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MedicaidReimbursementMedium impact

MMP 25-49: Substance Use Disorder Health Home

Michigan Medicaid - MDHHS·MI · Psychiatry, Family Medicine, Internal Medicine·Specialty Services
Effective date
Oct 1, 2025
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan is implementing updated Substance Use Disorder Health Home (SUDHH) services with enhanced staffing requirements including a new Addictionologist position and increased ratios for peer coaches. The policy establishes new payment rates based on monthly case rates per beneficiary and requires specific staffing models per 100 patients.

Action Required

Action needed
By October 1, 2025: Providers offering SUDHH services must update staffing models to include required FTE ratios per 100 beneficiaries, including adding Addictionologist Medical Physician Consultant (0.10 FTE). Review the Substance Use Disorder Health Home Handbook on the MDHHS website for detailed operational guidance. Ensure proper SUDHH service documentation to avoid monthly payment recoupment.