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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