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Medicaid Policy Bulletin - 2003

NOTE: This page contains Medicaid Policy Bulletins issued in calendar year 2003.

For other years of approved Medicaid Policy bulletins, click here. 

Issue Date  Bulletin Number  Subject 
December 15, 2003  All Provider 03-13  Beneficiary Monitoring Program (BMP); Updated Directory Appendix 
December 1, 2003  Home Health Agencies 03-11  Changes in HCPCS Codes 
December 1, 2003  Hospice 03-05  Chapter III "Coverages and Limitations"; Revised Hospice Membership Notice Form (DCH-1074) 
December 1, 2003  Home Health Agencies 03-10  Chapter III Revised 
December 1, 2003  Practitioner 03-07  Chapter III (Coverages and Limitations for Practitioners) 
December 1, 2003  Vision 03-04  Vision Chapter III - Coverages and Limitations; Vision Forms Attachment 
December 1, 2003  Health Care Eligibility Policy 03-04  Freedom to Work 
December 1, 2003  Nursing Facilities 03-11  Revised Nursing Facility Chapter III; Request for Prior Authorization for a Complex Care-Memorandum of Understanding (MSA-1576); Request for Authorization of Private Room Supplemental Payment Form 
December 1, 2003  Family Planning Clinics 03-04  2004 HCPCS Code Addition and Reimbursement Revision for Contraceptive Supplies 
December 1, 2003  AP 03-12  Children's Special Health Care Services Chapter 
December 1, 2003  Local Health Departments 03-04  Blood Lead Testing 
December 1, 2003  Laboratory 03-03  2004 Healthcare Common Procedure Coding System Updates 
December 1, 2003  Medical Suppliers 03-06  Healthcare Common Procedure Coding System 2004 Update 
December 1, 2003  Vision 03-03  HIPAA - Mandated Procedure Code/Modifier Changes 
December 1, 2003  MSA 03-20  Hearing Aid Dealers - Coverages and Limitations Chapter 
December 1, 2003  FQHC 03-02  Federally Qualified Health Centers Manual Revision 
December 1, 2003  MSA 03-19  2004 Procedure Code Update 
November 1, 2003  All Provider 03-11  Sanctioned Providers (Monthly Update) 
November 1, 2003  Medical Suppliers 03-05  Revision of Chapter III 
October 15, 2003  MSA 03-18  Clarification of Correction to New Institutional Billing and Reimbursement Chapter IV 
October 15, 2003  Pharmacy 03-02  MAC Pricing Program; Co-Payment Clarification 
October 15, 2003  School Based Services 03-04  School Based Services Settlement Agreement Between the State of Michigan and CMS; New Medicaid SBS Outreach Program Policy and Special Monitoring Program 
October 1, 2003  Nursing Facilities 03-08  Nursing Facility Per Diem Rate Determination; Nursing Facility Quality Programs for FY 2003-2004; Nursing Facility Class I Rate Relief 
October 1, 2003  MSA 03-17  Correction to New Institutional Billing and Reimbursement Chapter IV; Offset to Patient-Pay Amount for Non-Covered Services - Billing Instructions 
September 19, 2003  School Based Services 03-03 

Corrections to:  

   - TCM Procedure Code 
   - Covered Services 
   - Special Billing Instructions 

September 1, 2003  Home Health Agencies 03-07  Intravenous Infusion - CPT Codes 99601 and 99602 
September 1, 2003  Community Mental Health Services Programs 03-06  Revised Chapter III - Coverages and Limitations for Prepaid Inpatient Health Plans, Mental Health, Substance Abuse and Children's Waiver 
September 1, 2003  AP 03-10  Adult Benefit Waiver 
September 1, 2003  AP 03-09  Medicaid Benefit Reductions; Continuation of Fee Reductions 
September 1, 2003  AP 03-08  General Information Chapter; Coordination of Benefits Chapter, and Directory Appendix 
September 1, 2003  Dental 03-01  Implementation of CDT-4 Dental Procedure Codes; and Revised Chapter III-Coverages and Limitations 
September 1, 2003  Dental 03-02  Chapter IV (Prior Authorization, Billing and Reimbursement) 
September 1, 2003  Hospital 03-10  Hospital Coverages and Limitations Chapter 
September 1, 2003  Medical Supplier 03-02  Reduction of Fee Rates Higher than Medicare 
September 1, 2003  SBS 03-02  New CPT/HCPCS Codes and Revised Chapter III 
September 1, 2003  Vision 03-02  HIPPA - Mandated Procedure Code/Modifier Changes 
August 15, 2003  CMHSP 03-05  Conversion of Children's Waiver Program Local Procedure Codes to National Procedure Codes 
August 15, 2003  Medical Suppliers 03-04  Elimination of Michigan Medicaid Local Codes 
August 15, 2003  MSA 03-16  Elimination of Medicaid Local Procedure Codes and Conversion to National Procedure Codes for Practitioners 
August 15, 2003  MSA 03-15  Chapter IV (Billing and Reimbursement for Health Care Professionals) 
August 11, 2003  CMHSP 03-04  Conversion of Local Procedure Codes to National Procedure Codes 
August 1, 2003  MSA 03-14  New Institutional Billing and Reimbursement Chapter (Nursing Facilities, Home Health Agencies, Hospice providers, hospitals, and private duty nursing agencies) 
August 8, 2003  MSA 03-13  Diabetes Self-Management Education Program Services 
August 1, 2003  MSA 03-12 Procedure Code Updates and Policy Clarification
August 1, 2003  MSA 03-11  Private Duty Nursing 
August 1, 2003  MSA 03-10  Policy Clarifications/Revisions (Ambulance) 
August 1, 2003  Hospice 03-01  Revenue Code Changes for Hospice Residents in Nursing Facilities 
August 1, 2003  Maternal & Infant Support Services 03-02  2003 Procedure Code Updates 
August 1, 2003  Family Planning Clinics 03-02  2003 Procedure Code Updates 
July 14, 2003  Local Health Departments 03-02  2003 Procedure Code Updates 
July 1, 2003  MSA 03-09  PASARR Forms - DCH-3877 and DCH-3878 
July 2003  All Provider 03-07  Sanctioned Providers 
June 16, 2003  All Provider 03-06  Adult Benefits Waiver 
June 1, 2003  Home Health Agencies 03-04  Billing Changes - Follow-Up Visits for Suspected Blood Lead Poisoning 
June 1, 2003  Nursing Facilities 03-05  Quality Assurance Adjustment for Publicly-Owned Class III Nursing Facilities 
June 1, 2003  Health Care Eligibility Policy 03-02  Adult Benefits Waiver 
June 1, 2003  All Provider 03-05  Mental Health/Substance Abuse Benefit Under the Adult Benefits Waiver 
June 1, 2003  Nursing Facilities 03-04  Addition of CPT Code 97504 - Orthotic(s) Fitting/Training; Addition of CPT Code 97535 - Self-Care/Home Management Training 
June 1, 2003  MSA 03-08  Billing for Injectable Medications Ordered by Community Mental Health Services Programs (CMHSP) Physicians and Administered Through the CMHSP Clinic 
June 1, 2003  MSA 03-07  Medicaid Access to Care Initiative 
June 1, 2003  MSA 03-05  Update DRG Grouper to Version 20.0; Rehabilitation Hospitals and Distinct-Part Rehabilitation Units; Audited Wage Data; Inflation Factors; Delay in Implementation of GME Weighting Factors; GME Payments to Coincide with State Fiscal Year; DRGs 526 & 527; Filed Cost Reports 
June 1, 2003  All Provider 03-04  Adult Benefits Waiver Coverage & County-Administered Health Plans 
May 1, 2003  MSA 03-06  Diagnosis Codes for Emergency Ambulance Transport Appendix 
May 1, 2003  Hospital 03-04  Reduction in Hospital Payments; Reduction in GME Payments 
April 1, 2003  Pharmacy 03-01  Pharmacy Chapter III Updates 
April 1, 2003  Maternal & Infant Support Services 03-01  Revised Chapter III 
April 1, 2003  All Provider 03-03  Explanation Codes Appendix 
March 1, 2003  MSA 03-04  Prior Authorization Number for Children's Waiver - Private Duty Nursing 
March 1, 2003  Home Health Agencies 03-02  2003 Procedure Code Updates 
March 1, 2003  MSA 03-03  2003 Procedure Code Updates (Practitioners; Hospitals) 
March 1, 2003  Nursing Facilities 03-02  2003 Procedure Code Updates 
March 1, 2003  Medical Suppliers 03-01  Healthcare Common Procedure Coding System 2003 Update 
March 1, 2003  MSA 03-02  2003 Procedure Code Updates (Hearing Aid Dealers; Hearing & Speech Centers) 
March 1, 2003  Laboratory 03-01  2003 Procedure Code Updates 
March 1, 2003  Family Planning Clinics 03-01  2003 Procedure Code Updates 
March 1, 2003  Ambulance 03-01  2003 Procedure Code Updates 
February 15, 2003  Beneficiary Eligibility 03-01  Caretaker Relatives 
February 12, 2003  Home Health Agencies 03-01  Implementation of Executive Order 2002-22 
February 7, 2003  Nursing Facilities 03-01  Implementation of Executive Order 2002-22; Rate Reduction 
January 31, 2003  All Provider 03-02  Coverage Changes for MOMS Program 
January 1, 2003  All Provider 03-01  Revised Chapter II, Eligibility 
January 1, 2003  MSA 03-01  Blood Lead; EPSDT Periodicity Schedule; Other Insurance