MedicaidCoverageMedium impact
MSA 18-10
Michigan Medicaid - MDHHS·MI · Pediatrics, Occupational Therapy, Speech Therapy·Provider Bulletin
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid now covers Pediatric Outpatient Intensive Feeding Program services for children with significant feeding and swallowing difficulties as part of EPSDT benefits. These intensive day programs require a multidisciplinary team and are reimbursed through Medicaid Fee-for-Service starting July 1, 2018.
Action Required
By July 1, 2018: Pediatric practices in Michigan must enroll with MDHHS to provide Pediatric Outpatient Intensive Feeding Program services. Ensure multidisciplinary team meets qualification requirements including pediatrician/subspecialist, licensed behavioral health professional, occupational therapist, and registered dietitian. Update billing procedures to process these services through Medicaid Fee-for-Service rather than Medicaid Health Plans. Obtain prior authorization as required and document comprehensive assessments and individualized plans of care.