MedicaidReimbursementMedium impact
MSA 19-08
Michigan Medicaid - MDHHS·MI · Orthopedics, General Surgery·Provider Bulletin
Effective date
May 1, 2019
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is changing osteogenesis stimulator payment from rental-only to capped rental (10 months rental equals purchase). After the 10th rental month, approvals convert from rental to purchase, with accessories and replacements requiring separate prior authorization after manufacturer warranty expires.
Action Required
By May 1, 2019: Billing team must update system to track osteogenesis stimulator rental months and automatically convert to purchase billing after 10th month. Update prior authorization processes to request accessories and replacement stimulators separately after purchase. Verify manufacturer warranty expiration before requesting replacement devices for Michigan Medicaid, Healthy Michigan Plan, and CSHCS beneficiaries.