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Michigan Medicaid - MDHHSMedicaid · Coverage · Medical Policy · MI · OB-GYN, Family Medicine, PediatricsMedium impact

MMP 24-36: Medicaid Coverage of Maternal and Infant Health Services

Act
by Oct 1, 2024
Effective date
Oct 1, 2024
Identified
Jun 20, 2026

Summary

Michigan expanded Medicaid coverage for Maternal Infant Health Program (MIHP) services effective October 1, 2024, adding reimbursement for additional home visits, enhanced care coordination, and discharge visits. Four new HCPCS/CPT codes are now billable with specific rates, and providers should include social determinant of health diagnosis codes when applicable.

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What to do

by Oct 1, 2024 · 3 steps
01Billing teams at MIHP-certified providers must update billing systems to include new HCPCS/CPT codes H1001 ($92.09), 99600 ($138.14), T2022 ($77.06), and H1004 ($108.89).
02Update encounter forms to remind providers to include primary diagnosis codes for infant/pregnancy conditions and secondary SDOH codes (Z55-Z65 range).
03Configure telehealth billing to use modifier 95 for audio-visual services with appropriate place of service codes.

Codes mentioned

H100199600T2022H1004Z55

Original notice

MMP 24-36: Medicaid Coverage of Maternal and Infant Health Services
michigan.gov · Always check the source before changing claims.
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