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MedicaidCoverageMedium impact

HASA 22-09

Michigan Medicaid - MDHHS·MI · Psychiatry, Family Medicine, Pediatrics·Provider Bulletin
Effective date
May 1, 2022
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan is expanding Behavioral Health Home (BHH) services to five additional counties (Lenawee, Livingston, Monroe, Washtenaw, Wayne) for Medicaid beneficiaries with specific mental health diagnoses including schizophrenia, bipolar disorder, major depression, and ADHD. This creates new billing opportunities for comprehensive care management services using a monthly case rate payment model.

Action Required

Action needed
By May 1, 2022: Billing teams serving Medicaid patients in Lenawee, Livingston, Monroe, Washtenaw, or Wayne counties must identify patients with qualifying ICD-10 codes (F06, F20, F25, F31, F32, F33, F41, F43, F90) who may be eligible for BHH services. Contact the lead entity in your region to understand billing procedures for the monthly case rate payment model and pay-for-performance incentives. Review the Behavioral Health Home Handbook for detailed billing guidance.

Affected Billing Codes

F06
F20
F25
F31
F32
F33
F41
F43
F90