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Medicaid Policy Bulletin - 2003

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