MedicaidCoverageMedium impact
MMP 26-14: §1915(c) Habilitation Supports Waiver
Michigan Medicaid - MDHHS·MI · Psychiatry, Pediatrics, Neurology·Provider Bulletin
Effective date
Oct 1, 2024
We identified it
Jun 16, 2026
Summary
Michigan updated its Habilitation Supports Waiver (HSW) for developmental disabilities, adding new services like Vehicle Modification, separating Supported Employment into two services, eliminating Prevocational Services, and expanding eligibility to include TEFRA populations. The changes affect Medicaid billing for developmental disability services through PIHPs and CMHSPs.
Action Required
Billing teams at practices serving developmental disability patients in Michigan should: 1) Update billing systems to reflect elimination of Prevocational Services billing, 2) Add Vehicle Modification as a new billable service category, 3) Split Supported Employment billing into Individual Supported Employment and Small Group Employment services, 4) Update Respite, Community Living Supports, and Enhanced Medical Equipment billing procedures per new specifications, 5) Change all references from 'Fiscal Intermediary' to 'Financial Management Services' in documentation and billing.