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Michigan Medicaid - MDHHSMedicaid · Administrative · Provider Bulletin · MI · Psychiatry, Family MedicineMedium impact

MSA 16-14

Act
by Jul 1, 2016
Effective date
Jul 1, 2016
Identified
Jun 20, 2026

Summary

Starting July 1, 2016, fully-licensed marriage and family therapists in Michigan can now enroll as Medicaid providers and bill directly under their own NPI instead of billing under a supervising physician's NPI. Marriage counseling remains non-covered, but behavioral health services are covered with specific CPT codes and a 20-visit annual limit.

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What to do

by Jul 1, 2016 · 4 steps
01Billing team must update provider enrollment system to allow fully-licensed marriage and family therapists to bill under their own NPI instead of supervising physician's NPI.
02Enroll qualified therapists through MDHHS CHAMPS Provider Enrollment system.
03Update billing software to recognize new provider type and enforce 20-visit annual limit for behavioral health services.
04Ensure limited license therapists and interns continue billing under supervising therapist's NPI.

Codes mentioned

9078590791908329083490837908399084090847908539088796102961039611096111961199612096150961519615296153961549940899409

Original notice

MSA 16-14
michigan.gov · Always check the source before changing claims.
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Related changes

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