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MedicaidCoverageMedium impact

MMP 23-36: Plan First Family Planning Program

Michigan Medicaid - MDHHS·MI · Family Medicine, OB-GYN, General Practice·Provider Bulletin
Effective date
Jul 1, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid is launching a new Plan First Family Planning Program effective July 1, 2023, providing family planning services to individuals up to 195% FPL who don't qualify for other Medicaid programs. This creates a new patient eligibility category for family planning services including contraceptives, STI testing, and preventive care.

Action Required

Action needed
By July 1, 2023: Billing team must verify Plan First program CPT codes in the MDHHS database and update billing system to recognize new Plan First eligibility group. Train staff to verify patient eligibility for Plan First program (income ≤195% FPL, non-pregnant, Michigan resident). Ensure family planning-related diagnosis codes are reported on all Plan First claims. Update patient registration to capture Plan First enrollment status.