MedicaidCoverageMedium impact
MSA 20-46
Michigan Medicaid - MDHHS·MI · Family Medicine, Internal Medicine, Psychiatry +2 more·Provider Bulletin
Effective date
Apr 1, 2020
We identified it
Jun 20, 2026
Summary
Effective April 1, 2020, Michigan Medicaid, Healthy Michigan Plan, CSHCS, and MOMS programs eliminated copayments for all drugs used to treat substance use disorders, including tobacco cessation medications. Billing teams must verify copayment exemption status using the Michigan Pharmaceutical Products List before collecting copayments from beneficiaries.
Action Required
Immediately: Billing team must access Michigan Pharmaceutical Products List at Michigan.magellanrx.com >> Provider Portal >> Documents >> Fee-for-Service Drug Coverage to verify 'No' under 'Copay' column for substance use disorder drugs before collecting copayments. Train front desk staff to check MPPL for Michigan Medicaid beneficiaries receiving these medications. Failure to waive required copayments may result in beneficiary complaints and billing corrections.