The web Browser you are currently using is unsupported, and some features of this site may not work as intended. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer.
June 16 2026 New Wrap Around Codes List Format
June 16, 2026: Attention All Providers: The purpose of this communication is to inform all Medicaid Providers that beginning July 1, 2026, the Michigan Department of Health and Human Services (MDHHS) Ambulatory Surgical Center (ASC) and Outpatient Prospective Payment System (OPPS) Wrap Around Code Lists will be replaced with a new format.
Providers are to refer to the ASC Prospective Payment System Rates and Outpatient Prospective Payment System Payment Rates located at MDHHS Provider Billing & Reimbursement website for fee schedule and coverage information. This update is being instituted in response to the Centers for Medicaid and Medicare Services (CMS) 2024 “Ensuring Access to Medicaid Services” (Access Final Rule, CMS-2442-F).