2013 Medicaid Policy Bulletins

This page contains policy bulletins issued in 2013. 

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 20, 2013 MSA 13-54

Healthcare Common Procedure Coding System (HCPCS) Code Updates

December 23, 2013 MSA 13-52

Annual Reduction in Medicaid Hospice Payment Rates for Hospices Reported as Non-Compliant with the Hospice Quality Reporting Program (HQRP)

December 23, 2013 MSA 13-51

Revisions to Orthodontic Policy

December 23, 2013 MSA 13-50

Rural Access Pool

December 2, 2013 MSA 13-49

Outpatient Prospective Payment System and Ambulatory Surgical Center Reduction Factor

November 26, 2013  MSA 13-48

Updates to the Medicaid Provider Manual; ICD-10 Project Update

November 26, 2013 MSA 13-46

Update on Enrollment of Children's Special Health Care Services (CSHCS)/Medicaid Beneficiaries into Medicaid Health Plans (MHP), MHP Exclusion of Beneficiaries Authorized for Private Duty Nursing (PDN)

November 26, 2013 MSA 13-45

Diagnosis Related Group (DRG) Grouper Update, DRG Rate Update, Rehabilitation Per Diem Rate Update

December 2, 2013 MSA 13-44

Medicaid Cost Sharing (Co-Payment) Exemptions

November 26, 2013 MSA 13-43

Claim Void Process, Subrogation and Billing Beneficiaries

November 26, 2013 MSA 13-42

Standards of Coverage and Prior Authorization Requirements for Genetic Testing

October 1, 2013 MSA 13-41

Dental Implants and Adjunctive Services

August 30, 2013 MSA 13-38

Social Security Number Exemption

August 30, 2013 MSA 13-35

Affordable Care Act Changes for Medicaid

August 30, 2013 MSA 13-34

Telemedicine 

August 29, 2013 MSA 13-40

Updates to the Medicaid Provider Manual; Beneficiary Monitoring Program; ICD-10 Project Update

August 29, 2013 MSA 13-39

Electronic Distribution of Provider Bulletins and L Letters

August 29, 2013 MSA 13-37

Change in Healthcare Common Procedure Coding System (HCPCS) Codes for Private Duty Nursing (PDN), From Hourly to 15-Minute Increments

August 29, 2013 MSA 13-36

New Information Modifier for School Based Services

August 29, 2013 MSA 13-33

Claims Processing Guidance for Implementing the International Classification of Diseases, 10th Edition (ICD-10)

August 29, 2013 MSA 13-31

Medicaid-Approved Settings for Outpatient Occupational Therapy (OT) and Physical Therapy (PT); Orthoptics and/or Pleoptics Training Requirements; Replacement of Contact Lenses

August 26, 2013 MSA 13-32

Hospital Credit Balance Refund Process

August 23, 2013 MSA 13-30

Healthy Kids Dental Contract Expansion

August 23, 2013 MSA 13-29

Licensure Requirements for Speech-Language Pathologists (SLPs)

August 5, 2013 MSA 13-27

Health Insurance Program (HIP) of Michigan Enrollment

August 2, 2013 MSA 13-28

Correction to Bulletin MSA 13-14 

August 2, 2013 MSA 13-26

Prospective Payment System Rate for the State Children's Health Insurance Program (SCHIP)

August 2, 2013 MSA 13-25

Electronic Health Records (EHR) Eligibility Update

July 1, 2013 MSA 13-24  Clarification of Autism Services Benefit
July 1, 2013 MSA 13-23  July 2013 HCPCS Code Updates
July 1, 2013 MSA 13-22  Nursing Facility Reimbursement of Interest for Working Capital Loans
July 1, 2013 MSA 13-21  Endodontic Retreatment Codes and Clarification of Pre-Diagnostic Service Codes
June 1, 2013 MSA 13-20  Update of the Interim Payment Schedule 
June 1, 2013 MSA 13-19  Home Health Agency Face-to-Face Encounter Requirement for Initial Certification
June 1, 2013 MSA 13-18  Affordable Care Act (ACA) Operating Rules for HIPAA Transactions - Eligibility 270/271 and Health Claim Status 276/277
June 1, 2013 MSA 13-17  Provider Enrollment Application Fees and Ordering/Referring and Attending Provider Requirements
June 1, 2013 MSA 13-16  Nursing Facility Historical Review of Survey Performance for Medicaid Bed Certification and Medicaid Enrollment 
June 1, 2013 MSA 13-15  Updates to the Medicaid Provider Manual; Supplemental Bulletin List; Injectable Carve-out; Beneficiary Monitoring Program; ICD-10 Project Update 
May 1, 2013 MSA 13-14  Nursing Facility Plan Cost Certification Submission Requirements
May 1, 2013 MSA 13-13  Federally Qualified Health Centers Coverage of Behavioral Health Services
April 1, 2013 MSA 13-12  Rescinding Bulletin MSA 11-50
April 1, 2013 MSA 13-11  Add New Service and Revise Policy Limitation on Respite Services for the Children's Waiver Program (CWP); Revision of Eligibility Criteria and Add New Service for the Waiver for Children with Serious Emotional Disturbances (SEDW)
April 1, 2013 MSA 13-10  Coverage of Wearable Cardioverter-Defibrillators
March 1, 2013 MSA 13-09  Coverage of Autism Services
March 1, 2013 MSA 13-08 Post-Stabilization Authorization Determinations
March 1, 2013 MSA 13-07  Beneficiary Monitoring Program (BMP)
March 1, 2013 MSA 13-06   Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) Guidelines for Children in Foster Care
March 1, 2013 MSA 13-05  Updates to the Medicaid Provider Manual; Coding Updates; ICD-10 Project Update; ListServe Communications
March 1, 2013 MSA 13-04  Changes to the Evaluation, Prescription and Fitting of Contact Lenses
February 15, 2013 MSA 13-03  Adult Benefits Waiver Enrollment
February 15, 2013 MSA 13-02  Establishment of Fiscal Year (FY) 2013 Rural Access Pool
January 25, 2013 MSA 13-01  Correction to Effective Date for Bulletin MSA 12-64
January 15, 2013 MSA 12-71  Certification of Medical Necessity for Nonemergency Ambulance Transports