Medicaid 2011 Policy Bulletins

Policy Bulletins

This page contains policy bulletins issued in 2011. 

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

 

For Notices of Proposed Policy, click here. 

For Provider "L" Letters, click here.  (Provider "L" letters do not represent promulgated policy and are provided to communicate new developments, information, policy clarifications, etc.)

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Archived Proposed Medicaid Policy Distributed for Public Comment and Consultation Summaries 

Archived proposed Medicaid policy distributed for public comment and consultation summaries are available electronically upon request. If you would like to view historical versions of proposed Medicaid policy that were released for public comment or you would like to obtain a consultation summary of any bulletin, e-mail msadraftpolicy@michigan.gov with your request. Please identify the project number of the proposed Medicaid policy or consultation summary if known. If this information is unknown, reference the month, year, and subject of the bulletin or the consultation summary in your request. The documents will be e-mailed to you.

NOTE: Comments will not be accepted for proposed Medicaid policy after the public comment period has closed. 


Issue Date  Bulletin Number 

Subject 

December 29, 2011 MSA 11-58 

 

Healthy Kids Dental Contract Expansion

December 29, 2011 MSA 11-55 

 

Documentation Requirement for Electronically Transmitted Prescriptions

December 22, 2011 MSA 11-57 

 

Outpatient Prospective Payment System and Ambulatory Surgical Center Reduction Factor

December 22, 2011 MSA 11-56 

 

Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates

December 15, 2011 MSA 11-51  Graduate Medical Education (GME)
December 1, 2011 MSA 11-54 

 

Outpatient Prospective Payment System and Ambulatory Surgical Center Reduction Factor

December 1, 2011 MSA 11-52  DRG Grouper Update; DRG Rate Update; Per Diem Rate Rebasing
December 1, 2011 MSA 11-50 

 

Changes in Reimbursement for Injectables - J Code Updates

December 1, 2011 MSA 11-49  Medicaid Vision Services
December 1, 2011 MSA 11-48  Medicaid Eligibility
December 1, 2011 MSA 11-47 

 

Updates to the Medicaid Provider Manual; MDCH Website and Provider Databases/Fee Screens; 5010 Update; Voluntary Enrollment of Dual Eligibles into Medicaid Health Plans

October 31, 2011 MSA 11-46  Nursing Facility Rate Relief
October 1, 2011 MSA 11-45 

Medicare Conditions of Participation and Affordable Care Act (ACA) of 2010 Update; Medicaid Policy Reminders

October 1, 2011 MSA 11-44  Home Help Policy for the Adult Services Program
October 1, 2011 MSA 11-37 

Enrollment of Dual Medicare and Medicaid Eligible Beneficiaries into Medicaid Health Plans

September 1, 2011 MSA 11-42  Sanctioned Provider Update
September 1, 2011 MSA 11-41 

Healthy Kids Dental Contract Expansion

September 1, 2011 MSA 11-40 

Licensure Requirements for Occupational Therapists (OTs), Occupational Therapy Assistants (OTAs), and Physical Therapy Assistants (PTAs)

September 1, 2011 MSA 11-39 

Updates to the Medicaid Provider Manual; Database Update; Maternal Infant Health Program; Average Wholesale Price (AWP); HIPAA 5010 Update

September 1, 2011 MSA 11-38 

Home Help Program Instrumental Activities of Daily Living Services

September 1, 2011 MSA 11-36 

Health Insurance Portability and Accountability Act (HIPAA) 5010/National Council for Prescription Drug Programs (NCPDP) D.0 Implementation and Business-to-Business (B2B) Testing

September 1, 2011 MSA 11-35 

Limits for Dental Radiographs

August 1, 2011 MSA 11-34 

Data Collection for Hospital Electronic Health Records (EHR) Incentive Program

August 1, 2011 MSA 11-33 

Changes to Children's Special Health Care Services (CSHCS) Prior Authorization Requirements for Non-Emergency Out-of-State Medical Care

August 1, 2011 MSA 11-32 

Medicare - Medicaid Nursing Facility Crossover Claims with Group Health Incorporated (GHI) (Coordination of Benefits)

August 1, 2011 MSA 11-31 

Definition of PDN; Change in PDN Prior Authorization (PA) Procedure; Revised Private Duty Nursing Prior Authorization - Request for Services Form (MSA-0732); New Documentation Requirements; Reminders Regarding Prior Authorization

August 1, 2011 MSA 11-29 

Service Changes for the Maternal Infant Health Program

July 1, 2011 MSA 11-30  Data Collection for Hospital Electronic Health Records (EHR) Incentive Program
July 1, 2011 MSA 11-28  HCPCS Code Updates
July 1, 2011 MSA 11-27  MI Choice Policy Chapter
July 1, 2011 MSA 11-26  Inpatient Hospital Payment Reduction
June 16, 2011 MSA 11-25  New Taxonomy Reporting Requirements
June 1, 2011 MSA 11-24  Sanctioned Provider Update
June 1, 2011 MSA 11-23  Payment Adjustments for Practitioner Services Provided through Designated Public Entities
June 1, 2011 MSA 11-22 

Rebasing Diagnosis Related Group (DRG) Rates; DRG Grouper Update; Per Diem Rates Update; Present on Admission Indicators and Non-Payment for Hospital Acquired Conditions

June 1, 2011 MSA 11-21  Medicaid Non-Payment and Reporting Requirements for Provider Preventable Conditions (PPC)
June 1, 2011 MSA 11-20  Medicaid Estate Recovery Program
June 1, 2011 MSA 11-19  Revisions to the Mental Health/Substance Abuse Chapter, Section 7 - Home-Based Services
June 1, 2011 MSA 11-18  Updates to the Medicaid Provider Manual; Additional Code for Plan First!; 5010/ICD-10 Update
June 1, 2011 MSA 11-14  Medicaid Coverage of Tobacco Cessation for Pregnant Women
May 10, 2011 MSA 11-17   Change in Acquisition Cost Definition for DMEPOS
May 1, 2011 MSA 11-16   Prohibition on Medicaid Payments to Financial Institutions or Entities Outside of the United States
March 31, 2011 MSA 11-15   Rebasing Diagnosis Related Group (DRG) Rates; DRG Grouper Update; Per Diem Rates Update; Present on Admission Indicators and Non-Payment for Hospital Acquired Conditions
March 22, 2011 MSA 11-13   Correction to MSA 11-08
March 1, 2011 MSA 11-12   Claims for Immunizations
March 1, 2011 MSA 11-11   Concurrent Hospice and Curative Care for Children
March 1, 2011 MSA 11-10   Countable Assets for Medicaid
March 1, 2011 MSA 11-09   Clarification to Bulletin MSA 10-53
March 1, 2011 MSA 11-08   Rebasing Diagnosis Related Group (DRG) Rates; DRG Grouper Update; Per Diem Rates Update; Present on Admission Indicators and Non-Payment for Hospital Acquired Conditions
March 1, 2011 MSA 11-07   Updates to the Medicaid Provider Manual; Electronic Healthcare Transactions; Ambulatory Surgical Centers; Community Health Automated Medicaid Processing System (CHAMPS) Provider Helpline and E-Mail Address; Code Updates
March 1, 2011 MSA 11-06   Medicaid National Correct Coding Initiative
February 24, 2011 MSA 11-05   Increase in Personal Care Services Random Moment Time Study Sampled Moments
February 16, 2011 MSA 11-04   Electronic Health Record Incentive Program for Hospitals
January 31, 2011 MSA 11-03   Corrections to Bulletin MSA 10-65
January 1, 2011 MSA 11-02   Additional Codes Payable to Family Planning Clinics
January 1, 2011 MSA 11-01   Concurrent Hospice and Curative Care for Children