MedicaidCoverageMedium impact
MSA 18-30
Michigan Medicaid - MDHHS·MI · PM&R (Physical Medicine & Rehab), Orthopedics·Provider Bulletin
Effective date
Oct 1, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated labor coverage policies for wheelchair and power-operated vehicle repairs, introducing a new repair/labor guide that caps allowable labor units for specific replacement parts. Providers must now use standardized labor allowances and include comprehensive cost documentation in prior authorization requests.
Action Required
By October 1, 2018: DME billing team must implement Michigan's Wheelchair Repair/Labor Guide for all Medicaid wheelchair repair claims. Update billing system to enforce maximum labor units per replacement part (K0739 limited per guide). Include estimated repair vs replacement costs in all PA requests. Document specific repair reasons - no generic terms like 'worn out'. Verify warranty expiration before submitting repair claims.