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MedicaidCoverageMedium impact

Skin and Tissue Substitutes - MEDICAID - MICHIGAN (Revised)

Humana·MI · Wound Care, Podiatry, General Surgery +4 more·Medicaid
Effective date
Jun 5, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Michigan Medicaid has revised its policy for skin and tissue substitutes, effective June 5, 2026. Coverage is limited to specific diabetic foot ulcers and chronic venous leg ulcers over 4 weeks duration when used with comprehensive standard wound therapy, with strict documentation requirements for all criteria.

Action Required

Action needed
Before June 5, 2026: Billing team must update documentation requirements for Michigan Medicaid skin substitute claims using Q4xxx codes. Ensure all diabetic foot ulcer and venous leg ulcer claims include complete documentation of wound duration >4 weeks, comprehensive assessment, standard wound therapy compliance, infection treatment, and glycemic management. Create documentation checklist for providers. Claims missing any required criteria will be denied as not medically necessary.

Affected Billing Codes

Q4101
Q4102
Q4103
Q4104
Q4105
Q4108
Q4110
Q4111
Q4114
Q4115
Q4118
Q4121
Q4123
Q4124
Q4126
Q4127
Q4128
Q4132
Q4133
Q4137
Q4138
Q4140
Q4141
Q4143
Q4145
Q4147
Q4148
Q4150
Q4151
Q4152
Q4153
Q4154
Q4155
Q4156
Q4158
Q4159
Q4160
Q4161
Q4163
Q4164
Q4166
Q4169
Q4170
Q4171
Q4173
Q4175
Q4178
Q4180
Q4184
Q4186
Q4187
Q4188
Q4190
Q4191
Q4193
Q4194
Q4195
Q4196
Q4197
Q4199
Q4201
Q4203
Q4204
Q4205
Q4217
Q4221
Q4222
Q4225
Q4227
Q4229
Q4232
Q4234
Q4235
Q4236
Q4238
Q4239
Q4248
Q4249
Q4250
Q4252
Q4253
Q4256
Q4257
Q4258
Q4259
Q4262
Q4263
Q4264
Q4265
Q4266
Q4267
Q4268
Q4269
Q4270
Q4271
Q4274