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Temporomandibular Disorders - MEDICAID - MICHIGAN (New)
Effective date
May 22, 2026
Identified
Jun 24, 2026
Summary
New Humana Medicaid policy in Michigan establishes specific coverage criteria for temporomandibular disorder (TMD) surgical procedures. The policy requires documented symptoms, a minimum of 4 weeks of conservative treatment failure, and clinical evidence of internal derangement before covering TMD surgeries.
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What to do
Action · 3 steps
01Before May 22, 2026: Update billing protocols for Michigan Medicaid TMD cases.
02Ensure documentation includes specific symptoms from the approved list, proof of at least 4 weeks of failed conservative treatment, and clinical evidence of internal derangement before submitting claims for CPT codes 21050, 21060, or 21070.
03Claims without meeting all criteria will be denied.
Codes mentioned
210502106021070
Original notice
Temporomandibular Disorders - MEDICAID - MICHIGAN (New)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Temporomandibular Disorders - MEDICAID - VIRGINIA (New)MediumEffective May 27, 2026 · MedicaidTemporomandibular Disorders - Medicare Advantage (Revised)MediumEffective Feb 2, 2026 · Medicare AdvantageTemporomandibular Disorders - MEDICAID - SOUTH CAROLINA (New)MediumEffective May 25, 2026 · MedicaidTemporomandibular Disorders - MEDICAID - FLORIDA (New)MediumEffective Jun 22, 2026 · MedicaidBrowse every Humana change in the policy list