MedicaidCoverageMedium impact
MMP 26-20: Expansion of Coverage for Pharmacist-Provided Services
Michigan Medicaid - MDHHS·MI · Pharmacy·Pharmacy
Effective date
Jul 1, 2026
We identified it
Jun 16, 2026
Summary
Medicaid is expanding coverage for pharmacist-provided services effective July 1, 2026, to include immunizations, laboratory testing, and contraceptive counseling. Pharmacists must enroll as Medicaid providers with specific subspecialty designations and complete required training to provide these services.
Action Required
By July 31, 2026: Pharmacists currently enrolled under 'COVID-19 Testing' subspecialty must attest to completing required laboratory training in CHAMPS or lose their testing privileges. Billing team must verify pharmacist enrollment status and subspecialty designations for any pharmacy services billed to Medicaid. Update documentation requirements to include pharmacist identification on all claims for immunizations, lab orders, and contraceptive counseling.