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Michigan Medicaid - MDHHSMedicaid · Reimbursement · Claims & Billing · MI · OB-GYN, Pediatrics, Family Medicine +1 moreHigh impact

MMP 26-47: Maternal Infant Health Program Rate Increase and Update to Care Coordination Requirements

Act
by Dec 1, 2026
Effective date
Dec 1, 2026
Identified
Oct 31, 2026

Summary

Effective December 1, 2026, Michigan Medicaid will increase reimbursement rates for Maternal Infant Health Program (MIHP) services (HCPCS codes H1000, H2000, T1023, T2022) and update care coordination requirements. The minimum time threshold for billable care coordination services increases from 30 minutes to 60 minutes per calendar month, and documentation must now include start/end times and detailed activity descriptions signed by an LSW or RN.

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What to do

by Dec 1, 2026 · 5 steps
01Billing team should update the billing system to reflect new MIHP fee schedule rates for codes H1000, H2000, T1023, and T2022 as published on the December 1, 2026 MIHP fee schedule.
02MIHP providers must modify care coordination workflows to require 60 minutes (not 30 minutes) of cumulative home visitor time per beneficiary/dyad per calendar month before submitting claims.
03Clinical staff (LSW or RN) must update documentation templates to capture start time, end time, and detailed description of care coordination activities for all reimbursable claims.
04Verify that all care coordination activities documented are linked to an established Plan of Care (POC) and reflect identified goals or interventions.
05Non-compliance will result in claim denials for care coordination services that do not meet the 60-minute threshold or lack required documentation.

Codes mentioned

H1000H2000T1023T2022

Original notice

MMP 26-47: Maternal Infant Health Program Rate Increase and Update to Care Coordination Requirements
michigan.gov · Always check the source before changing claims.
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