Provider Specific Information

 

Choose a provider category below for procedure codes, fee screens, and other billing and reimbursement information for services covered by the following programs: Medicaid, Healthy Michigan Plan, Children's Special Health Care Services (CSHCS),  MIChild, Maternity Outpatient Medical Services (MOMS), and other health care programs administered by MDHHS.

The information on this page serves as a reference only. It does not guarantee that services are covered.  Providers are instructed to refer to the Michigan Medicaid Provider Manual, MSA bulletins and other relevant policy for specific coverage and reimbursement policies. This information can be found on the Medicaid Policy, Letters & Forms page.  If there are discrepancies between the information on this page and the Provider Manual, such as rate or coverage determinations, they will be resolved in favor of the Provider Manual language. 

Databases are updated on an annual basis or more frequently if changes are applicable (e.g. quarterly updates).  A three-year history is maintained on this site.  To obtain older fee screens, submit an e-mail to: msapolicy@michigan.gov

 

bullet Ambulance bullet Hospice bullet Pharmacy
bullet Ambulatory Surgical Centers

bullet Independent Diagnostic Testing
    Facilities
   - NEW

bullet Physicians / Practitioners / Medical Clinics    
bullet Child / Adolescent Health Centers & Programs    - NEW  bullet Laboratory bullet Portable X-ray Suppliers   - NEW
bullet Children's Special Health Care
      Services
  
bullet Local Health Department bullet Private Duty Nurse
bullet Chiropractors  bullet Inpatient Hospitals bullet Rural Health Centers
bullet Clinic Institutional Billing bullet Outpatient Hospitals bullet School Based Services
bullet COVID-19 Response    - NEW bullet Maternal Infant Health Program bullet Special Programs
bullet Dental bullet Medicaid Health Plan Carve-out     bullet Therapies
bullet Family Planning bullet Medical Suppliers / Orthotists /
      Prosthetists / DME Dealers
bullet Tribal Health Centers
bullet Federally Qualified Health Centers
     (FQHC)
 
bullet Mental Health / Substance Abuse bullet Urgent Care Centers 
bullet Hearing Services / Hearing Aid
      Dealers
bullet Non-Emergency Medical 
     Transportation (NEMT)
 
bullet Vision 
bullet Home Health bullet Nursing Facilities