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Medical Suppliers / Orthotists / Prosthetists / DME Dealers

CPT codes, descriptions and two-digit modifiers only are Copyright American Medical Association. All Rights Reserved.

This database is not intended to be an all-inclusive list.  HCPCS codes or Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) services not included on the list may be considered for medical necessity on a case-by-case basis through prior authorization.

The information on this page serves as a reference only. It does not guarantee that services are covered.  Providers are instructed to refer to the Michigan Medicaid Provider Manual, MMP Bulletins and other relevant policy for specific coverage and reimbursement policies. This information can be found on the Medicaid Policy, Letters & Forms web page.  If there are discrepancies between the information on this page and the Provider Manual, such as rate or coverage determinations, they will be resolved in favor of the Provider Manual language.

The professional fee schedule format lists procedure codes, descriptions, and fee screens. The modifier and age range fields are applicable to the fee screen and do not reflect coverage parameters. For additional pertinent coverage parameters, such as documentation and billing indicators, refer to the Medicaid Code and Rate Reference tool, which is accessible via the External Links menu within CHAMPS. Medicaid Code and Rate Reference is an online code inquiry system that provides real-time information for the following:

  • Age restrictions,
  • Diagnoses allowable for Ambulance,
  • Documentation requirements,
  • Frequency limitations,
  • Hospital discharge - Bypass PA
  • NDC information,
  • Prior authorizations and medical conditions that may bypass these requirements,
  • Rate information,
  • Required modifiers,
  • Supplies/DME - per diem, and
  • Tooth number and surface requirements.

To request or view upcoming training sessions please refer to Michigan Department of Health and Human Services website at www.michigan.gov/medicaidproviders >>Training>>Medicaid Provider Trainings.

Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at providersupport@michigan.gov.

 

 

Liaison Meetings 
Below is the Medicaid DMEPOS Liaison meeting schedule for 2025. All meetings will be held from 1:00 PM - 2:30 PM via conference call and Microsoft Teams. There will be NO in-person meetings in 2025.                 

       DME Meetings:

  • March 26, 2025
  • June 18, 2025
  • September 17, 2025

P&O Meetings: 

  • April 9. 2025
  • October 8, 2025

 

Liaison Meeting History

DME  

  • Wednesday, March 20, 2024
  • Wednesday, June 12, 2024  Minutes 
  • Wednesday, September 18, 2024 Minutes

Prosthetics & Orthotics   

  • Wednesday, April 17, 2024 - Cancelled
  • Wednesday, October 16, 2024  Minutes