MedicaidReimbursementMedium impact
MMP 22-34
Michigan Medicaid - MDHHS·MI · Critical Care, Pediatrics·Provider Bulletin
Effective date
Oct 1, 2022
We identified it
Jun 20, 2026
Summary
Michigan Medicaid increased reimbursement rates to 100% of Medicare rates for neonatal and pediatric critical care CPT codes 99468-99480. This affects billing for intensive care services provided to infants and children in hospital settings.
Action Required
Immediately: Billing team should verify that Michigan Medicaid claims for CPT codes 99468-99480 are processing at the updated 100% Medicare rate. Monitor reimbursement amounts for neonatal and pediatric critical care services. Review current rate schedule at www.michigan.gov/medicaidproviders for confirmation of updated rates.