MedicaidCoverageMedium impact
MSA 16-46
Michigan Medicaid - MDHHS·MI · Pediatrics, Family Medicine, General Practice·Provider Bulletin
Effective date
Feb 1, 2017
We identified it
Jun 20, 2026
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.
Action Required
By February 1, 2017: Providers treating pediatric patients should implement trauma screening tools (ACE-Q, Resilience Questionnaire, Pediatric Intake Form) during well-child visits. Billing team must ensure trauma screening can be billed using listed E&M codes (99201-99215, 99381-99395) and assessment code 96127. Establish referral protocols to mental health providers for positive screenings. Update encounter forms to include trauma screening documentation requirements.