MedicaidCoverageMedium impact
HASA 22-12
Michigan Medicaid - MDHHS·MI · OB-GYN, Family Medicine, General Practice·Provider Bulletin
Effective date
May 1, 2022
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is increasing contraceptive supply limits from the current amount to up to a 12-month supply for oral contraceptives, vaginal rings, and hormonal patches effective May 1, 2022. This applies to Medicaid, Healthy Michigan Plan, CSHCS, and MOMS programs and should reduce gaps in medication coverage.
Action Required
By May 1, 2022: Update billing procedures for contraceptive dispensing to allow up to 12-month supplies for Michigan Medicaid beneficiaries. Family planning clinic providers must ensure dispensed contraceptives do not exceed 12-month supply limits. Verify pharmacy claims are billed directly to MDHHS contracted PBM and continue following existing FFS pharmacy policies including refill thresholds and prior authorization requirements.