Summary
Michigan FQHCs, RHCs, and THCs must switch from professional (CMS-1500) to institutional billing format (UB-04) for Medicaid claims. Claims using the old professional format will be denied after the effective date.
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What to do
by Jul 1, 2017 · 4 steps
01Michigan FQHCs, RHCs, and THCs must update billing systems to submit claims using ASC X12N 837 5010 institutional format instead of professional format.
02Use Type of Bill 77x for FQHC/THC and 71x for RHC.
03Include all same-day services on one claim with detailed HCPCS coding and appropriate clinic payment codes.
04Claims submitted in professional format after this date will be denied.
Codes mentioned
G0466G0467G0468G0469G0470T10155942559426
Original notice
MSA 17-10
michigan.gov · Always check the source before changing claims.