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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 |