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.
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What to do
immediately · 2 steps
01Billing 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.
02Review and resubmit any claims for dates of service from January 1, 2021 forward that may have been underpaid under the old rates.
Codes mentioned
9083290834908379083890845908479084990853908759087690882908859088790889
Original notice
MSA 21-15
michigan.gov · Always check the source before changing claims.
Related changes
See all Michigan Medicaid - MDHHS changes →MSA 16-14MediumEffective Jul 1, 2016 · Provider BulletinMSA 20-15MediumEffective Mar 1, 2020 · Provider BulletinMSA 21-19MediumEffective Aug 1, 2021 · Provider BulletinMMP 23-10: Telemedicine Policy Post-COVID-19 Public Health EmergencyMediumEffective May 12, 2023 · TelehealthBrowse every Michigan Medicaid - MDHHS change in the policy list