MedicaidDocumentationHigh impact
MMP 25-53: Home and Community-Based Services (HCBS) Final Rule – Behavioral Health
Michigan Medicaid - MDHHS·MI · Psychiatry·Specialty Services
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
New HCBS Final Rule requirements for behavioral health providers serving Medicaid beneficiaries, establishing mandatory person-centered planning processes and Individual Plan of Service (IPOS) documentation standards. Providers must implement specific planning protocols including employment discussions, living situation assessments, and community integration planning for all eligible beneficiaries.
Action Required
By January 1, 2026: Behavioral health providers must implement person-centered planning protocols for all Medicaid HCBS beneficiaries. Update documentation workflows to include mandatory IPOS elements: employment opportunity discussions, living situation satisfaction assessments, and community integration planning. Ensure all IPOS documents include beneficiary signatures, 12-month review schedules, and modification justifications when restrictions are needed. Train case managers on new planning requirements including conflict-of-interest restrictions and self-directed service discussions.