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MedicaidAdministrativeMedium impact

MSA 21-05

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

Summary

Michigan Medicaid updated their Provider Manual with technical clarifications effective April 1, 2021. Key changes include revised emergency department billing requirements, updated behavioral health service definitions, and clarified documentation requirements for emergency services.

Action Required

Action needed
By April 1, 2021: Billing team should review the updated Michigan Medicaid Provider Manual at www.michigan.gov/medicaidproviders for specific changes affecting your practice areas. Emergency department providers must ensure proper documentation in Remarks Section when principal diagnosis doesn't reflect emergency definition, including vital signs, medical problems, IV administration, and medications. Update internal procedures to align with revised emergency service guidelines under federal EMTALA and Balanced Budget Act requirements.