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Michigan Medicaid - MDHHSMedicaid · Administrative · Provider Bulletin · MIMedium impact

MSA 17-08

Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

The April 2017 update of the online Michigan Medicaid Provider Manual will be available April 1, 2017, and changes are noted in the table of contents of each affected chapter. This bulletin also clarifies MSA 17-05 by permitting restricted use of lead abatement funds for housing costs of eligible recipients during the abatement process, after CMS authorized MDHHS to mirror HUD abatement practices. The update also adds school based physical and occupational therapy evaluation and re-evaluation codes effective January 1, 2017, adds dental interim caries arresting medicament D1354, and states that all claims must be resolved within one year from the date of service unless an exception exists.

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What to do

Action · 6 steps
01Already effective January 1, 2017 for school based therapy codes: Billing team: Bill 97161, 97162, 97163 and 97164 for physical therapy evaluations and re-evaluation, and 97165, 97166, 97167 and 97168 for occupational therapy evaluations and re-evaluation, as added on that date.
02Dental providers: D1354 is billable once per date of service, up to five teeth per visit, with a maximum of six applications per lifetime, and requires education of providers and staff, and informed consent signed by the beneficiary or guardian.
03Billing team: Resolve all claims within one year from the date of service unless an exception applies.
04Retroactive provider enrollment is not an exception to the timely filing billing limitation.
05Billing team: Use the appropriate Z30 diagnosis code as the primary diagnosis on claims for family planning services.
06Hospitals: A transfer or admission from an acute care hospital or inpatient rehabilitation unit to an LTACH requires a PACER number, which the acute care hospital must obtain before the discharge to an LTACH.

Codes mentioned

97001970039716197162971639716497165971669716797168D1354Z30

Original notice

MSA 17-08
michigan.gov · Always check the source before changing claims.
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Related changes

See all Michigan Medicaid - MDHHS changes →
MSA 20-22HighEffective Mar 1, 2020 · Provider BulletinMSA 16-38MediumEffective Jan 1, 2017 · Provider BulletinMSA 18-01MediumNo effective date · Provider BulletinMSA 18-16MediumEffective Jul 1, 2018 · Provider BulletinBrowse every Michigan Medicaid - MDHHS change in the policy list

Related policy hubs

Michigan Medicaid - MDHHS policiesMI policy changesCode 97001Code 97003Code 97161Code 97162Code 97163Code 97164Code 97165Code 97166Code 97167Code 97168Code D1354Code Z30

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