MedicaidAdministrativeLow impact
MSA 21-51
Michigan Medicaid - MDHHS·MI · Psychiatry·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Summary
Michigan clarifies that Indian Health Service facilities (tribal health centers and tribal FQHCs) operating outpatient substance use disorder programs are not required to obtain state licensing for Medicaid reimbursement, effective retroactively to January 1, 2021. This exemption applies to Medicaid, Healthy Michigan Plan, and MIChild programs.
Action Required
No action required for most billing teams. Only applies to tribal health centers and tribal FQHCs in Michigan operating outpatient substance use disorder programs - these facilities can bill Medicaid without state licensing requirements.