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MedicaidCoverageMedium impact

MSA 20-67

Michigan Medicaid - MDHHS·MI · OB-GYN, Psychiatry, Family Medicine +1 more·Provider Bulletin
Effective date
Oct 1, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid (MOMS program) now covers behavioral health and substance use disorder services for pregnant women and up to 60 days postpartum, effective October 1, 2020. Services include depression screening, substance abuse treatment, and crisis intervention, requiring pregnancy-related ICD-10 coding for proper reimbursement.

Action Required

Action needed
Immediately: Billing team must ensure all MOMS behavioral health claims use appropriate pregnancy-related ICD-10 codes as required by coding guidelines. Update billing system to flag MOMS beneficiary claims for proper coding verification. Providers should implement standardized screening tools recommended by AAP or USPSTF for pregnant patients with behavioral health conditions.