Medicaid Policy Bulletins for Year 2004

Policy Bulletins

This page contains policy bulletins issued in 2004. 

For other years of approved Medicaid Policy bulletins, click here. 

For Notices of Proposed Policy, click here 

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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