MedicaidReimbursementLow impact
MSA 20-26
Michigan Medicaid - MDHHS·MI · PM&R (Physical Medicine & Rehab), Orthopedics, Occupational Therapy +1 more·Provider Bulletin
Effective date
Sep 1, 2020
We identified it
Jun 20, 2026
Summary
Michigan Medicaid now allows providers to request reimbursement for costs incurred on custom fabricated prosthetics, orthotics, and wheelchair seating when a beneficiary dies before delivery. Providers must contact the Program Review Division with specific documentation to request case-by-case approval for partial reimbursement of materials and labor costs.
Action Required
Effective September 1, 2020: For Michigan Medicaid beneficiaries who die before delivery of custom fabricated DMEPOS items, billing team should contact MDHHS Program Review Division at 800-622-0276 to request partial reimbursement. Submit documentation including original PA tracking number, beneficiary date of death, date provider learned of death, itemized invoice with materials/labor costs, salvage value deductions, and fabrication stage completion. This applies only to custom fabricated items, not prefabricated or off-the-shelf DMEPOS.