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2023 Medicaid Provider L Letters

The following are provider letters issued in 2023.

 

 

Letter Number

Issue Date

Subject

Distribution

L 23-74 December 21, 2023 Update to Medicaid Health Plan (MHP) Pharmacy Reimbursement. Michigan Pharmacies with 7 or fewer retail outlets effective February 13, 2024 Pharmacy Providers
L 23-73 November 21, 2023 Bath/Shower Chair Reimbursement and Prior Authorization Changes Pharmacies, Medicaid Health Plans, Medical Suppliers
L 23-68 November 20, 2023 Children's Health Insurance Program Reauthorization Act (CHIPRA) 214 State Plan Amendment Tribal Chairs and Health Directors
L 23-69 November 16, 2023 Children's Continuous Eligibility State Plan Amendment Tribal Chairs and Health Directors
L 23-71 November 7, 2023 Home Health Provider Meeting on December 6, 2023 Home Health Providers
L 23-70 November 7, 2023 Medicaid Coverage of Immunizations All Providers
L 23-65 October 31, 2023 Medicaid Services Important in the Identification of Chronic Kidney Disease (CKD) All Providers
L 23-67 October 30, 2023 Notice of Intent to Submit a State Plan Amendment (SPA) Request to Increase Community Transition Services (CTS) 1915(i) Targeted Case Management Rate Tribal Chairs and Health Directors
L 23-60 October 27, 2023 Wraparound Services for Children and Adolescents under 21 Years of Age Tribal Chairs and Health Directors
L 23-66 October 23, 2023 Notice of Intent to Submit a State Plan Amendment (SPA) Request to Update Healthy Michigan Plan Cost Sharing Requirements Tribal Chairs and Health Directors
L 23-56 October 17, 2023 Hospital Reimbursement for Spinraza and Drugs Provided Under Outcomes-based Contract Arrangements Tribal Chairs and Health Directors
L 23-62 October 11, 2023 Fiscal Year 2024 Home Help Agency Provider Pay Rate Home Help Agency Providers
L 23-61 October 11, 2023 Home Help Individual Caregiver Pay Rate Increases Home Help Individual Providers
L 23-59 October 9, 2023 Notice of Intent to Submit a State Plan Amendment (SPA) Request to Update Behavioral Health Treatment and Personal Care Services Direct Care Wage Increase Tribal Chairs and Health Directors
L 23-63 September 28, 2023 Notice of Intent to Submit a Revised Section 1915(b) Waiver Renewal Application for the Comprehensive Health Care Program (CHCP) Tribal Chairs and Health Directors
L 23-53 September 28, 2023 Trauma Facility Rate Increase Tribal Chairs and Health Directors
L 23-64 September 27, 2023 Direct Care Worker Increase PIHPs, CMHSPs, MI Health Link ICOs, and MI Choice Waiver Agencies.
L 23-58 September 27, 2023

COVID-19 Response: Application Period for COVID Relief (CR) Facilities to Treat COVID-19 Residents Requiring Nursing Facility (NF) Care in Limited Circumstances

Nursing Facilities
L 23-52 September 21, 2023 Michigan Department of Health and Human Services (MDHHS) Update Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to In-Person Premium Payments for Skilled Nursing Facilities, Adult Foster Care Homes, and Homes for the Aged Tribal Chairs and Health Directors
L 23-57 September 20, 2023

Notice of October 18, 2023, Orthotics and Prosthetics Provider Liaison Meeting

Orthotics and Prosthetics Providers
L 23-55 September 15, 2023 Telephone Prior Authorization Process Hospitals, Medicaid Health Plans, Medical Supplier, Nursing Facility and Practitioner
L 23-54 September 14, 2023

MI Choice Enrollment and Re-enrollment After Nursing Facility (NF) Discharge

MI Choice Waiver Agencies
L 23-51 September 12, 2023

Reimbursement Changes to Enteral Formula Healthcare Common Procedure Coding System (HCPCS) code B4155 Specific to Inborn Errors of Metabolism

Medical Supplier/DMEPOS Providers, Medicaid Health Plans and Practitioners.
L 23-50 September 13, 2023 Transfer Bench Reimbursement and Prior Authorization Changes Medicaid Health Plans, Medical Supplier/DMEPOS Providers.
L 23-49 August 28, 2023 Reimbursement for Individual Practitioner Professional Services Tribal Chairs and Health Directors
L 23-48 August 24, 2023 Skilled Maintenance Therapy State Plan Amendment Request Tribal Chairs and Health Directors
L 23-47 August 15, 2023 Notice of September 20, 2023, Durable Medical Equipment and Medical Supplier Provider Liaison Meeting Durable Medical Equipment Providers
L 23-46 August 2, 2023 Notice of Intent to Submit a State Plan Amendment to Clarify Over-the-Counter Drug Coverage Language Tribal Chairs and Health Directors
L 22-72 June 26, 2023 Clarification on Policy and Procedure Related to the Denial, Suspension, Reduction, or Termination of Specialty Behavioral Health Services. PIHPs, CMHSPs, and other Interested Parties
L 23-42 June 14, 2023 Coding Corrections to numbered letter L 23-15 {Coverage of Disposable External Ambulatory Insulin Delivery System (e.g., Omnipod)} and final bulletin MMP 23-31 {Revisions to Continuous Glucose Monitoring Systems (CGMS)} DME Medical Suppliers, Practitioners, Medicaid Health Plans and Pharmacies.
L 23-43 June 13, 2023 Interprofessional Consultation (eConsults) Updated Requirements Tribal Chairs and Health Directors
L 23-37 May 22, 2023 Therapy for School-Aged Beneficiaries Therapy providers, Hospitals and Medicaid Health Plans
L 23-39 May 18, 2023 Clarification of Medication Therapy Management (MTM) Billing Requirements and Language Pharmacies and Medicaid Health Plans
L 23-36 May 18, 2023 Notice of Intent to Submit a Section 1915(b) Waiver Renewal Application for the Comprehensive Health Care Program (CHCP) Tribal Chairs and Health Directors
L 23-34 May 12, 2023 Clarification on Medicaid Policy Related to the Reimbursement of Services for Children with Intellectual/Developmental Disabilities (IDD) who are Residing in a Child Caring Institution (CCI) PIHPs and CMHSPs
L 23-33 May 10, 2023 Notice of Intent to Submit a State Plan Amendment (SPA) Request to Continue the In-Person Premium Payment Beyond the Public Health Emergency (PHE) for Behavioral Health Treatment Behavior Technician Services Tribal Chairs and Health Directors
L 23-38 May 9, 2023 MI Choice Waiver Renewal MI Choice Waiver Agencies
L 23-41 May 4, 2023

Notice of June 14, 2023, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting

Durable Medical Equipment Providers
L 23-40 May 4, 2023 Nursing Facility Quality Measure Initiative Resident Satisfaction Survey Data Nursing Facilities
L 23-35 May 1, 2023 Michigan Department of Health and Human Services (MDHHS) Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to In-Person Premium Payments for Skilled Nursing Facilities, Adult Foster Care Homes, and Homes for the Aged Tribal Chairs and Health Directors
L 23-32 April 20, 2023 COVID-19 Response: Michigan-Specific COVID-19 Reporting Requirements for Skilled Nursing Facilities Nursing Facilities
L 23-31 April 20, 2023 COVID-19 Pharmacy Flexibilities Pharmacies
L 23-29 April 13, 2023 Termination of Numbered Letter L 20-39 for MI Choice Provider Monitoring MI Choice Waiver Agencies
L 23-30 April 11, 2023 Submission of a State Plan Amendment (SPA) for Psychiatric Residential Treatment Facilities (PRTF) Tribal Chairs and Health Directors
L 23-24 April 11, 2023 Notice of Intent to Submit a Disaster Relief State Plan Amendment (DR SPA) Impacting Nursing Facility Interim Rates for January 1, 2023 to May 11, 2023 and a SPA to Provide Traditional State Plan Authority for Previously Approved Changes to Rate Setting Methodologies for Fiscal Years 2022 and 2023 to Continue the Supplemental Payment for Nursing Facility Direct Care Workers Tribal Chairs and Health Directors
L 23-28 April 10, 2023 Long Term Supports and Services (LTSS) Updates to Numbered Letter L 20-59 and Nursing Facility (NF) Providers Level of Care Determination (LOCD) Door 0 claims process Nursing Facilities
L 23-23 March 30, 2023 Level of Care Determination (LOCD) End of COVID-19 Public Health Emergency (PHE) and Resumption of Normal Operations - Nursing Facilities (NF), Program of All-Inclusive Care for the Elderly (PACE), MI Choice, and MI Health Link Home and Community Based Services (HCBS) Waiver Nursing Facilities, MI Choice, MI Health Link, PACE Providers
L 23-25 March 23, 2023 Michigan Department of Health and Human Services (MDHHS) Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to Care and Recover Centers (CRC) Payments Tribal Chairs and Health Directors
L 22-68 March 21, 2023 Sections 1915(b)/(c) MI Health Link Waiver Amendments Select Stakeholders
L 22-57 March 21, 2023 Notice of Intent to Amend Section 1915(b)/(c) MI Health Link Waivers Tribal Chairs and Health Directors
L 23-19 March 21, 2023 Rescind of "Guidance on Well Child Visits and Telemedicine" All Providers
L 23-17 March 16, 2023 Aging Targeted Case Management (TCM) Services State Plan Amendment (SPA) Tribal Chairs and Health Directors
L 23-21 March 13, 2023 Notice of Intent to Submit a State Plan Amendment for the Michigan Department of Health and Human Services (MDHHS) to Authorize a Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to Pharmacy Flexibilities Tribal Chairs and Health Directors
L 23-18 March 13, 2023 Michigan Department of Health and Human Services (MDHHS) Temporary Extension to the Disaster Relief Policies for COVID-19 Public Health Emergency (PHE) Specific to Rate Increases to Incontinence Volume Purchase Contract and Non-Sterile Gloves Tribal Chairs and Health Directors
L 23-15 March 9, 2023 Medicaid and Children's Special Health Care Services (CSHCS) Coverage of Disposable External Ambulatory Insulin Delivery System (e.g., Omnipod) Medical Suppliers, Pharmacies, Medicaid Health Plans
L 23-16 March 8, 2023 Intent to Submit a State Plan Amendment (SPA) Request for Community Health Worker (CHW) Services Tribal Chairs and Health Directors
L 23-20 March 6, 2023 Notice of April 12, 2023, Prosthetic and Orthotic Medicaid Provider Liaison Meeting Orthotic and Prosthetic Providers
L 23-09 March 1, 2023 MI Choice Waiver Renewal Tribal Chairs and Health Directors
L 23-03 February 27, 2023 Long-Acting Injectable Medication-Assisted Treatment in Residential Treatment Centers Pharmacies, CMHSPs
L 23-11 February 14, 2023

Home Help Individual Caregiver Pay Rate Increases

Home Help Individual Caregivers
L 23-04 February 14, 2023

Direct Care Worker Wage Increase

MI Choice Waiver Agencies, MI Health Link ICOs, PIHPs and CMHSPs.
L 22-67 February 14, 2023 Premium Pay Update Nursing Facilities
L 23-14 February 10, 2023 Notice of March 15, 2023, Durable Medical Equipment and Supplies Medicaid Provider Liaison Meeting Durable Medical Equipment Providers
L 23-13 February 6, 2023

COVID-19 Response: Application Period for COVID Relief (CR) Facilities to Treat COVID-19 Residents Requiring Nursing Facility (NF) Care in Limited Circumstances

Nursing Facilities
L 23-10 February 6, 2023 Community Transition Services (CTS) benefits MI Choice Waiver agencies, Community Transition agencies, DME providers, and Nursing Facilities
L 23-01 February 2, 2023 School Based Services FY23 Bill-back School Based Services Providers
L 23-12 January 30, 2023 Intent to Submit an Application to Renew the 1915(i) State Plan Amendment (SPA) for Community Transition Services Tribal Chairs and Health Directors
L 23-06 January 26, 2023 Rural Emergency Hospital Reimbursement Tribal Chairs and Health Directors
L 23-05 January 26, 2023 Coverage of Out-of-State Former Foster Care Tribal Chairs and Health Directors
L 23-02 January 24, 2023 Changes to Medicaid Dental Coverage Tribal Chairs and Health Directors
L 23-07 January 19, 2023 Notice of Intent to Submit a Section 1915(b) Waiver Amendment Request for the Comprehensive Health Care Program Tribal Chairs and Health Directors
L 22-74 January 11, 2023 Michigan Medicaid Modification of the Qualifying Visit Definition within the Medicaid State Plan for Indian Health Centers Tribal Chairs and Health Directors
L 22-73 January 11, 2023 Behavioral Health Home (BHH) Update Tribal Chairs and Health Directors