MedicaidAdministrativeMedium impact
MMP 24-30: Updates to the MDHHS Medicaid Provider Manual
Michigan Medicaid - MDHHS·MI·Medical Policy
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Michigan Medicaid has released quarterly updates to their Provider Manual effective October 1, 2024, affecting multiple programs including Medicaid, Healthy Michigan Plan, and Children's Special Health Care Services. The updates include technical clarifications for benefit plans, behavioral health services, hearing services, hospital services, medical suppliers, pharmacy outcomes-based contracts, and other administrative changes.
Action Required
By October 1, 2024: Billing team should review the updated Michigan Medicaid Provider Manual at www.michigan.gov/medicaidproviders for specific changes affecting your specialty areas. Pay particular attention to revised service type codes for CSHCS benefit plans, new prior authorization requirements for genetic/molecular laboratory testing (form MSA-2081), and updated coverage criteria for pediatric mobility devices. Monitor the PBM website for outcomes-based contract drug products that may affect reimbursement.