MedicaidCoverageMedium impact
MMP 24-02: Debridement and Exam Coverage Update
Michigan Medicaid - MDHHS·MI · Dentistry, Oral & Maxillofacial Surgery·Medical Policy
Effective date
Mar 1, 2024
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated coverage rules for full mouth debridement, clarifying it can be performed same day as comprehensive or periodic oral evaluations but not with comprehensive periodontal evaluations or prophylaxis. Full mouth debridement is now covered once every 365 days for beneficiaries aged 14 and over.
Action Required
Before March 1, 2024: Billing team must update system edits to allow same-day billing of full mouth debridement with comprehensive/periodic oral evaluations but block combinations with D0180 (comprehensive periodontal evaluation) or prophylaxis. Update encounter forms to remind dental providers of new same-day billing restrictions. Verify patient age (14+) and 365-day frequency limits in billing system.