Medicaid Provider Manual
Due to the size of this document (approximately 20MB), you may experience a delay before it opens. If you are using a dial-up modem, we recommend you use the CD version of the Manual. All other documents on this website are accessible using a dial-up modem. To download a
zipped copy
(7.78 MB) click here.
Supplemental Medicaid Bulletins
About the Manual
Using the Manual
About
the Manual
The electronic Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Children's Special Health Care Services, Adult Benefits Waiver, Maternity Outpatient Medical Services (MOMS), and other healthcare programs administered by the Department of Community Health.
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The July 2008 Manual incorporates all policy bulletins issued prior to July 1, 2008, unless otherwise noted. Refer to the Supplemental Bulletin List to determine what bulletins supplement the Manual.
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A compact disc (CD) version of the January 2008 Manual is distributed to all enrolled Medicaid providers and policy subscribers. Although MDCH will continue to issue paper policy bulletins as necessary, paper manuals are not provided. The online version of the Manual is updated quarterly to incorporate any policies transmitted via policy bulletins since the last Manual update. On an annual basis, an updated CD, incorporating policies issued during the previous year, will be distributed. This alleviates the need to retain and review a large number of policy bulletins in addition to the Manual. If you are using a dial-up modem, it is recommended that you use the CD version of the manual. If you do not have the CD version, one may be purchased for a nominal fee. Call 517-241-7903 for ordering information.
Using the Manual
The Manual was created in Adobe Acrobat portable document format (PDF). To view and utilize the link and search functions of the Manual, you will need to have Adobe Acrobat version 6.0 or higher. If you do not have this software, or a lower version, you can click on the Adobe Acrobat Reader Icon below to download the software free of charge.
To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. The Overview describes how information is organized and how to navigate through the document. Using the Overview, you will be able to identify the chapters most relevant to you and your activities. We believe you will find the format and search capabilities of this Manual to be user-friendly, and having all policies in a single document very convenient.
Printing the Manual
MDCH discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). However, if you decide to print, it is suggested printing be limited to only those chapters relevant to your practice or interest, and that printing be done in black and white.