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MedicaidReimbursementMedium impact

MSA 21-15

Michigan Medicaid - MDHHS·MI · Psychiatry, Pediatrics·Provider Bulletin
Effective date
Jan 1, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid has increased reimbursement rates for pediatric psychiatric services (CPT codes 90832-90889) to 63% of Medicare rates for patients under 21 years old. This rate increase applies to Medicaid Fee-for-Service and Medicaid Health Plans and is retroactive to January 1, 2021.

Action Required

Action needed
Immediately: Billing team must verify that pediatric psychiatric services (CPT codes 90832-90889) for Michigan Medicaid patients under 21 are being reimbursed at the updated rate of 63% of Medicare rates. Review and resubmit any claims for dates of service from January 1, 2021 forward that may have been underpaid under the old rates.

Affected Billing Codes

90832
90834
90837
90838
90845
90847
90849
90853
90875
90876
90882
90885
90887
90889
MSA 21-15 | Michigan Medicaid - MDHHS | PolicyChanges.app