MedicaidPrior AuthMedium impact
MSA 21-02
Michigan Medicaid - MDHHS·MI · Dentistry, Oral & Maxillofacial Surgery·Provider Bulletin
Effective date
May 1, 2021
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated their dental provider manual with new denture prior authorization requirements and added billing procedures for incomplete dental treatments. Key changes include requiring full mouth radiographs for partial denture PA requests and new billing codes for incomplete crowns, root canals, and dentures.
Action Required
By May 1, 2021: Dental billing teams must update prior authorization procedures to require full mouth/complete series radiographs for partial denture PA requests (not required for complete dentures). Add new billing codes D2999 (incomplete crown), D3999 (incomplete root canal), and D5899 (incomplete denture) to billing system for extenuating circumstances where treatment cannot be completed. Update PA request forms to include required documentation: appropriate CDT codes, completed tooth charts, soundness of remaining teeth, five-year prognosis, and pertinent health information.