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Michigan Medicaid - MDHHSMedicaid · Coverage · Provider Bulletin · MIHigh impact

MSA 20-25

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

Summary

Michigan Medicaid has implemented temporary COVID-19 emergency policies for DMEPOS providers, waiving prior authorization and quantity limits for specified items, adding coverage for PPE items like surgical masks and hand sanitizer, and allowing up to 90-day supplies to promote social distancing.

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What to do

immediately · 5 steps
01Billing team must update system to waive prior authorization and quantity limits for items in MSA 20-14 Attachment A.
02Add new PPE codes A4928 (surgical masks), A9286 (hand sanitizer), and E1399 with CR modifier (patient gowns) to fee schedules with specified rates.
03Configure system to allow 90-day supply billing.
04For invoice-priced codes (A4459, A4467, A6412, B4105, B4157, B4162, B4187, E0439), ensure claims include 'invoice in DMP' in note field.
05Train staff on replacement modifier (RA) requirements and DMP submission process.

Codes mentioned

A4928A9286E1399A4456A5083A7522A4459A4467A6412B4105B4157B4162B4187E0439A4620E1356E1357

Original notice

MSA 20-25
michigan.gov · Always check the source before changing claims.
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Related changes

See all Michigan Medicaid - MDHHS changes →
MMP 23-27: End of the Federal Public Health Emergency and Unwinding of COVID-19 Response PoliciesMediumEffective May 11, 2023 · Provider BulletinMSA 20-14MediumNo effective date · Provider BulletinMMP 24-30: Updates to the MDHHS Medicaid Provider ManualMediumEffective Oct 1, 2024 · Medical PolicyMMP 25-47: Implementation of MI Coordinated Health (MICH) ProgramMediumEffective Jan 1, 2026 · Provider BulletinBrowse every Michigan Medicaid - MDHHS change in the policy list

Related policy hubs

Michigan Medicaid - MDHHS policiesMI policy changesCode A4928Code A9286Code E1399Code A4456Code A5083Code A7522Code A4459Code A4467Code A6412Code B4105Code B4157Code B4162Code B4187Code E0439Code A4620Code E1356Code E1357

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