Summary
Michigan Medicaid now covers trauma screening and behavioral health services for children under 21 as part of EPSDT benefits. Primary care providers can bill specific E&M and assessment codes for trauma screening during well-child visits and refer to mental health services when screening is positive.
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What to do
by Feb 1, 2017 · 4 steps
01Providers treating pediatric patients should implement trauma screening tools (ACE-Q, Resilience Questionnaire, Pediatric Intake Form) during well-child visits.
02Billing team must ensure trauma screening can be billed using listed E&M codes (99201-99215, 99381-99395) and assessment code 96127.
03Establish referral protocols to mental health providers for positive screenings.
04Update encounter forms to include trauma screening documentation requirements.
Codes mentioned
992019920299203992049920599211992129921399214992159938199382993839938499385993919939299393993949939596127
Original notice
MSA 16-46
michigan.gov · Always check the source before changing claims.
Related changes
See all Michigan Medicaid - MDHHS changes →MMP 22-33HighEffective Oct 1, 2022 · Provider BulletinMSA 17-13MediumEffective Jul 1, 2017 · Provider BulletinMSA 21-19MediumEffective Aug 1, 2021 · Provider BulletinMMP 23-61: Coverage of Office Based Substance Use Treatment (OBSUT) ServicesMediumEffective Jan 1, 2024 · Medical PolicyBrowse every Michigan Medicaid - MDHHS change in the policy list
Related policy hubs
Michigan Medicaid - MDHHS policiesMI policy changesPediatricsFamily MedicineGeneral PracticeCode 99201Code 99202Code 99203Code 99204Code 99205Code 99211Code 99212Code 99213Code 99214Code 99215Code 99381Code 99382Code 99383Code 99384Code 99385Code 99391Code 99392Code 99393Code 99394Code 99395Code 96127