MedicaidDocumentationMedium impact
MSA 16-30
Michigan Medicaid - MDHHS·MI · Physical Therapy, Occupational Therapy, Speech Therapy·Provider Bulletin
Effective date
Dec 1, 2016
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated prescription requirements for school-based therapy services. Physical therapy now requires physician prescriptions with specific elements and no retroactive prescriptions allowed, while occupational therapy and speech therapy can have retroactive prescriptions up to 90 days.
Action Required
By December 1, 2016: For Michigan Medicaid school-based services, billing team must ensure all physical therapy claims have current physician prescriptions with beneficiary name, therapy type, diagnosis, physician signature (not stamped), and date. Stop accepting retroactive prescriptions for physical therapy. For occupational therapy and speech therapy, retroactive prescriptions up to 90 days are allowed if supported by individualized education plans. Update billing system edits and train staff on new prescription verification requirements.