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MedicaidDocumentationMedium impact

MSA 19-14

Michigan Medicaid - MDHHS·MI · Emergency Medicine·Provider Bulletin
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid has updated ambulance transport policies requiring stricter medical necessity documentation and physician orders for non-emergency transports. Providers face potential fund recoupment for medically unnecessary transports or inadequate documentation.

Action Required

Action needed
By July 1, 2019: Ambulance providers must ensure all non-emergency transport claims include written physician orders and detailed medical necessity documentation. Update documentation procedures to include ALS Assessment clinical significance. Verify interfacility transfers document unavailable services at origin facility. Claims without proper documentation will be subject to recoupment.