MedicaidReimbursementMedium impact
MSA 18-26
Michigan Medicaid - MDHHS·MI · Critical Care, Pediatrics·Provider Bulletin
Effective date
Oct 1, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is increasing reimbursement rates for neonatal and pediatric critical care services to 75% of Medicare rates, effective October 1, 2018. This affects 10 specific CPT codes for critical care and intensive care services for infants and children.
Action Required
By October 1, 2018: Billing team must verify fee schedules are updated to reflect the new reimbursement rates at 75% of Medicare for the 10 neonatal and pediatric critical care CPT codes in Michigan Medicaid claims. Monitor www.michigan.gov/medicaidproviders for updated rate tables.