MedicaidCoverageMedium impact
MMP 25-55: Expanded Coverage of Maternal Depression and/or Mental Health Screenings
Michigan Medicaid - MDHHS·MI · Pediatrics, OB-GYN, Family Medicine +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
Michigan Medicaid expanded coverage of maternal depression and mental health screenings to 12 months postpartum (previously 6 months), adding specific billing codes for screenings conducted during child visits (CPT 96161) versus mother's visits (CPT 96127). This change affects Medicaid and MIChild programs starting January 1, 2026.
Action Required
Before January 1, 2026: Billing team must update systems to bill CPT 96161 under child's Medicaid ID when screening is done during well-child visits, and CPT 96127 under mother's Medicaid ID when screening is done during mother's follow-up visits. Update encounter forms and provider education for maternal depression screenings up to 12 months postpartum for Michigan Medicaid and MIChild patients.