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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