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State Plan Amendments
2023
Hearing Aid Dispensing Rate Update (SPA 23-0001) - Submission
Hearing Aid Dispensing Rate Update (SPA 23-0001) - Approved
Dental Rate Update (SPA 23-0002) - Submission
Dental Rate Update (SPA 23-0002) - Approved
Recovery Audit Contractor (RAC) Exemption Update (SPA 23-0004) – Submission
Recovery Audit Contractor (RAC) Exemption Update (SPA 23-0004) – Approved
Diabetes Prevention Program (SPA 23-0005) – Submission
Indian Health Center Update (SPA 23-0006) – Submission
Medicaid Disaster Relief Nursing Facility Rate Setting (SPA 23-0007) – Submission
Medicaid Disaster Relief Nursing Facility Rate Setting (SPA 23-0007) – Approved
Rural Emergency Hospital (SPA 23-0008) - Submission
Personal Care Services - Home Help (SPA 23-0009) – Submission
Personal Care Services - Home Help (SPA 23-0009) – Approved
Community Transition Services 1915(i) Renewal (SPA 23-0010) – Submission
Family Planning Update (SPA 23-0011) – Submission
Former Foster Care Youth (SPA 23-0100) – Submission
Family Planning Eligibility (SPA 23-0110) Submission
Targeted Case Management Justice Involved Individuals (ABP SPA 23-1001) – Submission
Targeted Case Management Justice Involved Individuals (ABP SPA 23-1001) – Approved
Dental Updates (ABP SPA 23-1002) – Submission
Diabetes Prevention Program (ABP SPA 23-1003) – Submission
Behavioral Health Home Update (SPA 23-1500) – Submission
Behavioral Health Home Update (SPA 23-1500) - Approved
2022
Clinical Trials Update (SPA 22-0001) – Submission
Clinical Trials Update (SPA 22-0001) – Approved
Medicaid Disaster Relief SPA Waive Pharmacy Signature Requirements (SPA 22-0002) – Submission
Medicaid Disaster Relief SPA Waive Pharmacy Signature Requirements (SPA 22-0002) – Approved
Disproportionate Share Hospital (DSH) Process Consolidation (SPA 22-0003) – Submission
Disproportionate Share Hospital (DSH) Process Consolidation (SPA 22-0003) – Approved
Organ Transplant Update (SPA 22-0004) – Submission
Organ Transplant Update (SPA 22-0004) – Approved
Doula Services (SPA 22-0005) - Submission
Doula Services (SPA 22-0005) - Approved
Medicaid ARP COVID-19 Testing and Treatment (SPA 22-0006) – Submission
Medicaid Disaster Relief ARP COVID-19 Testing and Treatment (SPA 22-0006) – Approved
Behavioral Health 1915(i) Update (SPA 22-0007) – Submission
Behavioral Health 1915(i) Update (SPA 22-0007) – Approved
NEMT Provider Qualifications (SPA 22-0008) – Submission
NEMT Provider Qualifications (SPA 22-0008) – Approved
Medicaid Disaster Relief SPA 22-0009 EUA Infusions (SPA 22-0009) – Submission
Medicaid Disaster Relief SPA 22-0009 EUA Infusions (SPA 22-0009) – Approved
Medicaid Disaster Relief Incontinence Supply Contract Rates (SPA 22-0010) – Submission
Medicaid Disaster Relief Incontinence Supply Contract Rates (SPA 22-0010) – Approved
Outpatient Prospective Payment System (OPPS) Hospital Dental Rate (SPA 22-0011) – Submission
Outpatient Prospective Payment System (OPPS) Hospital Dental Rate (SPA 22-0011) - Approved
Primary Care Services Rate (SPA 22-0012) – Submission
Primary Care Services Rate (SPA 22-0012) – Approved
Medicaid Disaster Relief Nursing Facility Rate Setting (SPA 22-0013) – Submission
Medicaid Disaster Relief Nursing Facility Rate Setting (SPA 22-0013) – Approved
Vaccine Administration Rate (SPA 22-0014) – Submission
Vaccine Administration Rate (SPA 22-0014) – Approved
Neonatal Services Rate (SPA 22-0015) - Submission
Neonatal Services Rate (SPA 22-0015) – Approved
EPSDT Dental (SPA 22-0016) – Submission
EPSDT Dental (SPA 22-0016) – Approved
Nursing Facility Services Prior Authorization (SPA 22-0017) – Submission
Nursing Facility Services Prior Authorization (SPA 22-0017) – Approved
Targeted Case Management Formerly Incarcerated (SPA 22-0018) – Submission
Targeted Case Management Formerly Incarcerated (SPA 22-0018) – Approved
Postpartum Extension to 12 months (SPA 22-0100) – Submission
Postpartum Extension to 12 months (SPA 22-0100) – Approved
Clinical Trials Update (ABP SPA 22-1001) – Submission
Clinical Trials Update (ABP SPA 22-1001) – Approved
Doula Services (ABP SPA 22-1002) - Submission
Doula Services (ABP SPA 22-1002) - Approved
Behavioral Health 1915(i) Update (ABP SPA 22-1003) – Submission
Behavioral Health 1915(i) Update (ABP SPA 22-1003) – Approved
Nursing Facility Services Prior Authorization (ABP SPA 22-1004) - Submission
Nursing Facility Services Prior Authorization (ABP SPA 22-1004) - Approved
Behavioral Health Homes Geographic Update (SPA 22-1500) – Submission
Behavioral Health Homes Geographic Update (SPA 22-1500) – Approved
Opioid Health Home Geographic Update (SPA 22-1501) - Submission
Opioid Health Home Geographic Update (SPA 22-1501) – Approved
2021
Medicaid Disaster Relief (SPA 21-0002) - Hospital Payment for Remdesivir - Submission
Medicaid Disaster Relief (SPA 21-0002) - Hospital Payment for Remdesivir - Approved
Genetic Counselors (ABP SPA 21-1002) - Submission
Genetic Counselors (ABP SPA 21-1002) - Approved
Recovery Audit Contractor Exemption Update (SPA 21-0003) Approved
Pediatric Psychiatric Services Reimbursement (SPA 21-0004) Approved
Medication-Assisted Treatment (MAT) Update (SPA 21-0005) Approved
Medicaid Disaster Relief (SPA 21-0006) - In-Person Premium Payment and Cost Report - Approved
Medicaid Disaster Relief (SPA 21-0007) - Monoclonal Antibody Infusions - Approved
COVID-19 Vaccine Administration Payments (SPA 21-0008) Approved
Tribal AIR Pharmacy (SPA 21-0009) Approved
Hospital rWGS Testing Reimbursement (SPA 21-0010) Submission
Hospital rWGS Testing Reimbursement (SPA 21-0010) Approved
Medicaid Disaster Relief (SPA 21-0011) - FQHC/RHC/Tribal Vaccine Administration - Submission
Medicaid Disaster Relief (SPA 21-0011) - FQHC/RHC/Tribal Vaccine Administration - Approved
Genetic Counselors (SPA 21-0012) Submission
Genetic Counselors (SPA 21-0012) - Approved
Nursing Facility Current Asset Value Determination Update (SPA 21-0013) Submission
Nursing Facility Current Asset Value Determination Update (SPA 21-0013) - Approved
Dental Provider Type (SPA 21-0014) Submission
Dental Provider Type (SPA 21-0014) - Approved
Medicaid Disaster Relief (SPA 21-0015) - Nursing Facility Rate Setting Methodology - Submission
Medicaid Disaster Relief (SPA 21-0015) - Nursing Facility Rate Setting Methodology – Approved
Medicaid Disaster Relief (SPA 21-0016) - In-Person Premium Payment - Submission
Medicaid Disaster Relief (SPA 21-0016) - In-Person Premium Payment – Approved
Third Party Liability Update (SPA 21-0017) - Submission
Third Party Liability Update (SPA 21-0017) – Approved
Anti-Obesity Drug Coverage (SPA 21-0018) - Submission
Anti-Obesity Drug Coverage (SPA 21-0018) – Approved
Medication-Assisted Treatment (MAT) Update (ABP SPA 21-1001) Approved
Opioid Health Home Geographic Update (MI SPA 21-1500) Submission
Opioid Health Home Geographic Update (MI SPA 21-1500) - Approved
2020
Critical Access Hospital Reimbursement (SPA 20-0001) Submission
Critical Access Hospital Reimbursement (SPA 20-0001) Approved
Tribal Health Center to Tribal FQHC (SPA 20-0002) Submission
Tribal Health Center to Tribal FQHC (SPA 20-0002) Approved
Neonatal Services Rate Update (SPA 20-0003) Submission
Neonatal Services Rate Update (SPA 20-0003) Approved
Pediatric Psychiatric Diagnostic Services (SPA 20-0004) Submission
Pediatric Psychiatric Diagnostic Services (SPA 20-0004) Approved
Medicaid Disaster Relief (SPA 20-0005) Approved
Single Pharmacy PDL (SPA 20-0006) Submission
Single Pharmacy PDL (SPA 20-0006) Approved
Pharmacy Outcome-Based Supplemental Rebate Agreement Template Update (SPA 20-0007) Submission
Pharmacy Outcomes-Based Supplemental Rebate Agreement Template Update (SPA 20-0007) Approved
Home Health and DME Update (SPA 20-0008) Submission
Home Health and DME Update (SPA 20-0008) Approved
Medicaid Disaster Relief (SPA 20-0009) Submission
Medicaid Disaster Relief (SPA 20-0009) Approved
Medicaid Disaster Relief (SPA 20-0010) Approved
Graduate Medical Education (GME) Pool Update (20-0011) Submission
Graduate Medical Education (GME) Pool Update (20-0011) Approved
Medicaid Disaster Relief (SPA 20-0012) Submission
Medicaid Disaster Relief (SPA 20-0012) - Glove Rate - Approved
Medicaid Disaster Relief (SPA 20-0013) - EUA Coverage and Vaccine Administration Payments - Approved
Copay Limit Clarification (SPA 20-0500) Submission
Copay Limit Clarification (SPA 20-0500) Approved
Copay Limit Clarification SUD (SPA 20-0501) Approved
Home Health and DME Update (ABP SPA 20-1001) Submission
Home Health and DME Update (ABP SPA 20-1001) Approved
Behavioral Health Home (SPA 20-1500) Submission
Behavioral Health Home (SPA 20-1500) Approved
Opioid Health Home (SPA 20-1501) Submission
Opioid Health Home (SPA 20-1501) Approved
2019
Nurse Midwives Covered Services Update (SPA 19-0001) Approved
MIDocs GME Innovations (SPA 19-0002) Submission
MIDocs GME Innovations (SPA 19-0002) Approved
Recovery Audit Contractor (RAC) Exception Extension (SPA 19-0003) Approved
Behavioral Health Peer-Delivered or Peer-Operated Support Services (SPA 19-0004) Submission
Behavioral Health Peer-Delivered or Peer-Operated Support Services (SPA 19-0004) Approved
Veteran Home Update (SPA 19-0005) Submission
Veteran Home Update (SPA 19-0005) Approved
Behavioral Health 1915(i) (SPA 19-0006) Submission
Behavioral Health 1915(i) (SPA 19-0006) Approved
Behavioral Health Targeted Case Management Update (SPA 19-0007) Submission
Behavioral Health Targeted Case Management Update (SPA 19-0007) Approved
Nursing Facility Cost Reporting Audit & Reimbursement Process Updates (SPA 19-0008) Submission
Nursing Facility Cost Reporting Audit & Reimbursement Process Updates (SPA 19-0008) Approved
Disproportionate Share Hospital (DSH) Pool Update (SPA 19-0009) Submission
Disproportionate Share Hospital (DSH) Pool Update (SPA 19-0009) Approved
Non-Emergency Medical Transportation (NEMT) Update (SPA 19-0010) Submission
Non-Emergency Medical Transportation (NEMT) Update (SPA 19-0010) Approved
Maternal and Infant Health Program Rate Update (SPA 19-0011) Submission
Maternal and Infant Health Program Rate Update (SPA 19-0011) Approved
Drug Utilization Review Program Clarification (SPA 19-0012) Approved
Drug Utilization Review Program Clarification (SPA 19-0012) Submission
Active Pharmaceutical Ingredients and Excipients (SPA 19-0013) Approved
Active Pharmaceutical Ingredients and Excipients (SPA 19-0013) Submission
Hearing Aid Device Rate Update (SPA 19-0014) Approved
Hearing Aid Device Rate Update (SPA 19-0014) Submission
Hearing Aid Services Rate Update (SPA 19-0015) Approved
Hearing Aid Services Rate Update (SPA 19-0015) Submission
Behavioral Health and Substance Use Disorder (ABP SPA 19-1002) Submission
Behavioral Health and Substance Use Disorder (ABP SPA 19-1002) Approved
2018
Flint Eligibility Process and New Applications (SPA 16-0110) Approved
Short Hospital Stay Rate (SPA 18-0001) Approved
Home Health Rule (SPA 18-0003) Approved
Miller Trusts (SPA 18-0004) Approved
LARC Reimbursement Policy (SPA 18-0005) Approved
Graduate Medical Education (GME) Innovations (SPA 18-0006) Approved
Neonatal Rate (SPA 18-0007) Submission
Neonatal Rate (SPA 18-0007) Approved
Nursing Facility Transitions (1915i SPA 18-0008) Approved
Outcomes-Based Contract Arrangements with Drug Manufacturers (SPA 18-0009) Submission
Outcomes-Based Contract Arrangements with Drug Manufacturers (SPA 18-0009) Approved
Outpatient Uncompensated Care DSH Pool (SPA 18-0010) Submission
Outpatient Uncompensated Care DSH Pool (SPA 18-0010) Approved
Clinical Nurse Specialist Updates (SPA 18-0011) Approved
Guardianship Fee Update (SPA 18-0012) Approved
School Based Health Services (SPA 18-0013) Submission
School Based Health Services (SPA 18-0013) Approved
Former Foster Care Youth (SPA 18-0100) Approved
Copayment Updates (SPA 18-0500) Approved
Intensive Pediatric Feeding Services (ABP SPA 18-1000) Approved
Opioid Health Home and Home Health Rule (ABP SPA 18-1002) Submission
Opioid Health Home and Home Health Rule (ABP SPA 18-1002) Approved
Clinical Nurse Specialist Updates and Nursing Facility Transitions (ABP SPA 18-1003) Approved
Opioid Health Home (SPA 18-1500) Approved
2017
Provider Enrollment (SPA 17-0001) Submission
Provider Enrollment (SPA 17-0001) Approved
GME Innovations - Pine Rest (SPA 17-0002) Approved
Hospital Cost Report Submission Process (SPA 17-0003) Approved
GME Innovations - Authority Health (SPA 17-0004) Approved
Pharmacy Claims Reimbursement and Medication Therapy Management (SPA 17-0005) Approved
Pediatric Intensive Feeding Services (SPA 17-0006) Submission
Pediatric Intensive Feeding Services (SPA 17-0006) Approved
Rural Health Center Update (SPA 17-0007) Submission
Rural Health Center Update (SPA 17-0007) Approved
Nursing Facility Quality Assurance Supplement (SPA 17-0008) Submission
Nursing Facility Quality Assurance Supplement (SPA 17-0008) Approved
Nursing Facility Quality Incentive Initiative (SPA 17-0009) Submission
Nursing Facility Quality Incentive Initiative (SPA 17-0009) Approved
Guardianship Fee Update (SPA 17-0010) Approved
Neonatal and Obstetrical Services (SPA 17-0011) Submission
Neonatal and Obstetrical Services (SPA 17-0011) Approved
20 Visit Behavioral Health Limit Removal (SPA 17-0012) Approved
Recovery Audit Contractor Exemption (SPA 17-0013) Submission
Recovery Audit Contractor Exemption (SPA 17-0013) Approved
State Veteran Homes (SPA 17-0014) Submission
State Veteran Homes (SPA 17-0014) Approved
Primary Care Services Rates (SPA 17-0015) Approved
MAGI-Based Income Methodologies (SPA 17-0100) Submission
MAGI-Based Income Methodologies (SPA 17-0100) Approved
Provider Enrollment (ABP SPA 17-1000) Approved
20 Visit Behavioral Health Limit Removal (SPA 17-1001) Approved
2016
Emergency Room Case Rate (SPA 16-0001) Approved
Maternal Infant Health Program (SPA 16-0002) Approved
Marriage and Family Therapists (SPA 16-0003) Approved
Target Case Management for Flint Beneficiaries (SPA 16-0004) Approved
Liens and Adjustments or Recoveries (SPA 16-0005) Approved
Flint TCM Group Payment (SPA 16-0008) Approved
Diabetes Self-Management Education (SPA 16-0010) Approved
Third Party Liability (SPA 16-0013) Approved
Update Case Management Services Payment Page (SPA 16-0014) Approved
Guardianship Fee Increase (SPA 16-0015) Approved
Behavioral Health Treatment Rate Change (SPA 16-0016) Approved
Preventive Services (SPA 16-0017) Approved
Medicaid Eligibility Flint(SPA 16-0100) Approved
Marriage and Family Therapists and TCM Flint (ABP SPA 16-1000) Approved
Diabetes Self-Management Education (SPA 16-0010) Submitted
Private Duty Nursing EPSDT (SPA 16-0011) Submitted
Update Practitioner Services Payment Pages (SPA 16-0012) Submitted
Third Party Liability Payment of Claims Clarification (SPA 16-0013) Submitted
Third Party Liability Payment of Claims Clarification (SPA 16-0013) Approved
Update Case Management Language (SPA 16-0014) Submitted
Update TCM Payment Page (SPA 16-0014) Deemed Approved
Guardianship Fee Increase (SPA 16-0015) Submitted
Behavioral Health Treatment Rate Change (SPA 16-0016) Submitted
Preventive Services (SPA 16-0017) Submitted
Flint Eligibility Process (SPA 16-0110) Submitted
Cost Sharing - HMP Copay Increases (SPA 16-0500) Submitted
Cost Sharing (SPA 13-0016) Approved
Outpatient Hospital MACI Allocation Update (SPA 15-0016) Approved
Hospice (SPA 16-0007) Approved
DSH Payment Pool - Technical Correction (SPA 16-0009) Approved
Single State Agency (SPA 16-0120) Approved
OPPS Updates (SPA 16-0006) Approved
Private Duty Nursing EPSDT (SPA 16-0011) Approved
Update Practitioner Services Payment Pages (SPA 16-0012) Approved
Costing Sharing - HMP Copay Increases (SPA 16-0500) Approved
2015
Inpatient Hospital Capital Reimbursement Methodology (SPA _15_001) Approved
Inpatient Rate Update - (SPA _15_0002)Approved
Inpatient Rate Update - Grouper 32.(SPA _15_0002)Submitted
Ambulatory Surgical Center.(SPA _15_0003)Approved
Indian Health Centers Services.(SPA _15_0004)Approved
Pharmacy Administration of Vaccines (SPA 15-0005) Approved
Outpatient Disproportionate Share Hospital (DSH) Pool Increase (SPA 15-0006) Approved
Outpatient Disproportionate Share Hospital (DSH) Increase - Value Based Pool (SPA 15-0007) Approved
Short Stay Rate (SPA 15-0009) Approved
Behavioral Health Treatment (SPA 15-0010) Approval
Pharmacy Injectables (SPA 15-0011) Approved
ICA DSH Pool Distribution Update.(SPA 15-0012) Approved
CMS 179 SPA 15-0012 ICA DSH Pool Distribution Update.(SPA _15_0012)Submitted
DSH Allotment (SPA 15-0013) Approved
Inpatient Hospital Reimbursement Grouper System (SPA 15-0014) Approved
MIChild to Medicaid Expansion Transition-Premium (SPA 15-0015) Approved
MIChild to Medicaid Expansion Transition-Premium (SPA 15-0015) Submitted
Outpatient Hospital MACI Allocation Update (SPA 15-0016) Submitted
MIChild to Medicaid Expansion Transition (SPA 15-0100) Approved
Psychologists, Social Workers, and Professional Counselors (ABP SPA 15-1000)
Primary Care Health Homes (ABP SPA 15-1001)
MI Care Team Primary Care Health Home State Plan Amendment.(SPA _15_2000)Submitted
Michigan Title XIX FMAP State Plan Amendment.(SPA _14_010)Approved
Michigan Primary Care Transformation (MiPCT) Project.(SPA _14_0017)Approved
Michigan Primary Care Transformation (MiPCT) Project.(SPA _14_0017)Submitted
Primary Care Provider Reimbursement Rate Increase.(SPA _14_0018)Submitted
2014
Public Entity Adjustment Program.(SPA 13-10) Approved
Presumptive Eligibility by Hospitals.(MI 13-0120) Approved
Eligibility Process.(MI 13-0140) Approved
Medicaid Co-Payment Exemptions.(SPA 13-16) Submitted
Citizenship and Non-Citizenship Eligibility.(MI 13-0150) Approved
MI Single State Agency.(MI 13-0130) Approved
Modified Adjusted Gross Income (MAGI)- Groups.(13-0100) Approved
Modified Adjusted Gross Income (MAGI)- Based Income Methodologies.(13-0110-MM3) Approved
Pathologist - Licensing Requirement.(13-11) Submitted
School Based Services Transportation.(SPA 13-17)Submitted
Medicaid Alternative Benefit Plan.(SPA MI-14-0001) Approved
Graduate Medical Education (GME) Innvoations Grant.(SPA 14-02) Submitted
Federal Medical Assistance Percentage (FMAP) Claiming State Plans.(SPA 14-03) Approved
Ambulatory Surgical Center (ASC).(14-004)Approved
Inpatient Rate Update to Grouper 31 .(SPA 14-05) Approved
Federally Qualified Health Center (FQHC) Alternate Payment Methodology.(SPA 14-06) Approved
Non-emergency medical transportation brokerage contract (NEMT).(SPA 14-007) Approved
Medicaid coverage for the working disabled.(SPA 14-009) Approved
FY14 Disproportionate Share Hospital (DSH) Pool. (SPA 14-0011) Submitted
Disproportionate Share Hospital (DSH)Pool - Harper University Hospital. (14-0011) Approved
Children's Outpatient Hospital Adjuster Pool - Poison Control.(SPA 14-0013) Approved
Indigent Care Agreement (ICA) DSH Pool Modification(MI 14-0014) Approved
Indigent Care Agreement (ICA) DSH Pool Modification.(SPA 14-014) Submitted
Therapy Limits (SPA 14-0016) Approved
Nursing Facility Rate Relief Eligibility.(SPA 14-015)Submitted
Outpatient drug coverage changes.(SPA 14-012) Approved
Coverage for Pregnant Teenagers.(MI 14-0180)Submitted
State Psychiatric Hospital Reimbursement Methodology.(SPA 14-0019)Submitted
State Long-Term Care Insurance Partnership.(SPA 13-15)Approved
2013
Ambulatory Surgical Center (ASC) Reduction Factor.(13-03) Approved
Capital Interim Payment.(13-07) Approved
Add Centeral Michigan University to the Physician Adjuster Program. (12-14) Approved
Disproportionate Share Hospital (DSH)Pool Dollar Amount. (13-04) Approved
DSH Pool - Modify Indigent Care Agreement(ICA).(13-13)Approved
DSH Pool - Modify Fiscal Year 2013 Outpatient Uncompensated Care.(13-14)Approved
DRG Update and Per Diem Rebase.(13-08) Approved
Family Planning. (12-04) withdraw
Home Maintenance.(13-05) Approved
Elimination of Maximum Daily Dollar Limits for Laboratory Services.(12-21) approved
Medicare Part D.(13-09) Approved
Public Assistance Reporting Information System.(13-02) approved
Public Entity Adjustment Program (PEA).(13-10) Submitted
Recovery Auditor Contractor (RAC) Program Exception.(13-06) Approved
Primary Care Physician Rate Increase. (13-01) Approved
Reinstate Vision Services for Medicaid Beneficiaries Age 21 and Older. (12-13) approved
Establishment of a Rural Access Pool.(12-20) Approved
2012
Ambulatory Surgical Centers (ASC) Reimbursement. (12-02) approved
Reinstatement of chiropractic services for beneficiaries age 21 and older. (12-11) approved
Corporate Income Tax. (11-12) approved
Disproportionate Share Hospital (DSH) Process Reform. (12-16) Withdraw
Disproportionate Share Hospital (DSH) Pool Modification. (12-17) Approved
DRG Update and Per Diem Rebase. (12-05) approved
Estate Recovery. (12-10) approved
GME Funds Pool. (11-16)approved
GME Funds Pool for FY2012 and FY2013. (12-12)approved
Home Maintenance. (12-07) approved
Long term care provider appeals process - Revises. (12-09) approved
Medicaid RAC-Exception to the Implementation Date March 31, 2012. (11-13) approved
Non-compliant State Plan language removal for covered excluded drugs. (12-01) approved
Nursing Facility Rate Relief. (11-15) approved
Optometry Services (12-08) approved
PACE Rates Revised. (11-02) approved
Physician Adjustor Program. (11-14) approved
Public Clinic Services. (11-04) approved
2011
Addition of Public Entity (Oakland University) to Physician Adjustor Program. (10-21) approved
Ambulatory Surgical Centers - Reimbursement. (10-12)approved
Asset Verification System (AVS). (11-5)approved
Brokered Non-Emergency Transportation. (10-10) approved
Changes to the Medicare Savings Program. (10-20) approved
Drug Product Reimbursement. (10-15) approved
DSH Pool Modification. (11-10) approved
DSH Redistribution. (11-11) Approved
Blood Lead Testing (SPA 10-0025) Approved
Freestanding Birth Centers. (11-03) approved
GME Payment Schedule. (10-22) approved
Health Care Acquired Conditions & Provider Preventable Conditions. (11-08) approved
IPH DRG Reimbursement-Version 28.0 Grouper Rebasing. (11-6) approved
Quality Assurance Assessment Program (QAAP) supplement payment reconciliation. (11-09) approved
Medicaid Recovery Audit Contractor Program. (10-23) approved
Reinstatement of Optional Services (Adult Benefit, Low Vision, and Podiatry). (10-24) approved
Revised Deemed Newborn Preprint Pages. (10-11) approved
Tobacco Cessation Services for Pregnant Women. (11-7) approved
2010
Children's Outpatient Hospital Adjustor Pool. (10-04) approved
DSH Pool - Indigent Care Agreement Hospitals. (10-19) approved.
Estate Recovery (10-18) approved.
Hospital DSH Pools - Small Hospital and Outpatient Uncompensated Care (10-14)approved
Hospice Coverage Conditions. (10-06) approved
IPH DRG Reimbursement Version 27.0. (10-03) approved
Nursing Facilities Complex Care - Rate Determination Conditions (09-18) approved
Payment of Pediatric Electrolytes as a Non-Pharmacy Item. (10-08) approved
Physician Adjustor Program. (10-002) approved
Public Clinic Reimbursement (09-13) approved
Public Clinic Services-Reimbursement (10-16B) approved
Quality Assurance Supplement Payment Reconciliation.(10-17) approved
Reduces Provider Fees.(09-20) approved
Remove ICF/MR Related Language From the State Plan. Michigan no longer has ICF's. (10-01) approved
Reserved Bed Payment - Limitation. (10-07) approved
Six Month Home Maintenance Disregard (09-19) approved
Tribal Consultation Requirements (10-13) approved
2009
AFC/HA Personal Care Services Reimbursement. (08-12) approved
Census Income Disregard (08-13) approved
Children's Outpatient Hospital Adjustor Pool. (09-12) approved
County Medical Care Facilities-Special Payments. (09-06) approved
Elimination of Optional Services (09-15) approved
GME Innovations Pool Partnership Update (08-02) approved
Government Provider DSH Pool (09-11) approved
IMD- DSH Pool (09-16) approved
IPH - $5 Million DSH Pool (09-04) approved
IPH Reimbursement - Version 26.0 Grouper Update (09-01) approved
Maternal Infant Health Program (09-07) approved
Patient Pay Amounts for Purchase of Non-Covered Services. (09-03) approved
Pharmacy Dispensing Fee Increase (09-05) approved
Pharmacy Dispensing Fee Decrease (09-14) approved
Reimbursement - Hearing Aids Volume Purchase (09-02) approved
Reimbursement - Personal Care Services (09-08) approved
Services/Reimbursement - Special Health Care Needs Facilities (09-09) approved
2008
Annual Quality Assurance Supplement Payment Reconcilliation. (08-11) approved
Continue Medicaid coverage for children aging out of the Foster Care Program. (07-13)approved
Cooperation with Medicaid Integrity Program Efforts. (08-05)approved
Drug Product Reimbursement. (07-14)approved
Estate Recovery (07-21) submitted
GME payment schedule (07-10) approved
IPH Reimbursement - DRG Rebasing and Grouper 25 Update. (08-03)(Approved)
Methods and Standards for Establishing Payment Rates - Inpatient Hospital Care (08-01) submitted
Michigan Business Tax name change. (08-04) Approved
Nursing Facility QAAP Payments. (07-19) submitted
Nursing facility reimbursement-Facility innovative design supplemental program. (07-17)Approved
OPHP psoriasis treatment centers. (07-16)approved
Rural Health Clinic Services (07-16)submitted
Targeted Case Management (08-006)submitted
Targeted Case Management 08-007)submitted
Targeted Case Management 08-008)submitted
Targeted Case Management 08-009)submitted
Targeted Case Management 08-010)submitted
2007
Allowability of Home Equity Maximum Amounts for LTC Assistance Eligibility.(07-09)Submitted
Annual Quality Assurance Supplement Payment Reconcilliation. (07-07) Approved
IPH Payment reductions. (07-12) Approved
Audiologists - Licensing Requirement. (06-19)Approved
Authorization Thresholds-Personal Care Services. (06-22) Approved
Children (Income - 150%FPL)(06-23)Withdrawn
Eligibility - Transfer of Assets.(07-08) Approved
Employee Education - False Claims Act (07-06)Approved
GME Payment Schedule (07-10)Approved
Inpatient Hospital DSH Pools (07-15)Approved
Inpatient Hospital Reimbursement - DRG Grouper (24.0) update(07-04)Submitted
Outpatient Hospital Laboratory Services.(07-02)Approved
Outpatient Hospital Reimbursement.(06-01)Approved
Outpatient Prospective Reimbursement System (OPPS)(07-01) Approved
Personal Care Services in the Workplace. (06-16)Approved
Pharmacy dispensing fee.(06-13)Withdrawn
Prescriptive authority-therapy. (06-17)Approved
Requirements for Third Party Liability (07-05)Approved
2006
State Laboratory Reimbursement.(06-009)
Reinserting IPH approved IPH Reimbursement Language.(06-12)
MDCH/Office of Administrative Hearing and Rules cooperative agreement.(06-07)approved
Eliminates separate Rx coverage in hospital long term care units.(05-20)
Expand providers eligible to receive reimbursement for Synagis to include enrolled pharmacies.(05-08)
Expansion of services subject to cost-sharing.(05-14)
Mail Order Pharmacy Reimbursement(05-03)
2005
Access To Care - Outpatient Therapy and Audiology Services(05-06)
Expand Allowable Involuntary Disenrollment Reasons--Effective January 1, 2005(05-01)
Hearing Aids(04-18)
Hospital DRG Rebasing(05-10)
Lab Services and Hearing Aid Reimbursement--Effective January 1, 2005(05-02)
LIF Eligibility - Asset Disregard(05-04)
Long Term Care Proportionate Share Pool Payment Sunset Provision(04-12)
Michigan State Plan Amendment(05-09)
Nursing Facility Certification(04-19)
Optional Services(04-15)
Pharmacy Co-Pay(04-14)
Presumptive Eligibility for Children and Pregnant Women(05-05)
Reduction of Pharmacy Dispensing Fee(04-13)
Vaccine Replacement Program(04-17)
2004
Inpatient Hospital Reimbursement(04-04)
MACI (taxi-related payments)(04-05)
Personal Care Services & Hospital Emergency Services(04-08)
PACE Capitation Rate Development Procedures(04-11)