11	Sanctioned Providers (Monthly Update)
August 1, 2004	All Provider 04-10	Update to Children's Special Health Care Services Chapter
July 2004	All Provider 04-09	Updates to the Medicaid Provider Manual
June 11, 2004	School Based Services 04-04	Pen and Ink Change (SBS 04-04)
June 2004	All Provider 04-07	Sanctioned Providers (Monthly Update)
June 1, 2004	HCEP 04-05	Home Help Policy
June 1, 2004	All Provider 04-08	Adult Benefits Waiver Enrollment Freeze
June 1, 2004	Nursing Facilities 04-02	Medicaid Certification and De-certification of Nursing Facility Beds and Medicaid Provider Enrollment
June 1, 2004	Medicaid Health Plans 04-04	Revised Policy Manual Chapter
June 1, 2004	Medical Supplier 04-05	Healthcare Common Procedure Coding System 2004 July Quarterly Update; Revision of Prior Authorization Requirements for External Infusion (Insulin) Pump and Home Intravenous Infusion of Factor Products; Policy Clarification for Home Infusion Catheter Maintenance
June 1, 2004	MSA 04-09	Revision to Nursing Facilities Bulletin 03-08, Section 2
June 1, 2004	MSA 04-08	Mandatory Participation of Fee for Service (FFS) Medicare & Medicaid Dually Eligible Beneficiaries in the MDCH Volume Purchase Contract with J & B Medical
June 1, 2004	MSA 04-07	Changes in Reimbursement for Injectable Drugs and Biologicals
June 1, 2004	All Provider 04-06	Supplemental Bulletin List; Returning Overpayments; Claims Exceeding 12-Month Billing Limitation Due to Retroactive Eligibility; Enrollment of Out-of-State Providers; and Nonenrolled Michigan and Borderland Providers
June 1, 2004	All Provider 04-05	New Editing; Explanation Code Crosswalk; and Crossover Claims
May 21, 2004	School Based Services 04-03	Amendment of Random Moment Time Study Methodology (SBS 03-04)
April 1, 2004	HCEP 04-04	Incarceration Policy
April 1, 2004	MSA 04-06	Transition of the MDCH Volume Purchase Contract for Select Incontinence Supplies to J & B Medical
April 2004	All Provider 04-04	Updates to the Medicaid Provider Manual
March 29, 2004	Community Mental Health Services Programs 04-01	Clarification to Chapter III for Prepaid Inpatient Health Plans (Mental Health-Substance Abuse)
March 24, 2004	HCEP 04-03	Home Help Policy Clarification
March 1, 2004	School Based Services 04-02	Medicaid School Based Services Administrative Outreach Program: 1) Random Moment Time Study (RMTS); 2) Approved Activity Codes
March 1, 2004	School Based Services 04-01	New Codes and Revisions; LPN Services Addition
March 1, 2004	MSA 04-05	2004 Healthcare Common Procedure Coding System Updates
March 1, 2004	MSA 04-04	April 1, 2004 Procedure Code Updates
March 1, 2004	MSA 04-03	New Billing Instructions for Emergency Department Attending Physician Services
March 1, 2004	MSA 04-02	Update of DRG Grouper Version 21.0 R2; Rehabilitation Per Diem Rates are Rebased; Geographic Reclassification of Hospitals for the Area Wage Index
March 1, 2004	Medical Suppliers 04-02	Healthcare Common Procedure Coding System 2004 April Quarterly Update
March 2004	All Provider 04-03	Sanctioned Provider List
February 13, 2004	MSA 04-01	Prior Authorization Form for Private Duty Nursing (MSA-0732) Specifically for Persons with CSHCS Coverage or Similar Medical Conditions
February 1, 2004	Medical Suppliers 04-01	Healthcare Common Procedure Coding System 2004 Correction
February 2004	All Provider 04-02	New Medicaid Provider Manual
February 1, 2004	All Provider 04-01	Sanctioned Providers (Monthly Update)
January 15, 2004	HCEP 04-01	Home Help Policy