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Medicaid Provider ManualMedicaid Provider Manual
Due to the size of this document (approximately 23MB), 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 (8.18MB) click here.
Supplemental Medicaid Bulletins - bulletins that have not been incorporated into the manual and must still be retained for reference will appear on the Supplemental Bulletin List.
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.
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.
If you would like to receive a CD version of the Medicaid Provider Manual, you will need to submit a request to MDCH. You will receive the current published version of the manual that is avaliable at that time. The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. You may submit the request by mail, fax, or e-mail to one of the following:
MDCH/Medicaid Program Policy Division
Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD.
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.
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