MedicaidCoverageMedium impact
MSA 17-19
Michigan Medicaid - MDHHS·MI · Gastroenterology, Rheumatology, General Practice·Provider Bulletin
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
Michigan Medicaid now covers HCPCS code Q5102 (Injection, Infliximab, 10 mg) for practitioners, ambulatory surgical centers, and outpatient hospitals. The policy also includes various technical updates to the Medicaid Provider Manual including clarifications on borderland providers and benefit plans.
Action Required
Immediately: Billing team should update billing software to include HCPCS code Q5102 (Injection, Infliximab, 10 mg) as a covered service for Michigan Medicaid patients when provided by practitioners, ASCs, and outpatient hospitals. Verify system can bill this code for dates of service on or after January 1, 2017. Review the updated Medicaid Provider Manual available at www.michigan.gov/medicaidproviders for additional technical changes.