MedicaidReimbursementHigh impact
MSA 20-07
Michigan Medicaid - MDHHS·MI · Critical Care, Pediatrics·Provider Bulletin
Effective date
Feb 1, 2020
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is increasing reimbursement rates for neonatal and pediatric critical care services to 95% of Medicare rates, effective February 1, 2020. This affects 10 specific CPT codes for critical care and intensive care services for newborns and children.
Action Required
Immediately: Billing team must verify that Michigan Medicaid claims for CPT codes 99468-99480 are being reimbursed at the new 95% of Medicare rate. Update fee schedules and verify contracted rates with Medicaid health plans. Monitor reimbursement to ensure correct payment levels are received.