Medicaid Policy Bulletins for Year 2005

Policy Bulletins

This page contains policy bulletins issued in 2005. 

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 1, 2005  MSA 05-70  January 1, 2006 Procedure Code Updates 
December 1, 2005  MSA 05-69  Updates to the Medicaid Provider Manual 
December 1, 2005  MSA 05-68  Children's Waiver Vacation Respite Services by RN or LPN 
December 1, 2005  MSA 05-67  Procedure Code Updates (School Based Services) 
December 1, 2005  MSA 05-66  Rate Increase for Obstetrical Services 
December 1, 2005  MSA 05-65  Change in Coverage of Certain Diabetic Supplies, Heparin Lock Flush and Normal Saline Pre-Filled Syringes, and Enteral Formulas; Enrollment as Medical Supplier (Provider Type 87) 
December 1, 2005  MSA 05-64  Serial Casting by Outpatient Therapy Providers 
December 1, 2005  MSA 05-63  New Coverage of HCPCS Code A4354; PA Requirement for HCPCS Code A4353; Addition of HCPCS Codes A4353 and A4354 to the MDCH Volume Purchase Contract for Incontinence Supplies 
December 1, 2005  MSA 05-59  Change in CSHCS Client/Family Payment Participation Policy 
November 2005  MSA 05-62  Reimbursement Increase for Ambulance Land Mileage 
November 2005  MSA 05-61  Emergency Services Only Medicaid 
November 15, 2005  MSA 05-60  Medicare Part D 
November 1, 2005  MSA 05-53  Elimination of Pharmacy Revenue Code 0250 
November 1, 2005  MSA 05-51  Maternal Infant Health Program (MIHP) Form Changes and Revised Billing Instructions 
October 2005  MSA 05-46  Sanctioned Providers 
October 19, 2005  MSA 05-58  Recision of Optional Mail Order Program for Medicaid Beneficiaries 
October 17, 2005  MSA 05-57  Procedure Code Updates 
October 11, 2005  MSA 05-56  Elimination of the Six-Month Penalty for Failure to Pay the Monthly MIChild Premium 
October 10, 2005 MSA 05-55  Fee Restoration for Non-Publicly Owned Nursing Facilities
October 3, 2005  MSA 05-54  Adult Dental Benefit Reinstatement Clarification 
October 3, 2005  MSA 05-52  Inpatient Medicaid Access to Care Initiative (MACI) Pools 
September 29, 2005  MSA 05-50  New Disproportionate Share Hospital (DSH) Pool 
September 23, 2005  MSA 05-49  Adult Dental Benefit Reinstatement 
October 1, 2005  MSA 05-48  Remittance Advice Changes 
September 2005  MSA 05-47  HIV/AIDS Drugs 
October 1, 2005  MSA 05-45  Orthodontic Policy 
September 7, 2005  MSA 05-44  New Disproportionate Share Hospital (DSH) Pool 
September 1, 2005  MSA 05-43  New Dental Replacement and Void/Cancel Claim Instructions 
September 1, 2005  MSA 05-42  Updates to the Medicaid Provider Manual 
September 1, 2005  MSA 05-41  Update to Place of Service (POS) Code Set - Pharmacy POS 
August 2005  MSA 05-40  Sanctioned Providers (Monthly Update) 
August 15, 2005  MSA 05-39  Clarification of Application of Patient Pay Amount 
August 1, 2005  HCEP 05-04  Annuity Policy 
July 22, 2005  MSA 05-38  Reduction in Hospital Payments, Executive Order (EO) Reductions, and Graduate Medical Education (GME) Reductions 
July 2005  MSA 05-37  Sanctioned Providers (Monthly Update) 
July 1, 2005  MSA 05-36  New Outpatient Therapy Database; Clarifications and Reminders of Outpatient Therapy Policies 
July 1, 2005  MSA 05-35  Clarification on Hospital Leave Days 
July 1, 2005  MSA 05-34  Changes to Children's Special Health Care Services (CSHCS) Travel Assistance Policy 
June 10, 2005  MSA 05-33  Adult Benefits Waiver Enrollment 
June 1, 2005  Health Care Eligibility Policy 05-03  Revised Maternity Outpatient Medical Services (MOMS) Enrollment 
June 2005  MSA 05-32  Sanctioned Providers (Monthly Update) 
June 1, 2005  MSA 05-31  Updates to the Medicaid Provider Manual 
June 1, 2005  MSA 05-30  HCPCS Coding Changes 
June 1, 2005  MSA 05-29  Local Health Department Outreach Activities 
June 1, 2005  MSA 05-28  Rate Revision for Oxygen Concentrator 
June 1, 2005  MSA 05-27  Electronic Remittance Advice and Electronic Funds Transfer 
May 15, 2005  MSA 05-26  Elimination of Job Categories from List of Allowed Time Study Participants 
May 2005  MSA 05-25  Sanctioned Providers (Monthly Update) 
May 1, 2005  MSA 05-24  Change to Coordination of Benefits Edit Exception (Section 13.10B in Pharmacy Chapter) 
April 1, 2005  Health Care Eligibility Policy 05-02  Adult Benefits Waiver (ABW); Program of All-Inclusive Care for the Elderly (PACE) [for HCEP manual holders] 
April 1, 2005  MSA 05-23  Changes to Children's Special Health Care Services (CSHCS) Payment Agreement 
April 1, 2005  MSA 05-22  FY '05 Fee Reductions 
April 1, 2005  MSA 05-21  MI Choice Program Nursing Facility Transition Services and Waiting List Policy 
April 2005  MSA 05-20  Sanctioned Providers 
April 1, 2005  MSA 05-19  Prior Authorization Number for Ventilator Dependent Care Unit (VDCU) Services 
March 15, 2005  MSA 05-13  Update to Medicaid Access to Care Initiative (MACI) 
March 1, 2005  MSA 05-14  New Nursing Facility Chapter VII (Reimbursement); Updated Nursing Facility Chapter III (Coverages and Limitations); Nursing Aide Training and Competency Evaluation Program; CNA Reimbursement Form (MSA-1632) 
March 1, 2005  MSA 05-15  Place of Service Billing Instructions 
March 2005  MSA 05-16  Sanctioned Providers (Monthly Update) 
March 1, 2005  MSA 05-17  Rebasing DRG Rates; DRG Grouper Update; Per Diem Rates Update 
March 1, 2005  MSA 05-18  Updates to the Medicaid Provider Manual 
March 1, 2005  MIChild 05-01  MIChild Eligibility Policy Clarifications; Update of Annual Federal Poverty Levels 
March 1, 2005  MSA 05-09  Second Clarification to Policy Bulletin MSA 04-15 
March 1, 2005  MSA 05-12 

New Coverage Criteria for Pull-on Briefs; Clarification of Coverage Criteria for Pressure Gradient Garments and Surgical Stockings; Clarification of Payment Rules for a Pulse Oximeter; New Coverage Criteria for Home Infusion of Anti-Emetic Drugs; Clarification of Coverage Criteria for Blood Glucose Monitoring Equipment/Supplies and High Frequency Chest Wall Oscillation (HFCWO) Device 

February 15, 2005  MSA 05-11  Clarification on Hospital Leave Days (Bulletin MSA 04-20) 
February 1, 2005  MSA 05-10  Amendment of Random Moment Time Study Methodology 
January 2005  MSA 05-08  Sanctioned Providers (Monthly Update) 
February 1, 2005  MSA 05-07  Program of All-Inclusive Care for the Elderly (PACE) 
February 1, 2005  MSA 05-06  Adult Benefits Waiver 
January 1, 2005  Health Care Eligibility Policy 05-01  Adult Benefits Waiver (ABW) Eligibility for Incarcerated Persons 
January 1, 2005  MSA 05-05  Medicaid Reimbursement to Hospices for Quality Assurance Supplement (QAS) 
January 1, 2005  MSA 05-04  Addition of an Optional Mail Order Program for Medicaid Beneficiaries 
January 1, 2005  MSA 05-03  Expanding Covered Services for Certified Nurse Midwives 
January 1, 2005  MSA 05-02  Crossover Claims with AdminaStar (Coordination of Benefits) 
January 2005  MSA 05-01  2005 Medicaid Provider Manual