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2014 Medicaid Provider L Letters

2014 Medicaid Provider L Letters

The following are provider letters issued in 2014. 


Letter Number 

Issue Date 

Subject 

Distribution  
L 14-66 December 19, 2014 School Based Services - FY 2015 Bill Back School Based Services Providers
L 14-65 December 19, 2014 Capital Reimbursement Methodology Tribal Chairs and Health Directors
L 14-63 December 9, 2014 Enrollment of Psychologists and Social Workers as Medicaid Providers Tribal Chairs and Health Directors 
L 14-62 December 4, 2014 Tribal Health Centers (THCs) Receiving the THC All-Inclusive Rate for Managed Care Encounters Tribal Chairs and Health Directors
L 14-59 November 2014 Setting of Level of Care Code 55 for Beneficiaries Found Medically/Functionally Ineligible for Medicaid Services Based on the Michigan Medicaid Nursing Facility Level of Care Determination (LOCD) Nursing Facilities, Hospital Long-Term Care, County Medical Care Facilities, Ventilator Dependent Care Units, Hospital Swing Beds, Program of All-Inclusive Care for the Elderly (PACE) Providers, MI Choice Waiver Agencies 
L 14-61 November 24, 2014 Michigan’s Draft Statewide Transition Plan for Home and Community-Based Settings CMHs & PIHPs, Integrated Care Organizations, Tribal Chairs and Health Directors, MI Choice Waiver Agents & Area Agencies on Aging, Hospices, Nursing Facilities, Private Duty Nursing, Centers for Independent Living, Adult Foster Care, Homes for the Aged, and various other interested parties
L 14-60 November 24, 2014 Waiver Amendment for Children with Serious Emotional Disturbances and Transition Plan Community Mental Health Services Programs (CMHSPs), Prepaid Inpatient Health Plans (PIHPs), Tribal Chairs and Health Directors
L 14-58 November 20, 2014 Criminal History Checks of Michigan Medicaid Home Help Providers Individual Home Help Providers
L 14-57 November 18, 2014 Increase of Beneficiary Copayment for Non-Emergency Visits to the Hospital Emergency Room; Preventative Services Tribal Chairs and Health Directors
L 14-56 November 12, 2014 Update of Ambulatory Surgical Center (ASC) and Outpatient Prospective Payment System (OPPS) Reduction Factor Tribal Chairs and Health Directors
L 14-53 November 6, 2014 Preadmission Diagnostic Services – Three Day Payment Window – Outpatient Services Treated as Inpatient Services Select Hospitals
L 14-54 November 5, 2014 Waiver to Merge Title XXI MIChild with Title XIX Medicaid Tribal Chairs and Health Directors
L 14-55 October 30, 2014 Notice of Intent to Submit Amendments to Section 1915(c) and Section 1915(b)(4) Home and Community-Based Services Waiver for Children with Serious and Emotional Disturbances (SEDW) and Home and Community Based (HBB) Settings Transition Plan for SEDW. Tribal Chairs and Health Directors
L 14-52 October 28, 2014 Beneficiary Notification of Copays at the Point of Service Healthy Michigan Plan Beneficiaries in Managed Care Plans All Providers
L 14-51 October 22, 2014 Notice of Intent to Submit a State Plan Amendment to extend the Michigan Primary Care Transformation (MiPCT) Project Tribal Chairs and Health Directors
L 14-50 October 20, 2014 Autism Benefit Tribal Chairs and Health Directors
L 14-49 October 15, 2014 Changes to Outpatient Therapy Service Limitations Tribal Chairs and Health Directors
L 14-48 October 10, 2014 Home Help Agency Providers Tribal Chairs and Health Directors
L 14-28 September 30, 2014 Fee-for-Service Healthy Michigan Plan Beneficiaries with Retroactive Health Plan Enrollment Dates Select Providers
L 14-47 September 25, 2014 Fiscal Year 2015 Outpatient Uncompensated Care DSH Pool Eligibility Tribal Chairs and Health Directors, Institutional Providers
L 14-46 September 16, 2014 Orthotics & Prosthetics Liaison Meeting Notice Orthotics and Prosthetics Providers
L 14-45 September 11, 2014 Local Health Department Payment Methodology Tribal Chairs and Health Directors
L 14-44 September 11, 2014 IP Rate Update Tribal Chairs and Health Directors
L 14-40 September 8, 2014 Unnecessary Physician Orders and Medical Supplier Claims for Medical Supply Items Ordered During a Medicare or Medicaid Beneficiary Nursing Facility Stay Medical Suppliers, Nursing Facilities, Practitioners
L 14-42 August 25, 2014 MI Choice Waiver Amendment and Transition Plan Hospice, Nursing Facilities, Private Duty Nursing, MI Choice Wavier Agencies, Centers for Independent Living, Adult Foster Care, Homes for the Aged, Tribal Chairs and Health Directors, Interested Parties
L 14-43 August 22, 2014 Habilitation Supports Waiver Amendment and Transition Plan Prepaid Inpatient Health Plans, Community Mental Health Service Programs, Tribal Chairs and Health Directors, Interested Parties
L 14-41 August 21, 2014 New Class I Nursing Facility Rate Relief Criterion Tribal Chairs and Health Directors
L 14-34 August 6, 2014 Primary Care Provider Incentive Program - Employer Retention Physicians, Pediatric Nurse Practitioners, Medical Clinics, Medicaid Health Plans
L 14-35 August 1, 2014 Notice of Intent to Submit a 1915(b)/(c) Waiver Application for the MI Health Link Program Tribal Chairs and Health Directors
L 14-39 July 30, 2014 Notice of Intent to Submit an Amendment for the Habilitation Supports Waiver Tribal Chairs and Health Directors
L 14-37 July 30, 2014 Indigent Care Agreement (ICA) Disproportionate Share Hospital (DSH) Pool Amount Tribal Chairs and Health Directors
L 14-36 July 30, 2014 Fiscal Year (FY) 2015 Outpatient Uncompensated Care Disproportionate Share Hospital (DSH) Pool Amount Tribal Chairs and Health Directors
L 14-33 July 22, 2014 Notice of Intent to Submit an Amendment for MI Choice Waiver Tribal Chairs and Health Directors
L 14-32 July 22, 2014 Primary Care Provider Reimbursement Rate Increase Tribal Chairs and Health Directors
L 14-31 July 22, 2014 Notice of September 8, 2014 Durable Medicaid Equipment and Supplies Provider Liaison Meeting Durable Medical Equipment Providers
L 14-30 July 22, 2014 Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Dental Periodicity Schedule Tribal Chairs and Health Directors
L 14-29 July 15, 2014 TBI Waiver Application - Stakeholders Meetings Affected Stakeholders
L 14-25 July 15, 2014 Preadmission Diagnostic Services - Three Day Payment Window - Outpatient Services Treated as Inpatient Services Hospitals, Tribal Chairs and Health Directors
L 14-26 July 10, 2014 Home Help Agency Providers Tribal Chairs and Health Directors
L 14-24 June 24, 2014 Medicaid Copayment Exemptions Tribal Chairs and Health Directors
L 14-22 June 13, 2014 Healthy Michigan Plan Health Risk Assessments Practitioners, Federally Qualified Health Centers, Local Health Departments, Tribal Health Centers, Rural Health Centers, Health Plans
L 14-23 June 12, 2014 State Psychiatric Hospital Reimbursement Methodology Tribal Chairs and Health Directors
L 14-20 June 3, 2014 Letter for Clinics Federally Qualified Health Centers, Local Health Department, Rural Health Clinics, and Tribal Health Centers providers
L 14-19 May 29, 2014 Medicaid Coverage for Pregnant Individuals under age 21 years old Tribal Chairs and Health Directors
L 14-18 May 8, 2014 Healthy Michigan Plan Operational Protocols Posted for Comment Tribal Chairs and Health Directors
L 14-17 May 7, 2014 Amendment to the Freedom to Work Medicaid Program Tribal Chairs and Health Directors
L 14-16 May 7,2014 Amendment to the Federal Medical Assistance Percentage (FMAP) State Plan Amendment (SPA) Tribal Chairs and Health Directors
L 14-15 April 29, 2014 Amendment to the Healthy Kids Dental Waiver Tribal Chairs and Health Directors
L 14-13 April 3, 2014 DSH-Tribal Notice  Tribal Chairs and Health Directors
L 14-12 April 2, 2014 Provider Notification regarding Healthy Michigan Plan Enrollment  All Providers
L 14-11 April 1, 2014 DRA 2013 Notices Directors of Finance
L 14-14 March 27, 2014 The Submission of a State Plan Amendment for ACA outpatient drug coverage changes Tribal Chairs and Health Directors
L 14-10 March 6, 2014 Notice of April 7, 2014, Orthotics and Prosthetics Provider Liaison Meeting Orthotics and Prosthetics Providers
L 14-09 February 25, 2014 Change in Payment Methodology for the Medicaid Non-Emergency Medical Transportation (NEMT) Brokerage Contract  Tribal Chairs and Health Directors
L 14-07 February 18, 2014 Medicaid Nursing Facility Provider Liaison Meeting Nursing Facilities
L 14-08 February 14, 2014 The Submission of a Federal Medical Assistance Percentage (FMAP) Claiming State Plan Amendment Tribal Chairs and Health Directors
L 14-05 February 12, 2014 School Based Services - FY 2014 Bill Back School Based Services Providers and Intermediate School District Financial Manager
L 14-06 February 11, 2014 Announcement of Michigan Presumptive Eligibility web based training now available to Michigan Hospitals.  Follow-up to L 13-68 Hospital Providers
L 14-01 February 6, 2014 DRA 2009 Notices Directors of Finance
L 14-04 January 29, 2014 Notice of Durable Medical Equipment (DME) Supplier Liaison Meeting-3-10-2014 Durable Medical Equipment Providers
L 14-03 January 29, 2014 Notification of Intent to Submit a State Plan Amendment to revise the Michigan Medicaid Cost Report Tribal Chairs and Health Directors
L 14-02 January 16, 2014 Phase out of the Plan First Family Planning Waiver Tribal Chairs and Health Directors