MedicaidReimbursementHigh impact
MSA 17-37
Michigan Medicaid - MDHHS·MI · Pediatrics, Critical Care·Provider Bulletin
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Michigan Medicaid will increase reimbursement rates to 64% of Medicare rates for neonatal and pediatric critical care services starting January 1, 2018. This affects 10 specific CPT codes for intensive care and critical care services for infants and children.
Action Required
By January 1, 2018: Billing team must verify that billing system reflects the new 64% Medicare rate structure for neonatal and pediatric critical care codes. Update fee schedules in billing software for Michigan Medicaid, Healthy Michigan Plan, and MIChild patients. Monitor annual rate updates at www.michigan.gov/medicaidproviders for ongoing changes.