MedicaidAdministrativeLow impact
MSA 18-49
Michigan Medicaid - MDHHS·MI·Provider Bulletin
Effective date
Jan 1, 2019
We identified it
Jun 20, 2026
Summary
Michigan is implementing new network adequacy standards for Prepaid Inpatient Health Plans (PIHPs) starting January 1, 2019, requiring these plans to meet specific provider network requirements. This policy establishes the framework for MDHHS to develop and enforce standards ensuring Medicaid beneficiaries have adequate access to healthcare providers.
Action Required
No immediate action required for billing teams. This is an administrative policy that affects health plan network requirements rather than billing procedures. PIHPs in Michigan should review their provider networks to ensure compliance with new adequacy standards, but individual providers' billing processes are not directly impacted.