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2024 Medicaid Policy Bulletins

This page contains policy bulletins issued in 2024. 

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.)

    PHE UNWIND POLICY CROSSWALK


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 msadraftpolicy@michigan.gov 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 Consultation Summary Subject
December 23, 2024 MMP 24-61 Targeted Case Management Services for Children with Medical Complexity
November 27, 2024 MMP 24-62 Update to Pharmacy Benefit Coverage of Medical Injectable Physician-Administered Carve-Out Drugs
November 27, 2024 MMP 24-60 Consolidated Appropriations Act Compliance
November 27, 2024 MMP 24-58

Complex Rehabilitation Technology (CRT) Equipment

November 27, 2024 MMP 24-57 Updates to the Medicaid Provider Manual
November 27, 2024 MMP 24-56

Disproportionate Share Hospital (DSH) Program

November 27, 2024 MMP 24-55

Discontinuation of the Rate Relief Program

November 20, 2024 MMP 24-50

Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates

November 19, 2024 MMP 24-54 Nursing Facility Medicaid Bed Certification Criteria
November 19, 2024 MMP 24-53 Updates to Level of Care Determination (LOCD) Policy
November 19, 2024 MMP 24-52 Implementation of the Legislatively Mandated Methadone Services Reimbursement Rate Increase
November 13, 2024 MMP 24-51 Implementation of the Legislatively Mandated Behavioral Health Treatment (BHT)-Applied Behavior Analysis (ABA) Rate Increase
October 31, 2024 MMP 24-49 Update to the Community Transition Services Chapter of the Michigan Department of Health and Human Services Medicaid Provider Manual
October 3, 2024 MMP 24-48

Direct Care Worker Wage Increase

October 1, 2024 MMP 24-46

Medicaid Interim Payment (MIP) Program Termination

October 1, 2024 MMP 24-44

Principal Balance Payment Requirement

October 1, 2024 MMP 24-42

Updates to Speech-Language Pathologist Enrollment

September 27, 2024 MMP 24-45 2410-Maternal

Medicaid Coverage of Group Prenatal Care Services

September 27, 2024 MMP 24-47 2439-Pharmacy Pharmacy Secondary Payer Coverage of Select Continuous Glucose Monitoring Systems (CGMS), Disposable Insulin Pumps, and Related Supplies
September 26, 2024 MMP 24-40 2437-Doula Update to Medicaid Coverage of Doula Services
September 26, 2024 MMP 24-29 Update to Bulletin MMP 23-74 - Medicaid Coverage of Community Health Worker (CHW)/Community Health Representative (CHR) Services
September 17, 2024 MMP 24-43 End of the Federal Public Health Emergency (PHE) and Final Unwinding of Pharmacy COVID-19 Response Policies
September 10, 2024 MMP 24-26 Substance Use Disorder Health Home
September 9, 2024 MMP 24-36 2436-MIHP Medicaid Coverage of Maternal and Infant Health Services
September 4, 2024 MMP 24-34 Electronic Visit Verification (EVV) Personal Care Services Updates
August 30, 2024 MMP 24-41 Establishment of Intensive Care Coordination with Wraparound (ICCW)
August 30, 2024 MMP 24-38

Implementation of the MichiCANS for Medicaid-Funded Specialty Behavioral Health Services

August 30, 2024 MMP 24-37 2419-Lab Termination of COVID-19 Home Test Kit Coverage and Special Reimbursement for COVID-19 Specimen Collection and Clinic Vaccine Administration
August 30, 2024 MMP 24-35 2418-NF Cost Report Late File Penalty
August 30, 2024 MMP 24-33 2425-NEMT Non-Emergency Medical Transportation (NEMT) for Medicaid Health Plan (MHP) Enrollees
August 30, 2024 MMP 24-30 Updates to the MDHHS Medicaid Provider Manual
August 30, 2024 MMP 24-28 2407-PACE PACE Expansion Criteria
August 29, 2024 MMP 24-39 Medicaid Program Rate Updates Fiscal Year (FY) 2025; Federally Qualified Health Center (FQHC) Reimbursement Update
August 29, 2024 MMP 24-31 Implementation of MichiCANS
July 31, 2024 MMP 24-27 Targeted Case Management - Recuperative Care
July 17, 2024 MMP 24-25

Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates

July 2, 2024 MMP 24-20

Children’s Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Section 214

July 1, 2024 MMP 24-24 Behavioral Health Home (BHH) Expansion and Addition of Codes to Increase Eligibility for Youth with Serious Emotional Disturbance (SED)
July 1, 2024 MMP 24-23 Home Health Update to Acceptable Provider Types
July 1, 2024 MMP 24-22 Graduate Medical Education Innovations Michigan Doctors (MIDOCS) Program Extension
May 31, 2024 MMP 24-21 2414-EVV

Electronic Visit Verification (EVV) Personal Care Services and Medicaid Managed Care Home Health Care Services Implementation

May 31, 2024 MMP 24-19 N/A Updates to the MDHHS Medicaid Provider Manual
May 31, 2024 MMP 24-18 2404-DMEPOS

Revisions to Children’s/Adolescent Products

May 31, 2024 MMP 24-17 2402-SSP

SSP Chapter Rewrite and Update

May 31, 2024 MMP 24-16 2406-DMEPOS

Prior Authorization Changes to Enteral Formulas/Enteral Supplies

May 8, 2024 MMP 24-15 N/A Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates
May 2, 2024 MMP 24-12 N/A Drugs and Therapeutics Carved Out of Hospital Diagnosis Related Group (DRG) Payment
May 1, 2024 MMP 24-14 N/A Changes to Dental Frequency Verification Process
May 1, 2024 MMP 24-13 Non-Available Bed Plan Policy Extension
April 5, 2024 MMP 24-10 Children’s Special Health Care Services (CSHCS) Eligibility Expansion up to Age 26
February 29, 2024 MMP 24-11

Home Health Electronic Visit Verification

February 29, 2024 MMP 24-09 Updates to the MDHHS Medicaid Provider Manual
February 29, 2024 MMP 24-07 Project 2346-Eligibility Medicare Savings Program Eligibility
February 29, 2024 MMP 24-06

Telemedicine Authorized Provider Policy Update

February 22, 2024 MMP 24-08 Electronic Visit Verification - Correction to Bulletin MMP 23-64
February 5, 2024 MMP 24-05 Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) Code Updates
February 5, 2024 MMP 24-03 Nursing Facility Bed Isolation Exception Request Form
January 31, 2024 MMP 24-04 Revision to Wraparound Services for Children and Adolescents
January 31, 2024 MMP 24-02 Debridement and Exam Coverage Update