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2015 Medicaid Policy Bulletins

Policy Bulletins

This page contains policy bulletins issued in 2015. 

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 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


December 30, 2015 MSA 15-64 Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates
December 30, 2015 MSA 15-63 Disproportionate Share Hospital (DSH) Balance
December 30, 2015 MSA 15-62 Outpatient Hospital Medicaid Access to Care Initiative (MACI) Pool Allocation
December 30, 2015 MSA 15-54 Provider Enrollment Electronic Signature Form Submission Process
December 16, 2015 MSA 15-61 Annual Practitioner Fee Schedule Update
December 16, 2015 MSA 15-60 Medicaid Hospice Reimbursement Changes
December 2, 2015 MSA 15-59 Coverage of Autism Services for Children Under 21 Years of Age
December 1, 2015 MSA 15-57 All-Inclusive Rate for Managed Care Encounters
December 1, 2015 MSA 15-56 Fee-for-Service Coverage of Office-Based Opioid Treatment
December 1, 2015 MSA 15-55 Medicaid Health Plan Common Formulary
December 1, 2015 MSA 15-53 Updates to the Medicaid Provider Manual; Native American/Alaska Native Cost-Sharing Exemption Modification; Healthy Michigan Plan Beneficiary Cost Sharing
December 1, 2015 MSA 15-52 MIChild Conversion to Medicaid Expansion
December 1, 2015 MSA 15-51 MIChild Transition to Medicaid Expansion
December 1, 2015 MSA 15-50 Changes to Non-Emergency Transportation (NEMT) Medicald Needs Verification and Minors Traveling Alone
December 1, 2015 MSA 15-49 Cost-Sharing Limits
December 1, 2015 MSA 15-48 Medicaid Ambulance Policy Revisions
December 1, 2015 MSA 15-47 Health Insurance Premiums and Repayment Schedule for Promissory Notes
December 1, 2015 MSA 15-45 Changes to the Children's Special Health Care Services (CSHCS) General Information and Travel Assistance Regarding Retroactive Coverage
December 1, 2015 MSA 15-58 Outpatient Prospective Payment System and Ambulatory Surgical Center Reduction Factor Update
October 30, 2015 MSA 15-44 Enrollment of Psychologists, Social Workers, and Professional Counselors as Medicaid Providers
October 30, 2015 MSA 15-43 Update of Maternal Infant Health Program Services
October 30, 2015 MSA 15-42 Revisions to the Mental Health/Substance Abuse Chapter of the Medicaid Provider Manual, Clubhouse Psychosocial Rehabilitation Programs Section
October 30, 2015 MSA 15-41 Medicaid Provider Manual Chapter for MI Health Link
October 1, 2015 MSA 15-40 Changes to Osteogenesis Stimulator Coverage Policy
October 1, 2015 MSA 15-39 Affordable Care Act (ACA) Fingerprint Requirements
September 1, 2015 MSA 15-38 Cost-Sharing Updates
September 1, 2015 MSA 15-37 Changes to NEMT Prior Authorization Requirements for Locally Authorized Methadone-Related Treatment and Meals & Lodging
September 1, 2015 MSA 15-35 Updates to the Medicaid Provider Manual; ICD-10 Project Update; Discontinued Coverage of Laboratory Procedure Code
September 1, 2015 MSA 15-34 Healthy Kids Dental Contract Expansion
September 1, 2015 MSA 15-33 Healthy Michigan Plan Dental Benefits for Ages 19 and 20
September 1, 2015 MSA 15-32 Inpatient and Outpatient Hospital ICD-10 Short Stay Reimbursement
September 1, 2015 MSA 15-31 Inpatient Prospective Capital Payments
September 1, 2015 MSA 15-30 Inpatient Hospital Reimbursement System Reform
September 1, 2015 MSA 15-09 Eligibility Criteria for the Freedom to Work Medicaid Program
July 31, 2015 MSA 15-29 Insurance Premium Payment Assistance
July 1, 2015 MSA 15-28

Development of Used Rates for Specified Durable Medical Equipment

July 1, 2015 MSA 15-27

Disproportionate Share Hospital (DSH) Pools

July 1, 2015 MSA 15-26

State Psychiatric Hospital Reimbursement Modification

July 1, 2015 MSA 15-25

Revisions to Blood Glucose Testing Supplies Policy

July 1, 2015 MSA 15-24

Medicaid Ambulance Policy Revisions

July 1, 2015 MSA 15-11

Estate Recovery Disregards in Medicaid

June 1, 2015 MSA 15-23

Updates to the Medicaid Provider Manual; ICD-10 Project Update; Changes to the Michigan Department of Community Health and the Michigan Department of Human Services

June 1, 2015 MSA 15-22 Telepractice for Speech-Language and Audiology Services
June 1, 2015 MSA 15-21

Updates to Children’s Multi-Disciplinary Specialty (CMDS) Clinic Policy

June 1, 2015 MSA 15-20

Update to the Nursing Facility Certification, Survey & Enforcement Appendix on Nursing Facility Voluntary Closure

June 1, 2015 MSA 15-19

Coverage of Pharmacy Claims for Certain Outpatient Physician-Administered Injectable Drugs

June 1, 2015 MSA 15-18

Treatment of Various Types of Veteran Pension Income for Supplemental Security Income (SSI)-Related Medicaid Eligibility

June 1, 2015 MSA 15-16

Medicaid Coverage Updates for Tubal Sterilization Devices

June 1, 2015 MSA 15-15

Documentation Requirements for Pharmacy Providers

June 1, 2015 MSA 15-14

Reimbursement for Wheelchair Lift andMedivan Transportation; Medical Needs Form Clarification

May 29, 2015 MSA 15-17

Inpatient and Outpatient Hospital Short Stay Reimbursement

May 1, 2015 MSA 15-13

Changes in Home Help Agency Provider Standards

May 1, 2015 MSA 15-10

Assets for Medicaid Eligibility

May 1, 2015 MSA 15-08

Expansion of Coverage for Pharmacy Administration of Vaccines

May 1, 2015 MSA 15-07

School Based Services Audit and Recovery Procedures

May 1, 2015 MSA 15-06

Changes to Provider Enrollment and Service Verification

March 2, 2015 MSA 15-05

Updates to the Medicaid Provider Manual; ICD-10 Project Update; EPSDT/Habilitative Services Update; and Changes to the Michigan Department of Community Health and the Michigan Department of Human Services

March 2, 2015 MSA 15-04

Mobile Dental Facilities

January 29, 2015 MSA 15-03

Changes to Prior Authorization Requirements for Pediatric-Related Overnight Stays

January 2, 2015 MSA 15-01

Changes to Provider Enrollment and Service Verification