MedicaidBilling CodesMedium impact
MSA 17-21
Michigan Medicaid - MDHHS·MI · Pharmacy·Provider Bulletin
Effective date
Aug 1, 2017
We identified it
Jun 20, 2026
Summary
Michigan Medicaid clarifies that providers can bill Medicaid for services they offer free or at reduced rates to the general public, but only up to their customary charge amount. This reverses previous guidance that prohibited billing for free community services.
Action Required
By August 1, 2017: Billing team must review and update customary charge schedules to ensure they reflect the most frequently charged fees, including negotiated rates with other payers. Update billing procedures to allow Medicaid claims for services offered free to the community, ensuring claims do not exceed customary charges. Pharmacy staff must report any public discounts in their customary charges.