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Michigan Medicaid - MDHHSMedicaid · Prior Auth · Provider Bulletin · MI · Orthopedics, Pulmonology, PM&R (Physical Medicine & Rehab)Medium impact

MSA 20-32

Act
immediately
Effective date
Apr 1, 2020
Identified
Jun 20, 2026

Summary

Michigan Medicaid is temporarily removing prior authorization requirements for walking boots (L4360/L4361) and wheelchair batteries during COVID-19 emergency, effective April 1, 2020. The policy also adds temporary coverage for spirometers for cystic fibrosis patients in home settings.

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What to do

immediately · 4 steps
01Billing team must stop obtaining prior authorization for walking boots (L4360/L4361) and wheelchair batteries (E2358-E2367) for Michigan Medicaid patients.
02Append CR modifier to all wheelchair battery claims or they will be denied.
03For E2358 and spirometer codes (A9284/E0487), submit invoices through Document Management Portal and include 'invoice in DMP' in claim notes.
04Maintain physician orders in patient files for audit purposes.

Codes mentioned

L4360L4361E2358E2359E2360E2361E2362E2363E2364E2365E2366E2367A9284E0487

Original notice

MSA 20-32
michigan.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Michigan Medicaid - MDHHS changes →
MMP 22-40MediumNo effective date · Provider BulletinBrowse every Michigan Medicaid - MDHHS change in the policy list

Related policy hubs

Michigan Medicaid - MDHHS policiesMI policy changesOrthopedicsPulmonologyPM&R (Physical Medicine & Rehab)Code L4360Code L4361Code E2358Code E2359Code E2360Code E2361Code E2362Code E2363Code E2364Code E2365Code E2366Code E2367Code A9284Code E0487

Summaries are AI-assisted. Always confirm against the original payer notice.

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