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MedicaidAdministrativeMedium impact

MMP 26-07: Children’s Home and Community-Based Services Waiver (CWP)

Michigan Medicaid - MDHHS·MI · Pediatrics, Family Medicine, Psychiatry +1 more·Provider Bulletin
Effective date
Oct 1, 2025
We identified it
Jun 16, 2026
Days to comply

Summary

Michigan Medicaid updated the Children's Home and Community-Based Services Waiver (CWP) program, eliminating the pre-screen form for priority rating, removing physician approval requirements for Individual Plans of Service (IPOS), and implementing new MichiCANS Decision Support Model criteria for eligibility determination.

Action Required

Action needed
Immediately: Billing teams serving Michigan Medicaid pediatric patients with developmental or intellectual disabilities must update workflows to use the new MichiCANS Decision Support Model criteria instead of pre-screen forms for CWP eligibility. Remove physician approval requirements from IPOS billing processes. Contact Michigan MDHHS for specific implementation guidance at ProviderSupport@michigan.gov or 800-292-2550.