MedicaidReimbursementMedium impact
MMP 23-04
Michigan Medicaid - MDHHS·MI · Dentistry, Oral & Maxillofacial Surgery, Anesthesiology·Provider Bulletin
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Summary
Michigan Medicaid increased reimbursement rates for dental services provided under general anesthesia in ambulatory surgical centers to $1,495.00 minimum and in outpatient hospitals to $2,300.00 minimum, effective October 1, 2022. The reimbursement methodology changed from OPPS to a Medicaid fee schedule for these services.
Action Required
Immediately: Billing teams at ASCs and outpatient hospitals providing dental services under general anesthesia must verify updated fee schedules are configured in billing systems. Review Michigan Medicaid fee schedules at www.michigan.gov/medicaidproviders for current rates and ensure claims use Medicaid fee schedule methodology rather than OPPS for dental procedures.