MedicaidCoverageHigh impact
MSA 20-40
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Mar 10, 2020
We identified it
Jun 20, 2026
Summary
Michigan Medicaid expands coverage for Emergency Services Only (ESO) beneficiaries to include COVID-19 testing, treatment, evaluation/management services, medications, and supplies. Claims must be identified as emergency services with specific billing indicators, and co-pays are waived for confirmed COVID-19 cases.
Action Required
Immediately: Billing team must update claim submission procedures for Michigan Medicaid ESO beneficiaries with COVID-19 services. For professional claims, set Emergency Indicator = 'Y' when billing COVID-19 testing, evaluation, or treatment. For institutional claims, follow emergency billing guidelines. Pharmacy staff must report appropriate COVID-19 diagnosis codes on prescriptions and use service level value '03'. Do not collect co-pays for confirmed COVID-19 cases.