MedicaidCoverageHigh impact
MMP 22-50
Michigan Medicaid - MDHHS·MI · Pediatrics, Family Medicine, General Practice·Provider Bulletin
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated EPSDT policy effective January 1, 2023, adding new required screenings for children under 21: depression/suicide risk (ages 12-21), hepatitis B risk assessment, sudden cardiac arrest screening (ages 11-21), expanded behavioral/social/emotional screening at all visits, and fluoride varnish application. These are covered preventive services that must be documented and billed appropriately.
Action Required
By January 1, 2023: Billing team must ensure proper coding and documentation for new EPSDT screening requirements in Michigan Medicaid. Update encounter forms to include depression/suicide screening (ages 12-21), hepatitis B risk assessment, cardiac screening (ages 11-21), behavioral/social/emotional screening at all visits, and fluoride varnish application. Train providers on required standardized screening tools (PHQ-9, ASQ-SE, PSC) and proper documentation. Verify these services are being captured and billed as covered EPSDT preventive services.