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• Ambulance:
  • Databases 2006 April ] Data ] 2006 Jan ] Data ] 2005 May ] Data] 2004 April] Data] 2004 Jan ] Data ] 2003 Fee] Data] Instructions
  • Emergency Transports Diagnosis Codes Database
  • NOTE:   Effective for dates of service (DOS) on/after April 1, 2007 Hospital-Owned Ambulance services are reimbursed under the MDCH Outpatient Prospective Payment System (OPPS).  While fees indicated in the MDCH Ambulance Services Database apply to ambulance services, claims submitted by hospital-owned ambulance providers for DOS on/after April 1, 2007 must be submitted on the institutional claim format. 
    • OPPS Wrap Around Code List -  2008 Jan]    Data]    2007 Oct]   Data]    2007 July]    Data]    2007 April]    Data]
    • Revenue Code Requirement Table
    • OPPS Reduction Factor History
• Anesthesia:
  • Databases    2008 Jan ]   Data]   2007 Jan ]   Data ]    2006 Jan] Data] 2005 May ] Data] 2005 Jan] Data] 2004 April] Data] 2004 Jan] Data] 2003 Fee] Data ] Instructions
  • Forms
• Certified Nurse Midwife:
  • Databases    2008 Jan]   Data]   2006 Oct]   Data]   2006 May] Data] 2006 Jan] Data ] 2005 May ] Data ] 2005 Jan] Data] 2004 Fee ] Data ] 2003 Oct Fee] Data] 2003 July Fee Screen ] Data ] Instructions
• Clinical Laboratory:
  • Databases   2008 Jan ]   Data]   2007 Jan]   Data]    2006 July]   Data]   2006 Jan] Data] 2005 May] Data] 2005 Jan] Data] 2004 Jan ] Data ] 2003 Oct Fee] Data] 2003 July Fee ] Data] Instructions
  • NOTE:   The information contained in the January 2007 MDCH Clinical Lab Database for PT 40 is valid only for DOS on or before March before March 31, 2007.  Effective April 1, 2007 PT 40 laboratory services will be reimbursed under the MDCH Outpatient Prospective Payment System (OPPS) using Medicare's lab fee schedule for Michigan, applying multi-chanel/panel pricing and the MDCH reduction factor (RF). 
    • OPPS Wrap Around Code List -  2008 Jan]    Data]    2007 Oct]   Data]   2007 July]    Data]    2007 April]    Data]
    • Revenue Code Requirement Table
    • OPPS Reduction Factor History
• Children's Special Health Care Services
  • Diagnosis List PDF ] Data File ]
  • Travel Reimbursement Rates PDF]
• Chiropractic:
  • Databases 2006 May] Data] 2005 May ] Data File] 2004 Fee Screen] Data] 2003 Fee Screen ] Data ]
• Dental:
  • Databases  2007 Jan]    2005 Oct ] 2005 Jan] 2004 Oct ] Data ] 2003 Oct] Data] 2003 July ] Data] Instructions
• Family Planning Clinic:
  • Databases     2008 Jan]   Data]    2007 Jan]    Data]    2007 April]    Data]    2006 Oct]   Data]   2006 May] Data] 2006 Jan ] Data] 2005 May ] Data ] 2005 Jan ] Data ] 2004 July] Data] 2004 ] Data ] 2003 Oct ] Data ] 2003 July] Data] Instructions
• Family Planning Waiver Codes - Plan First! -   February 2008]     January 2008
• Hearing Aid Dealers and Hearing Services:
  • HAD Databases   2008 Jan ]   Data]    2007 Jan ]  Data]    2005 May ] Data ] 2004 Oct] Data] 2004 Jan ] Data ] 2003 Oct ] Data ] 2003 July Fee] Data] Instructions
  • Hearing Services Databases   2008 Jan]    Data]   2007 Jan]    Data ]   2006 Jan] Data] 2005 July] Data ] 2005 May] Data ] 2005 Jan ] Data ] 2004 Oct] Data] 2004 Jan ] Data ] 2003 Oct ] Data ] 2003 July] Instructions
  • Forms
• Home Health:
  • Databases   Jan 2007]   Jan 2006]   May 2005] 2005 Fee ] 2004 Fee ] 2003 Oct ] 2003 July]
  • Revenue Code Requirement Table
• Hospice:
  • Hospice County Rates   2008 Fee]   Data]    2007 Fee ]  Data ]   2006 Fee ] Data] 2005 Fee] Data] 2004 Fee ] Data ] 2003 Hospice Rates (County ) 2003 Fee ]
  • Hospice/SNF R & B    October 2007 - Current]     10/1/06 - 9/30/07]   09/01/06]   08/01/06]   07/01/06]   06/01/06]   05/01/06]   04/01/06]   03/01/06] 01/01/06 ] 12/01/05 ] 11/1/05] 10/01/05 ] 09/01/05 ]  06/01/05] 05/01/05]   02/01/05 ] 01/01/05 ] 10/1/04] 12/16/04]
  • Revenue Code Requirement Table
• Hospital - Inpatient:
  • Documentation requirements
  • Indigent Care Agreement Pool - DSH Payment -   2008   2007    2006
  • GME Distributions 2002 2003 2005   2006
  • DRG Grouper Implementation Schedule Hospital DRG Groupers
  • Capital Rate History Capital Rate History
  • Medical Surgical Data DRG Prices & Per Diem Rates
  • Medicaid Access to Care Initiative
  • Hospital Access Agreement
  • MCO Data Collection Letter - June 2007
  • MCO Payment Summary Template - June 2007
  • 15-Day Readmission Examples
  • Letter L-05-12   - 15-Day Readmission Policy, April 2005
  • Revenue Code Requirement Table
• Hospital - Outpatient:
  • Databases  Jan 2007]   Data]   Oct 2006]   Data]   July 2006]   Data]   May 2006]   Data]   April 2006 ] Data ] Jan 2006 ] Data] Oct 2005] Data] July 2005 ] Data ] May 2005 ] Data] July 2004] Data] Oct 2004] Data] April 2004] Data] Jan 2004 ] Data ] 2003 Oct ] Data ] 2003 July] Data] Instructions
  • Minor Surgery/Procedure Codes (Revenue Code 0361)
  • Interventional Radiology Services (Revenue Code 0369)
  • Cost to Charge Ratios
  • Drug Manufacturers with Signed Rebate Agreements with CMS
  • NDC Format for Billing
  • Effective April 1, 2007 PT 40 services will be reimbursed under the MDCH Outpatient Prospective Payment System (OPPS) using Medicare's fee schedules and the MDCH reduction factor (RF).  For dates of service on and after April 1, 2007 PT 40s should refer to:
    • OPPS Wrap Around Code List -  2008 Jan]    Data]    2007 Oct]    Data]    2007 July]    Data]    2007 April]    Data]
    • Revenue Code Requirement Table
    • OPPS Reduction Factor History
• Independent ESRD Facility (Drugs & Biological)
  • Databases   Jan 2007]   Data]   Oct 2006]   Data]   July 2006]   Data ] April 2006] Data] Jan 2006] Data] Oct 2005 ] Data] April 2005] Data] Jan 2005 ] Data ] July 2004] Data]
  • Effective April 1, 2007 PT 40 services will be reimbursed under the MDCH Outpatient Prospective Payment System (OPPS).  Type 40 providers should refer to the following lists for additional information when billing for DOS on and after April 1, 2007.  
    • OPPS Wrap Around Code List -  2008 Jan]    Data]    2007 Oct]    Data]    2007 July]    Data]    2007 April]    Data]
    • Revenue Code Requirement Table
    • OPPS Reduction Factor History
• Maternal Infant Health Program (formerly MSS/ISS):
  • Databases  2006 Oct]    Data]   2006 April ] Data] 2006 Jan ] Data ] 2005 May ] Data ] 2004 Fee ] Data] 2003 Oct ] Data ] 2003 July] Data ] Instructions
• Medical Suppliers, Orthotists/Prosthetists, DME Dealers:
  • Databases   Jan 2008]    Data]    Oct 2007]    Data]    Jan 2007]    Data]   Oct 2006]   Data] July 2006 ] Data ] Jan 2006] Data ] Oct 2005 ] Data ] 2005 July ] Data ] 2005 May ] Data] 2005 Apr] Data] 2005 Jan] Data ] 2004 Oct ] Data ] 2004 July] Data] 2004 April] Data ] 2004 Jan ] Data] 2003 Oct ] Data ] Instructions
  • Categories for Approved Enteral Formulae - Click
  • Michigan Medicaid Enrolled Speech Generating Device Provider  - Click
  • Wheelchair Accessory Reimbursement  - Click
  • FAQ-Diaper Incontinence Supplies Transition  - Click
• MH/SA (PIHP/CMHSP/Children's Waiver)
  • Injectable Drugs Billable to MDCH   Jan 2008]   Oct 2007]   July 2007]    April 2007]   Jan 2007]   Oct 2006] July 2006] April 2006] Jan 2006] Oct 2005] April 2005] Jan 2005 ] Oct 2004] July 2004 ] April 2004] 2003 Oct ] 2003 July]
  • Examples of NDC Billing
  • Serious Emotional Disturbance (SED)   Jan 2008]    Data]   Oct 2007]    Data]    Jan 2007]   Data]   May 2006 ] Data]
  • Childrens Waiver Services Database   Jan 2008]    Data]   Jan 2007]   Data]   2006 May] Data] 2006 Jan ] Data ] May 2005 ] Data ] April 2004] Data] 2003 Oct] Data ] 2003 July ] Data ] Instructions
  • Provider Qualification for Service/Procedure Code PDF
• Nursing Facilities:
  • Databases    2008 Jan ]   2007 Oct]   2007 Jan]   2006 Oct]   2006 Jan Nursing] 2005 June Nursing ] 2005 Jan Nursing ] 2004 Oct Nursing ] 2004 Jan Nursing] 2003 Nursing Fee ]
  • Revenue Code Requirement Table
• Private Duty Nursing:
  • Databases   2005 Fee ] 2004 Fee] 2003 Oct Fee ] 2002 and 2003 Fee ]
  • Revenue Code Requirement Table
• Oral Surgeon:
  • Databases   2005-Current] 2004 July] Data] 2004 April] Data] 2004 Jan] Data] 2003 Oct Fee ] Data ] 2003 July ] Data ] Instructions
• Pharmacy:
  • Product Cost Payment Limits
  • Drug Dispensing Fees
• Podiatry:
  • Databases    2004 July] Data] 2004 April] Data] 2004 Jan] Data] 2003 Oct ] Data ] 2003 July ] Data ] Instructions
• Practitioner and Medical Clinic:
  • Databases    2008 April]   Data]   2008 Jan]    Data ]  2007 Oct]    Data]    2007 Jul]    Data]    2007 April]    Data]   2007 Jan ]   Data ]  2006 Oct]   Data] 2006 July ]  Data ]  2006 May] Data] 2006 April] Data] Jan 2006 ] Data] Oct 2005] Data ] July 2005 ] Data ] 2005 May] Data ] 2005 April] Data] 2005 Jan] Data]   2004 Oct] Data File] 2004 July ] Data] 2004 April Fee] Data] 2004 Jan ] Data ] 2003 Oct ] Data ] 2003 July ] Data ] Instructions
  • Drug Manufacturers with Signed Rebate Agreements with CMS
  • NDC Format for Billing
  • Examples of NDC Billing
  • Forms
• School-Based Services:
  • Databases  Oct 2007]    Data]     Oct 2006]   Data]   Jan 2006 ] Data] Jan 2005 Fee] Data ]  2004 April ] Data ] 2003 Oct ] Data ] 2007 Instructions
  • FAQ-Fee-For-Service School Based Services - Click
• Telemedicine Services:
  • Databases   Jan 2008]    Data]    Jan 2007]    Data]   May 2006]   Data]
• Therapies (Outpatient):
  • Databases   2008 Jan ]  Data ]  2007 Jan]   Data]    2006 Jan]    Data]   2005 July]   Data]   2005 May]   Data]  2005 Jan]  Data]  Instructions
  • Effective April 1, 2007 PT 40 services will be reimbursed under the MDCH Outpatient Prospective Payment System (OPPS) using Medicare's fee schedules and the MDCH reduction factor (RF).  The fee screen portion of the January 2007 MDCH Outpatient Therapy Services Database is not applicable for PT 40 services provided on and after April 1, 2007. For dates of services on and after April 1, 2007 PT 40s should refer to:  
    • OPPS Wrap Around Code List -  2008 Jan]    Data]    2007 Oct]    Data]    2007 July]    Data]    2007 April]    Data]
    • Revenue Code Requirement Table
    • OPPS Reduction Factor History
• Vision:
  • Databases    2008 Jan]    Data]    2006 Sep]   Data]   2006 May]   Data] 2006 Jan ] Data ] 2005 May ] Data ] 2004 April] Data] 2004 Jan ] Data ] 2003 Oct ] Data ] 2003 July]   Data]   Instructions