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MedicaidAdministrativeMedium impact

MSA 16-14

Michigan Medicaid - MDHHS·MI · Psychiatry, Family Medicine·Provider Bulletin
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Days to comply

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.

Action Required

Action needed
By July 1, 2016: Billing 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. Enroll qualified therapists through MDHHS CHAMPS Provider Enrollment system. Update billing software to recognize new provider type and enforce 20-visit annual limit for behavioral health services. Ensure limited license therapists and interns continue billing under supervising therapist's NPI.

Affected Billing Codes

90785
90791
90832
90834
90837
90839
90840
90847
90853
90887
96102
96103
96110
96111
96119
96120
96150
96151
96152
96153
96154
99408
99409