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 MDHHS (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.
Access information and options available related to verifying beneficiary eligibility.
Draft Policy Bulletins for Public Comment
|Get information about Policy and Forms like the Medicaid Provider Manual, draft and final policy bulletins, etc.||Billing 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.|
|Communications and Training gives access to Provider Update newsletters, numbered letters, information on training opportunities, etc.||Prior Authorization gives access to the Medicaid Nursing Facility Level of Care Determination tool.|
includes information related to current and proposed Medicaid waivers.