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MSA 18-17

Michigan Medicaid - MDHHS·MI · Family Medicine, Internal Medicine, General Practice +2 more·Provider Bulletin
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Starting July 1, 2018, Michigan Medicaid requires face-to-face visits within 6 months prior to ordering specific durable medical equipment items like hospital beds, pressure mattresses, and decubitus care equipment. Only physicians can write orders for these items, though NPPs can conduct the face-to-face visits if a physician certifies it occurred.

Action Required

Action needed
By July 1, 2018: Billing team must ensure all orders for specified DME items (hospital beds, pressure mattresses, decubitus care equipment) include documentation of face-to-face visit within 6 months. Update prior authorization requests to include face-to-face visit documentation. Providers must document the visit date, practitioner name, and clinical findings. Only physicians may write orders for these items. Keep documentation in beneficiary files and make available upon request.

Affected Billing Codes

E0185
E0188
E0189
E0194
E0197
E0198
E0199
E0250
E0251
E0255
E0256
E0260
E0261
E0265
E0266
E0290
E0291
E0292