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MMP 23-20: COVID-19 Response: Reversal of Temporary COVID-19 Relaxation of Face-to-Face Requirement Policies and Update to Face-to-Face and In Person Definitions
Effective date
May 12, 2023
Identified
Jun 20, 2026
Summary
Michigan Medicaid ended the temporary COVID-19 policies that relaxed face-to-face requirements for assessments, including MSA 20-12, MSA 20-30, the MI Care Team Health Action Plan telemedicine coverage section of MSA 20-42, and the Health Home section of MSA 20-58. Under the updated definitions, a face-to-face encounter can be in person or by telehealth with simultaneous audio and visual technology, while an in-person encounter must have the beneficiary and provider physically together in the same location and is not allowed by telehealth, and several Medicaid programs now require in-person assessments.
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What to do
Action · 6 steps
01Already effective May 12, 2023: Billing team, stop applying the temporary COVID-19 face-to-face relaxations in MSA 20-12, MSA 20-30, the telemedicine coverage section of MSA 20-42 and the Health Home section of MSA 20-58.
02Use the updated definitions when billing: face-to-face can be in person or telehealth, and in person requires the beneficiary and provider to be physically together in the same location.
03Make sure these assessments are performed in person: initial MI Choice assessments, initial Nursing Facility Level of Care Determinations (LOCDs), and Home Help initial comprehensive assessments completed before case opening.
04Enter each Nursing Facility LOCD in CHAMPS within 14 calendar days of the in-person LOCD.
05For Flint Family Supports Coordination, bill face-to-face assessment visits with HCPCS code T2024 for an individual or family, use modifier TT for each additional individual Plan of Care developed from the same visit, and note that additional assessment visits beyond one per year per family or household require prior authorization.
06Pharmacy MTM services must be provided in person whenever possible.
Codes mentioned
T2024
Original notice
MMP 23-20: COVID-19 Response: Reversal of Temporary COVID-19 Relaxation of Face-to-Face Requirement Policies and Update to Face-to-Face and In Person Definitions
michigan.gov · Always check the source before changing claims.