When does this change take effect?

This change is effective Jun 12, 2023.

MedicaidAdministrativeMedium impact

MMP 23-40: Update to Reversal of Temporary COVID-19 MI Health Link (MHL) 1915c Waiver Appendix K Policies

Q: Who is affected by this change?

This affects Michigan Medicaid - MDHHS Occupational Therapy, Physical Therapy, Speech Therapy providers in MI on Medicaid plans.

Michigan Medicaid - MDHHS·MI · Occupational Therapy, Physical Therapy, Speech Therapy·Provider Bulletin

Effective date

Jun 12, 2023

We identified it

Jun 20, 2026

Days to comply

—

Summary

Michigan is ending temporary COVID-19 flexibilities for MI Health Link Home and Community-Based Services (HCBS) settings requirements earlier than planned - on June 12, 2023 instead of November 11, 2023. This means normal 1915c waiver requirements are restored immediately for HCBS providers serving dual-eligible Medicare-Medicaid enrollees.

Action Required

Action needed

Immediately: HCBS providers must ensure all service locations comply with standard 1915c waiver settings requirements as COVID-19 flexibilities ended June 12, 2023. Review current service delivery locations and documentation to ensure compliance with pre-pandemic regulations for MI Health Link enrollees.

Related policy hubs

Michigan Medicaid - MDHHS policies MI policy changes Occupational Therapy Physical Therapy Speech Therapy