MedicaidAdministrativeMedium impact
MSA 20-62
Michigan Medicaid - MDHHS·MI · Family Medicine, Internal Medicine, General Practice·Provider Bulletin
Effective date
Mar 1, 2020
We identified it
Jun 20, 2026
Summary
Non-physician practitioners (nurse practitioners, clinical nurse specialists, and physician assistants) can now permanently order Medicaid home health services and perform face-to-face encounters without requiring physician certification. This correction bulletin clarifies that physician certification of NPP-performed face-to-face encounters is no longer required.
Action Required
Immediately: Update home health billing workflows to accept orders from nurse practitioners, clinical nurse specialists, and physician assistants without requiring physician certification of face-to-face encounters. Train billing staff that NPP documentation is sufficient for Medicaid home health claims. Update EMR templates and billing system rules to reflect that NPPs can independently certify face-to-face encounters for home health services.