MedicaidCoverageMedium impact
MMP 24-29: Update to Bulletin MMP 23-74 - Medicaid Coverage of Community Health Worker (CHW)/Community Health Representative (CHR) Services
Michigan Medicaid - MDHHS·MI · Psychiatry·Medical Policy
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Community Health Worker (CHW) services previously covered under MMP 23-74 are now explicitly included in the behavioral health service list and will be reimbursable through Prepaid Inpatient Health Plans (PIHPs). This update clarifies that behavioral health providers can seek reimbursement for CHW services effective October 1, 2024.
Action Required
By October 1, 2024: Behavioral health providers should verify billing systems can process CHW service claims through PIHPs. Review MMP 23-74 requirements to ensure CHW staff meet qualifications outlined in the original bulletin. Update billing procedures to include CHW services in behavioral health service offerings.