MedicaidCoverageMedium impact
MSA 16-45
Michigan Medicaid - MDHHS·MI · Family Medicine, Pediatrics, General Practice +1 more·Provider Bulletin
Effective date
Feb 1, 2017
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated coverage standards for pull-on briefs, establishing age-specific criteria, mandatory nursing assessments, and documentation requirements. New rules require initial nursing assessments for all ages, with reassessments every 6-24 months depending on age and condition type.
Action Required
Before February 1, 2017: Billing team must update procedures for pull-on brief claims to require initial nursing assessments for all beneficiaries regardless of age. Implement tracking for reassessment schedules: every 6 months for ages 3-20, every 12-24 months for ages 21+. Update documentation requirements to include bowel/bladder training plans for school-age children and teacher continence reports. Claims without proper nursing assessments and documentation will not be covered.