MedicaidBilling CodesHigh impact
MSA 16-34
Michigan Medicaid - MDHHS·MI · Physical Therapy, Occupational Therapy, Speech Therapy·Provider Bulletin
Effective date
Jan 1, 2016
We identified it
Jun 20, 2026
Summary
Michigan Medicaid is implementing new billing codes for home health skilled nursing services, replacing discontinued code G0154 with separate codes for RN (G0299) and LPN (G0300) services. The policy also strengthens requirements for physician orders, plan of care documentation, and supervision requirements for home health services.
Action Required
Immediately for Michigan Medicaid home health claims: Stop billing discontinued code G0154 for skilled nursing services. Use G0299 for registered nurse services and G0300 for licensed practical nurse services. Update billing system to require prior authorization for therapy services beyond 60 days using form MSA-115. Ensure all plans of care are physician-signed before service delivery to avoid claim denials and recoupment.