MedicaidAdministrativeMedium impact
MMP 24-09: Updates to the MDHHS Medicaid Provider Manual
Michigan Medicaid - MDHHS·MI·Medical Policy
Effective date
Apr 1, 2024
We identified it
Jun 20, 2026
Summary
Michigan MDHHS updated their Medicaid Provider Manual effective April 1, 2024, with key changes including a new Psychiatric Residential Treatment Facility benefit plan, updated modifier instructions for durable medical equipment, and revised genetic testing authorization requirements. The changes primarily affect Michigan Medicaid providers with technical clarifications and new billing procedures.
Action Required
By April 1, 2024: Billing teams in Michigan must update systems to use modifier U3 with HCPCS codes E0247, E0248 (non-standard transfer benches) and E0240 (non-standard bath/shower chairs) for prior authorization and manual pricing. Update genetic testing authorization workflows to use form MSA-2081 within 30 days of service date. Add new modifier FT for unrelated E/M visits during post-operative periods for critical care services.