MedicaidReimbursementMedium impact
MSA 19-13
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
Medicaid outpatient hospital visit co-payments are increasing from the previous amount to $2 effective July 1, 2019 for beneficiaries in Medicaid Fee-for-Service and Healthy Michigan Plan members under 100% FPL. Billing teams must collect the new $2 co-payment for outpatient hospital services using 051x revenue codes.
Action Required
By July 1, 2019: Billing and front desk staff must update patient collection procedures to charge $2 co-payment for outpatient hospital visits (051x revenue codes) for Medicaid Fee-for-Service and Healthy Michigan Plan beneficiaries under 100% FPL. Use CHAMPS system to verify cost-sharing requirements at time of visit and inform patients of new co-payment obligations.