MedicaidReimbursementHigh impact
MMP 22-33
Michigan Medicaid - MDHHS·MI · Family Medicine, General Practice, Internal Medicine +2 more·Provider Bulletin
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Summary
Michigan Medicaid has increased reimbursement rates for primary care services effective October 1, 2022. This applies to specific E/M codes including office visits, nursing facility services, home visits, preventive care, and telehealth services for Medicaid, Healthy Michigan Plan, and MI Child programs.
Action Required
Immediately: Billing team must verify that the enhanced primary care reimbursement rates are being applied to the specified CPT codes for Michigan Medicaid claims dated October 1, 2022 and after. Check the updated fee schedule on the MDHHS website at www.michigan.gov/medicaidproviders under Billing & Reimbursement >> Provider Specific Information >> Physicians/Practitioners/Medical Clinics to ensure correct payment amounts are being received.