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MSA 20-14

Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Mar 26, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid temporarily waives quantity limits, prior authorization, and documentation requirements for respiratory equipment and medical supplies during COVID-19 emergency. New coverage added for surgical masks, hand sanitizer, and patient gowns with specific HCPCS codes.

Action Required

Action needed
Immediately: Billing team must update system to remove prior authorization requirements for all listed HCPCS codes for Michigan Medicaid patients. Add new billable items: surgical masks (A4928), hand sanitizer (A9286), and patient gowns (E1399). Ensure physician orders document medical necessity and are kept in patient files. Update encounter forms to reflect waived documentation requirements for respiratory equipment and medical supplies during COVID-19 emergency.

Affected Billing Codes

A4206
A4207
A4208
A4209
A4210
A4213
A4215
A4230
A4231
A4232
A4244
A4245
A4246
A4247
A4250
A4253
A4256
A4259
A4310
A4311
A4312
A4313
A4314
A4315
A4316
A4320
A4322
A4326
A4328
A4330
A4331
A4333
A4334
A4335
A4338
A4340
A4344
A4346
A4349
A4351
A4352
A4353
A4354
A4355
A4357
A4358
A4928
A9286
E1399