MedicaidCoverageMedium impact
MSA 18-35
Michigan Medicaid - MDHHS·MI · Pharmacy, Psychiatry·Provider Bulletin
Effective date
Oct 1, 2018
We identified it
Jun 20, 2026
Summary
Starting October 1, 2018, Michigan Medicaid programs will eliminate copayments for all drugs used to treat mental health conditions and substance use disorders. The state will cover these copayments, and affected medications will show $0.00 patient pay amounts in pharmacy systems.
Action Required
By October 1, 2018: Pharmacy staff must verify zero copayments for mental health and substance use disorder medications by checking the Michigan Pharmaceutical Products List (MPPL) at Michigan.fhsc.com. Update billing systems to expect $0.00 patient pay amounts (NCPDP field 505-F5) for these medications. Review MPPL 'Copay' column marked 'No' to identify exempt drugs.