Medicaid Policy Bulletins

Policy Bulletins

This page contains policy bulletins issued in 2018. 

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  
November 30, 2018 MSA 18-50 Claims for Medicaid Beneficiaries Eligible for Medicare
November 30, 2018 MSA 18-49 Network Adequacy Standards
November 30, 2018 MSA 18-48 Nursing Facility Level of Care Determination (LOCD) Medicaid Provider Manual Chapter and Process Improvements
November 30, 2018 MSA 18-47 Enforcement of Medicaid Provider Enrollment Requirement for Medicaid Health Plan and Dental Health Plan Typical Providers
November 30, 2018 MSA 18-46 Updates to Audiology Supply and Device Reimbursement Rates and Bone-Anchored Hearing Device (BAHD) Coverage
November 30, 2018 MSA 18-45 Updates to the Medicaid Provider Manual
November 30, 2018 MSA 18-44

Standard Consent Form

November 30, 2018 MSA 18-41 Clarification of Medicaid Outreach Policy
November 1, 2018 MSA 18-43 Home Health Policy Changes and Clarifications
November 1, 2018 MSA 18-42 Rescinding the MI Marketplace Option
November 1, 2018 MSA 18-40

Graduate Medical Education (GME) Innovations Agreements

October 2, 2018 MSA 18-37 Guardianship/Conservator Fee
October 1, 2018 MSA 18-39 Nursing Facility Level of Care Determination (LOCD) Process Improvements
October 1, 2018 MSA 18-38 Return of Dental Radiographs; Maxillary Partial Denture Update
October 1, 2018 MSA 18-36 Face-to-Face Claim Requirements for Durable Medical Equipment (DME) Providers; Home Health Agencies Providing DME
October 1, 2018 MSA 18-34 Ordering of Genetic Laboratory Services by Physician Assistants (PAs) and Advanced Practice Registered Nurses (APRNs)
August 31, 2018 MSA 18-35 Copayment Exemption for Drugs to Treat Mental Health Conditions and Substance Use Disorders
August 31, 2018 MSA 18-33

New Dental Health Plan Choice for Healthy Kids Dental Beneficiaries

August 31, 2018 MSA 18-32 Updates to the Medicaid Provider Manual; Clarification to Bulletin MSA 17-21;Code Updates
August 31, 2018 MSA 18-31 Update to the Coverage of Physician Assistant Services
August 31, 2018 MSA 18-30 Labor for Repairs to Manual and Power Wheelchairs and Power Operated Vehicles (POVs)
August 31, 2018 MSA 18-29 Enrollment and Reimbursement Changes for Occupational Therapists, Physical Therapists, Speech-Language Pathologists, and Audiologists; New Medicaid Provider Manual Therapy Services Chapter; Revised Therapy Prior Authorization Form (MSA-115); Therapy Service Modifier Update
August 31, 2018 MSA 18-28 Divestment Penalties for Individuals Applying for Medicaid Under the MI Choice Waiver Program
August 31, 2018 MSA 18-27

Opioid Health Home Pilot Program

August 31, 2018 MSA 18-22 Inpatient Long-Acting Reversible Contraception (LARC) Reimbursement
August 30, 2018 MSA 18-25 Nursing Facility Quality Measure Initiative Bulletin Revisions
August 24, 2018 MSA 18-26 Rate Update for Neonatal and Pediatric Critical Care and Intensive Care Services
August 1, 2018 MSA 18-24 Reinstatement of Adult Hearing Aid Coverage; Update to Disposable Hearing Aid Batteries and Replacement Earmold Coverage
August 1, 2018 MSA 18-23 Claim Documentation Requirements When Billing Value Codes 25, 26, 27, 28, 29, 33, and 34
June 29, 2018 MSA 18-20 Medical Verification for Transportation - Physician Signature and Travel Reimbursement Clarifications
June 29, 2018 MSA 18-14 Hospital 340B Final Settlement Adjustment Process
June 27, 2018 MSA 18-21 Timely Hearing Requests
June 1, 2018 MSA 18-18 Expanded Access to Dental Benefits for Pregnant Women
June 1, 2018 MSA 18-16 Updates to the Medicaid Provider Manual; Clarification for Services Provided to Beneficiaries Receiving Hospice Services; Code Updates
June 1, 2018 MSA 18-15 PACE Deeming Process
June 1, 2018 MSA 18-11 Medicaid Laboratory Reimbursement Rates
June 1, 2018 MSA 18-10 Pediatric Outpatient Intensive Feeding Program Services
May 25, 2018 MSA 18-17 Implementation of Affordable Care Act (ACA) Home Health Rule Requiring Face-to-Face Visits for Durable Medical Equipment
May 25, 2018 MSA 18-13 Clarification of Home Health Face-to-Face Requirements
May 25, 2018 MSA 18-12 Prior Authorization Requirements for Home Health Services
May 1, 2018 MSA 18-09

Home Help Agency Provider Standards

May 1, 2018 MSA 18-08

Michigan State Veterans’ Homes Medicaid Reimbursement

March 5, 2018 MSA 18-07 Managed Care Network Provider Enrollment in the Community Health Automated Medicaid Processing System (CHAMPS)
March 1, 2018 MSA 18-06 Updates to the Medicaid Provider Manual; MDHHS Wrap Around Code List Format Change
March 1, 2018 MSA 18-05 MI Marketplace Option and Healthy Michigan Plan Updates
March 1, 2018 MSA 18-04 Initial Asset Assessments (IAA) and Program of All-Inclusive Care for the Elderly (PACE) Eligibility
January 30, 2018 MSA 18-03

Clarification to Age Limitations for Durable Medical Equipment, Prosthetics, Orthotics and Supplies

January 30, 2018 MSA 18-02

Update to the Coverage of Physician-Administered Drugs and Biological Products

January 30, 2018 MSA 18-01

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

January 30, 2018

MSA 17-39

Home Help Travel Time Payment for Shopping and Laundry Services