MedicaidDocumentationMedium impact
MSA 18-13
Michigan Medicaid - MDHHS·MI · Family Medicine, Internal Medicine, General Practice·Provider Bulletin
Effective date
Jul 1, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid simplified face-to-face documentation requirements for home health services, removing the need for separate narrative sections while maintaining the encounter requirement. Home health aide services can now be ordered independently without requiring skilled nursing or therapy services.
Action Required
Review current home health billing practices for Michigan Medicaid beneficiaries. Update documentation procedures to ensure face-to-face encounters are documented within 90 days before or 30 days after service start, but remove requirements for separate narrative sections. Verify home health aide services can be billed independently without requiring concurrent skilled services.