MedicaidCoverageMedium impact
MMP 25-48: Revisions to Blood Pressure Monitoring Policy
Michigan Medicaid - MDHHS·MI · OB-GYN, Family Medicine, Internal Medicine·Medical Policy
Effective date
Dec 1, 2025
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is expanding blood pressure monitor coverage to all pregnant beneficiaries and those within 12 months postpartum, removing the previous requirement to have a hypertensive disorder. Providers must include pregnancy- or postpartum-related diagnosis codes on orders, but prior authorization is no longer required for these patients.
Action Required
By December 1, 2025: Update billing procedures to remove prior authorization requirements for blood pressure monitors for pregnant patients and those within 12 months postpartum on Michigan Medicaid. Ensure providers document pregnancy- or postpartum-related diagnosis codes on all orders for these beneficiaries. Train staff that hypertensive disorder diagnosis is no longer required for coverage.