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Michigan Medicaid - MDHHSMedicaid · Administrative · Claims & Billing · MIHigh impact

MMP 26-27: Update to Requirements for Fee-for-Service Claim Inquiries

Act
by Aug 31, 2026
Effective date
Sep 1, 2026
Identified
Aug 1, 2026

Summary

Effective September 1, 2026, Michigan Medicaid (including Healthy Michigan Plan and MOMS) is implementing a mandatory requirement that all written Fee-for-Service claim inquiries must include a service request number obtained from Provider Support. Claims submitted without a service request number will not be reviewed. This applies only to FFS programs; MCOs and HIDE-SNPs have separate requirements.

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What to do

by Aug 31, 2026 · 7 steps
01Billing team must implement process changes to obtain service request numbers before submitting any written claim inquiries to Michigan Medicaid.
02Establish procedure: All staff submitting claim inquiries must contact Provider Support at 800-292-2550 or ProviderSupport@michigan.gov to request a service request number prior to submitting inquiry.
03Update internal forms/system: Modify claim inquiry templates and billing software to include mandatory field for service request number.
04Staff training: Train all billing staff on new requirement and consequences.
05Verify mailing address: Ensure all claim inquiries are sent to MDHHS/Provider Inquiry, PO Box 30731, Lansing, MI 48909-8231.
06Compliance check: Implement quality assurance review before submission to confirm service request number is present.
07Consequence: Any written claim inquiry submitted without a service request number will NOT be reviewed by MDHHS, resulting in failure to resolve claim disputes.

Original notice

MMP 26-27: Update to Requirements for Fee-for-Service Claim Inquiries
michigan.gov · Always check the source before changing claims.
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