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Michigan Medicaid - MDHHSMedicaid · Prior Auth · Provider Bulletin · MIMedium impact

MSA 20-14

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Reported as already effective in the historical source during the COVID-19 emergency, MDHHS waives quantity limits, prior authorization and documentation requirements for respiratory equipment and supplies, such as ventilators, suction catheters and oxygen, and for medical supplies typically received through home delivery, such as diabetic supplies, incontinence supplies and enteral formulas, including the HCPCS codes in Attachment A. MDHHS also adds coverage of surgical masks (A4928), hand sanitizer (A9286) and patient gowns (E1399), and it encourages telemedicine to meet ACA durable medical equipment face-to-face requirements. This guidance remains in effect for 30 days after the Governor's Declaration of a State Emergency Order (2020-04, COVID-19) terminates, or on the first of the following month, whichever is later.

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What to do

Action · 8 steps
01Already effective on issuance, March 26, 2020: Billing team should note that the HCPCS codes in Attachment A have quantity limits, prior authorization and documentation requirements waived during the COVID-19 emergency.
02Ordering practitioners must establish medical necessity for the specified equipment or supplies and quantities on the order, and the physician order must be kept in the beneficiary file and be available upon request.
03All other documentation requirements, such as documentation timelines, medical records and test results, are waived during the COVID-19 emergency.
04Replacement of equipment or supplies that have been lost, destroyed, irreparably damaged, or otherwise rendered unusable or unavailable due to the COVID-19 emergency does not require prior authorization or new medical documentation.
05Surgical masks are covered at 20 per unit, and hand sanitizer and patient gowns are covered during the COVID-19 emergency; watch for the upcoming bulletin that will address their specific coding and billing instructions.
06DMEPOS providers must follow the CDC PPE guidelines when delivering and setting up equipment and supplies in beneficiary homes.
07Medicaid health plans and integrated care organizations may not be more restrictive than fee-for-service Medicaid for these services during the COVID-19 emergency.
08Check current applicability before acting on these requirements.

Codes mentioned

A4928A9286E1399

Original notice

MSA 20-14
michigan.gov · Always check the source before changing claims.
View original ↗

Related changes

See all Michigan Medicaid - MDHHS changes →
MSA 20-25HighEffective Mar 1, 2020 · Provider BulletinMMP 26-36: Updates to the MDHHS Medicaid Provider ManualHighEffective Oct 1, 2026 · Medical PolicyMSA 17-44MediumEffective Jan 1, 2018 · Provider BulletinMMP 22-40MediumNo effective date · Provider BulletinBrowse every Michigan Medicaid - MDHHS change in the policy list

Related policy hubs

Michigan Medicaid - MDHHS policiesMI policy changesCode A4928Code A9286Code E1399

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