Summary
Michigan Medicaid will cover USPSTF grade A and B preventive services and ACIP-recommended adult vaccines with no patient cost-sharing. Preventive medicine evaluation and management visits (CPT 99381-99397) will also have no beneficiary cost-sharing requirements.
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What to do
by Jul 1, 2017 · 2 steps
01Billing team must update Michigan Medicaid claims to use appropriate ICD diagnosis codes for USPSTF preventive services and include HCPCS Modifier 33 for preventive services.
02Remove any cost-sharing requirements for CPT codes 99381-99397 and USPSTF grade A/B services for Michigan Medicaid patients.
Codes mentioned
9938199382993839938499385993869938799391993929939399394993959939699397
Original notice
MSA 17-13
michigan.gov · Always check the source before changing claims.