MedicaidAdministrativeLow impact
MMP 23-53: Update to the Provider Enrollment Fitness Criteria Policy; Application Fees
Michigan Medicaid - MDHHS·MI·Enrollment
Effective date
Oct 1, 2023
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated provider enrollment fitness criteria, adding theft convictions as disqualifying factors, clarifying license suspension rules, expanding NEMT personal choice options, updating policy exception processes, and requiring application fees at revalidation. These changes primarily affect provider enrollment and credentialing rather than billing operations.
Action Required
Provider enrollment staff should review current provider credentials to ensure compliance with new theft conviction exclusions and updated license requirements. Practices using NEMT services should be aware of the new MSA-119 form process for selecting providers with criminal history. Institutional providers should budget for application fees during revalidation cycles.