MedicaidCoverageMedium impact
MMP 25-37: Waiver for Children with Serious Emotional Disturbance Policy Updates
Michigan Medicaid - MDHHS·MI · Pediatrics, Psychiatry·Medical Policy
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated eligibility criteria for the Waiver for Children with Serious Emotional Disturbance (SEDW) program, transitioning from CAFAS/PECFAS/DECA assessment tools to the new MichiCANS Comprehensive Decision Support Model. The policy also renamed Children's Therapeutic Foster Care to Children's Therapeutic Family Care and updated Community Living Supports requirements.
Action Required
Immediately: Billing staff should coordinate with clinical teams to ensure proper documentation of MichiCANS assessment scores for SEDW eligibility determinations. Update billing records to reflect the service name change from Children's Therapeutic Foster Care to Children's Therapeutic Family Care. Verify that Community Living Supports services do not duplicate State Plan services or IDEA services before billing.