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2025 Medicaid Provider L Letters
The following are provider letters issued in 2025.
|
Letter Number |
Issue Date |
Subject |
Distribution |
| L 25-73 | December 8, 2025 |
Update of Pharmacy Drug Coverage for Treatment of Obesity |
All Providers |
| L 25-70 | November 25, 2025 | One-time Flexibility for Highly Integrated Dual Eligible Special Needs Plans (HIDE SNPs) to Adopt Nursing Facility Level of Care Determinations (LOCDs) without Obtaining a New Freedom of Choice (FOC) Form | Select Providers |
| L 25-69 | November 25, 2025 | Clarification of Negative Pressure Wound Therapy (NPWT) Equipment and Supplies when Provided to Beneficiaries in the Home Setting | Medical Suppliers, Hospitals, Medicaid Health Plans and Practitioners |
| L 25-67 | November 25, 2025 | Your Action is Required in the HHAeXchange (HHAX) Electronic Visit Verification (EVV) Provider Portal | Select Providers |
| L 25-66 | November 25, 2025 | Home Help Individual Caregiver Rate Increase State Plan Amendment (SPA) | Tribal Chairs and Health Directors |
| L 25-62 | November 25, 2025 |
340B Policy Reminder for Cell and Gene Therapy Access Model |
Inpatient Hospital Providers |
| L 25-33 | November 19, 2025 | Behavioral Health Services for Nursing Facility Residents | Select Providers |
| L 25-68 | November 17, 2025 |
340B Rebate Model Pilot Program - Claims Submission Requirements |
All Providers |
| L 25-63 | November 3, 2025 | Rural Access Pool Eligibility | Tribal Chairs and Health Directors |
| L 25-52 | October 30, 2025 | Intensive Crisis Stabilization Services (ICSS) State Plan Amendment | Tribal Chairs and Health Directors |
| L 25-46 | October 30, 2025 | Intermediate School Districts (ISD) Services State Plan Amendment | Tribal Chairs and Health Directors |
| L 25-64 | October 29, 2025 | Intent to Submit Amendment Applications for the Sections 1915(b) and 1915(c) MI Health Link (MHL) Waivers and the Program Transition to the Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP) Program MI Coordinated Health | Tribal Chairs and Health Directors |
| L 25-59 | October 14, 2025 |
Soft Launch of Electronic Visit Verification (EVV) for Medicaid Managed Care Home Health Care Services (HHCS) Ending December 31, 2025 |
Medicaid Health Plans |
| L 25-57 | September 30, 2025 | Ground Emergency Medical Transportation (GEMT) Reimbursement Methodology for Supplemental Payment | Tribal Chairs and Health Directors |
| L 25-55 | September 30, 2025 | State Plan Amendment to Increase Incontinence Volume Purchase Contract Rates | Tribal Chairs and Health Directors |
| L 25-53 | September 30, 2025 | Reimbursement Methodology for Speech and Oral Function Therapy - Language Correction State Plan Amendment | Tribal Chairs and Health Directors |
| L 25-47 | September 26, 2025 |
Reiterating the Calendar Year (CY) 2022 Changes to the Quality Assurance Supplemental (QAS) Calculation and Payment Methodology for MI Health Link (MHL) |
Hospice providers, Nursing Facility, and MI Health Link. |
| L 25-54 | September 25, 2025 | Permanent Continuation of Medication Assisted Treatment (MAT) Coverage State Plan Amendment (SPA) Request | Tribal Chairs and Health Directors |
| L 25-56 | September 19, 2025 | Section 1115 Waiver Extension Request to Assist in Addressing Health Impacts from Potential Lead Exposure in Flint, Michigan | Tribal Chairs and Health Directors |
| L 25-51 | September 19, 2025 |
Clarification on the Adoption of Level of Care Determinations |
Nursing facilities, MI Choice, PACE and MI Health Link |
| L 25-50 | September 19, 2025 | Electronic Funds Transfer (EFT) Enrollment Requirement for Pharmacy Payments | Pharmacies |
| L 25-49 | September 15, 2025 | State Plan Amendment (SPA) for Flint Water Settlements | Tribal Chairs and Health Directors |
| L 25-39 | September 15, 2025 | Submission of Amendment to the §1915(i) State Plan Amendment (SPA) | Tribal Chairs and Health Directors |
| L 25-45 | August 19, 2025 | Autism Services State Plan Amendment | Tribal Chairs and Health Directors |
| L 25-44 | July 31, 2025 | Notice of Intent to Submit a Section 1915(b) Waiver Amendment Request for the Comprehensive Health Care Program (CHCP) | Tribal Chairs and Health Directors |
| L 25-43 | July 31, 2025 | Notice of Intent to Submit a Section 1915(b) Waiver Amendment Request for the Healthy Kids Dental (HKD) Program | Tribal Chairs and Health Directors |
| L 25-42 | July 31, 2025 | Notice of Intent to Submit a Section 1915(b) Waiver Amendment Request for the Comprehensive Health Care Program (CHCP) | Tribal Chairs and Health Directors |
| L 25-41 | July 31, 2025 | Notice of Intent to Submit a Section 1915(b) Waiver Amendment Request for the Healthy Kids Dental (HKD) Program | Tribal Chairs and Health Directors |
| L 25-40 | July 30, 2025 | Clinic Services Benefit State Plan Amendment Template | Tribal Chairs and Health Directors |
| L 25-38 | July 21, 2025 | Substance Use Disorder Health Home | Tribal Chairs and Health Directors |
| L 25-37 | July 15, 2025 | Coverage of Licensed Midwifery Services | Tribal Chairs and Health Directors |
| L 25-35 | July 2, 2025 | Expanded Coverage of Maternal Depression and/or Mental Health Screenings | Tribal Chairs and Health Directors |
| L 25-34 | June 25, 2025 | Behavioral Health Home Expansion and Authorization of Additional Staff | Tribal Chairs and Health Directors |
| L 25-29 | June 25, 2025 | Update to the Reporting of Modifiers for 340B Acquired Drugs Under the Outpatient Prospective Payment System (OPPS) | Outpatient Hospitals |
| L 25-32 | June 24, 2025 | Removal of Copayment for Drugs Used to Prevent HIV (Pre-Exposure Prophylaxis [PrEP] & Post-Exposure Prophylaxis [PEP]) | Tribal Chairs and Health Directors |
| L 25-30 | June 16, 2025 | Respite for Children in Foster Care | PIHPs, CMHSPs and other Interested Parties |
| L 25-31 | June 5, 2025 | Hearing Aid Battery Rate Increase State Plan Amendment Request | Tribal Chairs and Health Directors |
| L 25-28 | May 30, 2025 | Notice of July 15, 2025, Therapy Provider Liaison Meeting | Therapy Providers |
| L 25-24 | May 28, 2025 |
Clarification on Entering Level of Care Determinations (LOCD) in the Community Health Automated Medicaid Processing System (CHAMPS) |
Nursing Facilities, Mi Choice, MiHealth Link and PACE |
| L 25-25 | May 12, 2025 |
Continuous Positive Airway Pressure (CPAP) and Bi-Level Positive Airway Pressure (BiPAP) Supply Quantity Limit Changes Effective July 1, 2025. |
DMEPOS, Medical Suppliers, Medicaid Health Plans |
| L 25-23 | May 12, 2025 |
Nursing Facility Quality Measure Initiative Resident Satisfaction Survey Data |
Nursing Facilities |
| L 25-26 | May 9, 2025 | Measles in Michigan |
Outpatient Hospitals, Outpatient Hospital Clinics, Urgent Cares, Clinics, Practitioners, Pharmacies, LHDs, FQHCs, RHCs, THCs/Tribal FQHCs, Nursing Facilities |
| L 25-27 | May 8, 2025 | Medicaid MI Choice Waiver Program Webinar | MI Choice Waiver Agencies |
| L 25-19 | April 15, 2025 |
Children's Waiver Program Amendment |
CMHSPs, PIHPs, and other Interested Parties |
| L 25-21 | April 15, 2025 | Nursing Facility Receivership | Tribal Chairs and Health Directors |
| L 25-14 | April 7, 2025 | Reimbursement to Hospitals Outside Michigan | Tribal Chairs and Health Directors |
| L 25-18 | April 3, 2025 | Submission of Amendment for Children's Waiver Program (CWP) | Tribal Chairs and Health Directors |
| L 25-17 | April 3, 2025 |
Section 1915(b) and 1915(c) MI Health Link (MHL) Waiver Amendment Applications |
MHL Stakeholders |
| L 25-16 | April 1, 2025 | Intellectual/Developmental Disabilities (IDD) | PIHPs, CMHSPs, and Other Interested Providers |
| L 25-12 | March 25, 2025 | Community Health Worker (CHW)/Community Health Representative (CHR) Services | Dental Health Plans (DHPs), Integrated Care Organizations (ICOs), Practitioners, Hospitals, Federally Qualified Health Centers (FQHCs), Rural Health Clinics (RHCs), Tribal Health Centers (THCs), Local Health Departments (LHDs), Maternal Infant Health Program (MIHP) Providers, Prepaid Inpatient Health Plans (PIHP), Dentists |
| L 25-15 | March 17, 2025 |
Notice of April 9, 2025, Prosthetic and Orthotic Medicaid Provider Liaison Meeting |
Prosthetic & Orthotic Providers |
| L 25-13 |
March 14, 2025 | Information related to the Waiver for Children with Serious Emotional Disturbances (SEDW) |
PIHPs, CMHSPs, and Other Interested Providers |
| L 25-10 | March 7, 2025 | Notice of Intent to Submit Amendment Applications for the Section 1915(b) and 1915(c) MI Health Link (MHL) Waivers to reflect the program transition to the Highly Integrated Dual Eligible Special Needs Plan (HIDE SNP) program MI Coordinated Health | Tribal Chairs and Health Directors |
| L 25-09 | March 7, 2025 | MI Health Link 1915(b) Waiver Amendment - Revision of Cost-Effectiveness | Tribal Chairs and Health Directors |
| L 25-08 | March 5, 2025 | Use of the Medical Verification for Transportation Form (DHS-5330) for Prior Authorization (PA) Requests Related to Fee-for-Service (FFS) Non-Emergency Medical Transportation | Select Providers |
| L 25-11 | February 21, 2025 | Notice of March 26, 2025, Durable Medical Equipment and Medical Supply Medicaid Provider Liaison Meeting | DMEPOS Providers |
| L 25-03 | February 13, 2025 | Graduate Medical Education (GME) Innovations MIDOCs Program | Tribal Chairs and Health Directors |
| L 25-07 | February 11, 2025 | SBS Bill-Back Information for State Fiscal Year 2025 | School Services Providers |
| L 25-04 | January 31, 2025 | Notice of correction to the December 1, 2024, Nursing Facility Per Diem List | DMEPOS Providers and Nursing Facilities |
| L 25-05 | January 30, 2025 | Third Party Liability in Medicaid: Clarification of Michigan Compiled Law (MCL) 500.283(3) of Public Act 593 of 2006 | Tribal Chairs and Health Directors |
| L 25-02 | January 15, 2025 | Non-Emergency Medical Transportation (NEMT) Mileage Rate Increase | Tribal Chairs and Health Directors |
| L 25-01 | January 13, 2025 | Primary Care Practitioner Services Incentive Payment Update | Tribal Chairs and Health Directors |
| L 24-81 | January 6, 2025 | Time Study Submission Requirements | Nursing Facilities |