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.
2021 Medicaid Provider L Letters
The following are provider letters issued in 2021.
Letter Number |
Issue Date |
Subject |
Distribution |
L 21-85 | December 15, 2021 |
COVID-19 Response: Policy for COVID-Relief Facilities (CRFs) to Treat COVID-19 Residents Requiring Nursing Facility (NF) Care in Limited Circumstances |
Nursing Facilities |
L 21-79 | December 7, 2021 | Private Duty Nursing (PDN) Reimbursement Change | Private Duty Nursing |
L 21-83 | December 2, 2021 | Michigan Department of Health and Human Services (MDHHS) Response to Address the COVID-19 Public Health Emergency - October and November 2021 | Tribal Chairs and Health Directors |
L 21-80 | December 2, 2021 | Medicaid Response to the Medicare Part B Home Infusion Therapy Benefit | Hospitals, Home Health, DME Providers, Pharmacy, Practitioners, Medicaid Health Plans |
L 21-74 | November 22, 2021 | Fiscal Year (FY) 2022 Home Help Agency Caregiver Wage Increase | Home Help Agency Providers |
L 21-73 | November 22, 2021 | Fiscal Year 2022 Provider Pay Increase | Home Help Individual Providers |
L 21-76 | November 16, 2021 |
Fiscal Year 2022 Direct Care Worker Wage Increase |
MI Choice Waiver Agencies, MI Health Link ICOs, PIHPs and CMHSPs. |
L 21-70 | November 16, 2021 | COVID-19 Response: Update on Fiscal Year (FY) 2022 Per Diem Rates, the Quality Assurance Supplement (QAS) Payments, and the facility lump sum payments for Nursing Facilities (NF) | Nursing Facilities |
L 21-75 | November 10, 2021 | Behavioral Health Home (BHH) Expansion | Tribal Chairs and Health Directors |
L 21-78 | November 9, 2021 | Sections 1915(b)/(c) MI Health Link Waiver Amendments | MHL Stakeholders |
L 21-77 | November 9, 2021 | Intent to Remove Personal Emergency Response System (PERS) Benefit from the 1915(c) MI Health Link Waiver | Tribal Chairs and Health Directors |
L 21-71 | November 2, 2021 | Medicaid Coverage of Services Associated with a Clinical Trial | Tribal Chairs and Health Directors |
L 21-72 | November 1, 2021 | Disproportionate Share Hospital (DSH) Process Consolidation | Tribal Chairs and Health Directors |
L 21-64 | October 22, 2021 | Notice of Intent to Submit a State Plan Amendment for Anti-obesity Drug Coverage Changes | Tribal Chairs and Health Directors |
L 21-69 | October 21, 2021 |
Program for the All-Inclusive Care of the Elderly (PACE) applications |
PACE providers |
L 21-68 | October 21, 2021 | Technical Updates to Third Party Liability and Coordination of Benefits | Tribal Chairs and Health Directors |
L 21-66 | October 18, 2021 | Long Term Supports and Services (LTSS) COVID-19 Response: Level of Care Determination (LOCD) Reminders- Nursing Facilities, Program of All-Inclusive Care for the Elderly (PACE), MI Choice, and MI Health Link Home and Community Based Services (HCBS) Waiver | MI Choice Waiver, MI Health Link, Nursing Facilities and PACE |
L 21-63 | October 5, 2021 | Community Transition Services |
Skilled Nursing Facilities, Community Waiver Providers and Centers for Independent Living (CIL) |
L 21-15 | September 29, 2021 | Erroneous Copay Responsibility Amounts - Claims must be rebilled | Pharmacy Providers |
L 21-65 | September 23, 2021 | Notice of November 10, 2021, Orthotics and Prosthetics Medicaid Provider Liaison Meeting | Orthotics and Prosthetics Providers |
L 21-61 | September 17, 2021 |
Additional Dose Updates for the COVID-19 Vaccine |
All Providers |
L 21-60 | September 8, 2021 | COVID-19 Response: Premium Pay | PIHPs, CMHSPs, ICOs, and MI Choice Waiver agencies. |
L 21-62 | September 3, 2021 | Notice of October 6, 2021, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting | Durable Medicaid Equipment Providers |
L 21-59 | September 1, 2021 | Coverage of Organ Transplant Services | Tribal Chairs and Health Directors |
L 21-55 | August 30, 2021 | Notice of Intent to Submit a State Plan Amendment (SPA) to Include New Transportation Provider Qualifications | Tribal Chairs and Health Directors |
L 21-53 | August 13, 2021 | Submission of a State Plan Amendment (SPA) for Psychiatric Residential Treatment Facilities (PRTF) | Tribal Chairs and Health Directors |
L 21-57 | August 11, 2021 |
Long Term Supports and Services (LTSS) COVID-19 Response: Level of Care Determination (LOCD) End Date Extensions - Nursing Facilities and Program of All-Inclusive Care for the Elderly (PACE) |
PACE Providers, Nursing Facilities |
L 21-56 | August 11, 2021 |
Recall of LeadCare® Blood Lead Tests Due to Risk of Falsely Low Results- Centers for Disease Control and Prevention (CDC) Health Alert Network (HAN) Health Advisory (Modified by MDHHS to Reflect Michigan's Recommendations) |
All Providers |
L 21-54 | July 27, 2021 |
Medicaid Home Health FY20 Audit |
Home Health Providers |
L 21-51 | July 21, 2021 | Change in the Method for Determining the Nursing Facility Current Asset Value in Rate Setting | Tribal Chairs and Health Directors |
L 21-47 | July 13, 2021 | Actions for Non-Emergency Medical Transportation (NEMT) Providers and Medicaid Beneficiaries During COVID-19 | NEMT Providers, BEM and BAM Holders, NEMT Contractor, MHPs, ICOs, and MI Choice Waiver Agencies. |
L 21-52 | June 29, 2021 | Nursing Facility Quality Measure Initiative Resident Satisfaction Survey Data | Nursing Facilities |
L 21-50 | June 29, 2021 |
Conversion Therapy Services
|
All Providers |
L 21-48 | June 25, 2021 |
Program of All-Inclusive Care for the Elderly (PACE) Applications |
PACE Providers |
L 21-49 | June 24, 2021 |
Michigan Department of Health and Human Services (MDHHS) Response to Philips recall of Bi-PAP, CPAP Bi-Level Positive Airway Pressure (Bi-PAP), and mechanical ventilator devices. |
Durable Medical Equipment Provider |
L 21-46 | June 24, 2021 | Certified Community Behavioral Health Clinic (CCBHC) Demonstration | Tribal Chairs and Health Directors |
L 21-45 | June 21, 2021 | Improving Immunization Rates for Pediatric and Adolescent Patients. | All Providers |
L 21-39 | June 21, 2021 | COVID-19 Response: Premium Pay for Adult Foster Care and Homes for the Aged |
PIHPs, CMHSPs, ICOs, and MI Choice Waiver agencies. |
L 21-37 | June 17, 2021 |
Long Term Supports and Services (LTSS) COVID-19 Response: Additional Guidance on the Level of Care Determination (LOCD) for Medicaid-Certified Nursing Facility and Program of All-Inclusive Care for the Elderly (PACE) |
Nursing Facilities and PACE Providers. |
L 21-36 | June 17, 2021 |
Long Term Supports and Services (LTSS) COVID-19 Response: Additional Guidance on the Level of Care Determination (LOCD) for MI Choice and MI Health Link Home and Community Based Services (HCBS) Waiver |
MI Choice and MI Health Link Providers. |
L 21-42 | June 9, 2021 | Hospital Rapid Whole Genome Sequencing (rWGS) Testing Reimbursement State Plan Amendment (SPA) | Tribal Chairs and Health Directors |
L 21-38 | June 8, 2021 | Enrollment of Genetic Counselors | Tribal Chairs and Health Directors |
L 21-43 | June 1, 2021 | Notice of July 14, 2021, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting | Durable Medicaid Equipment Providers |
L 21-40 | May 27, 2021 |
Emergency Broadband Benefit (EBB) Program |
All Providers |
L 21-41 | May 24, 2021 | Opioid Health Home (OHH) Expansion | Tribal Chairs and Health Directors |
L 21-35 | May 12, 2021 | Michigan Department of Health and Human Services (MDHHS) Response to Address COVID-19 Public Health Emergency - March and April 2021 | Tribal Chairs and Health Directors |
L 21-33 | April 29, 2021 | Reporting Requirements for Skilled Nursing Facilities | Nursing Facilities |
L 21-31-This letter has been rescinded | April 28, 2021 | Clarification of Signature Log Requirements for Proof of Delivery | Pharmacy Providers and Medicaid Health Plans |
L 21-32 | April 16, 2021 | Enrollment of Dental Therapists | Tribal Chairs and Health Directors |
L 21-21 | April 5, 2021 | Removal of Prior Authorization for Hepatitis C Treatment | All Providers |
L 21-30 | April 2, 2021 | COVID-19 Response: Premium Pay | PIHPs, CMHSPs, ICOs, and MI Choice Waiver agencies |
L 21-29 | April 2, 2021 |
COVID-19 Premium Pay Extended Through September 30, 2021 |
Nursing Facilities |
L 21-25 | April 2, 2021 | Coverage of Non-Emergency Medical Transportation for COVID-19 Vaccines, and Actions for Non-Emergency Medical Transportation Providers During COVID-19 | All Providers |
L 21-24 | April 1, 2021 | Michigan Department of Health and Human Services (MDHHS) Response to Address COVID-19 Public Health Emergency - February 2021 | Tribal Chairs and Health Directors |
L 21-28 | March 31, 2021 |
COVID-19 Premium Pay Extended Through September 30, 2021 |
Home Help Individual Providers |
L 21-27 | March 31, 2021 | COVID-19 Premium Pay Extended Through September 30, 2021 | Home Help Agency Providers |
L 21-23 | March 30, 2021 | Notice of Intent to Submit a State Plan Amendment (SPA) to Allow Tribal 638 Pharmacies to Receive the All-Inclusive Rate for Prescriptions | Tribal Chairs and Health Directors |
L 21-26 | March 26, 2021 |
Notice of May 12, 2021, Orthotics and Prosthetics Medicaid Provider Liaison Meeting |
Orthotics and Prosthetics Providers |
L 21-20 | March 17, 2021 | COVID-19 Vaccine for Eligible Agency Employees | Home Health and Hospice Providers |
L 21-14 | March 17, 2021 |
Assisting Home Help Clients and Agency Caregivers with the COVID-19 Vaccine |
Home Help Agency Providers |
L 21-19 | March 9, 2021 |
Long Term Supports and Services (LTSS) COVID-19 Response: Level of Care Determination (LOCD) End Date Extensions- Nursing Facilities (NF) and Program of All-Inclusive Care for the Elderly (PACE) |
Nursing Facilities, PACE |
L 21-18 | March 9, 2021 | Long Term Supports and Services (LTSS) COVID-19 Response: Level of Care Determination (LOCD) for MI Choice and MI Health Link Home and Community Based Services (HCBS) Waiver | MI Choice and MI Health Link |
L 21-17 | February 19, 2021 | Notice of April 7, 2021, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting | Durable Medical Equipment Providers |
L 21-12 | February 17, 2021 | School Based Services FY21 Bill-back | School Based Services Providers |
L 21-10 | February 16, 2021 | COVID-19 Response: Submission of a Medicaid State Plan Amendment (SPA) for COVID-19 Vaccine Administration Reimbursement Rates | Tribal Chairs and Health Directors |
L 21-11 | February 12, 2021 |
Your COVID-19 Vaccine Eligibility and a Request to Assist Home Help Clients |
Home Help Individual Providers |
L 21-09 | January 28, 2021 | Changes in Access to Payment Information in the SIGMA VSS System | Home Help Agency Providers |
L 21-08 | January 27, 2021 | Premium Pay Update Nursing Facilities | Nursing Facilities |
L 21-05 | January 27, 2021 | Coverage of Doula Services | Tribal Chairs and Health Directors |
L 21-06 | January 26, 2021 | Coverage of Medication-Assisted Treatment | Tribal Chairs and Health Directors |
L 20-73 | January 15, 2021 |
Medicaid Health Plan (MHP) Reimbursement: Pharmacies With Seven (7) or Fewer Retail Outlets Effective February 1, 2021 |
Pharmacy Providers and Medicaid Health Plans |
L 21-03 | January 13, 2021 |
COVID-19 Premium Pay Extended Through February 28, 2021 |
Home Help Individual Caregivers |
L 21-02 | January 13, 2021 |
COVID-19 Response: Premium Pay |
Home Help Agency Providers, MI Choice agencies, MI Health Link ICOs, PIHPs and CMHSPs |
L 21-01 | January 12, 2021 | Michigan Department of Health and Human Services (MDHHS) Response to Address COVID-19 Public Health Emergency - December 2020 | Tribal Chairs and Health Directors |