MedicaidCoverageMedium impact
HASA 22-16
Michigan Medicaid - MDHHS·MI · Cardiology, Family Medicine, Internal Medicine +2 more·Provider Bulletin
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Michigan Medicaid has updated blood pressure monitor coverage policy effective July 1, 2022, expanding coverage to include automatic monitors for beneficiaries with hypertension and specific conditions, while removing prior authorization requirements for certain diagnoses like renal disease and pregnancy-related hypertension.
Action Required
By July 1, 2022: Update billing procedures for blood pressure monitor orders to verify beneficiaries meet new coverage criteria (daily monitoring requirement, specific qualifying conditions, and proper education documentation). Remove prior authorization requirements for patients with renal disease or pregnancy-related hypertension. Ensure all documentation is less than 30 days old and includes complete treatment plans. Note that finger and wrist monitors are not covered.