MedicaidCoverageMedium impact
MSA 21-50
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Aug 30, 2021
We identified it
Jun 20, 2026
Summary
Michigan Medicaid expands COVID-19 testing coverage to include all FDA-authorized tests (diagnostic, screening, and home tests) effective August 30, 2021. Home tests must be prescribed and dispensed through Medicaid-enrolled pharmacies, with special billing requirements including no co-pays and coordination of benefits.
Action Required
Immediately: Update billing procedures for COVID-19 testing - bill federally-supplied tests at $0.00 cost, ensure all home tests have prescriptions from authorized providers, coordinate benefits before billing Medicaid, and do not collect co-pays for any COVID-19 testing. Pharmacies must use appropriate CPT codes from the Laboratory fee screen database and follow NCPDP billing requirements with proper NPI reporting.