MDCH - Medicaid Hot Topics

Medicaid is a federal and state funded health care program that provides comprehensive health care coverage for the medically indigent. This page supplies coverage, billing and reimbursement policies and other important information for enrolled providers. Much of the information provided also applies to other health care programs administered by MDCH (e.g., Adult Benefits Waiver, MOMS, Plan First!, Children's Special Health Care Services, etc.)

For questions related to the content of the Medicaid Provider pages, please email MSAPolicy@michigan.gov.

	Hot Topics

Provider Enrollment
Access provider enrollment forms and information, as well as instructions for initiating Electronic Funds Transfers (EFT)

Eligibility Verification
Access information and options available related to verfying beneficiary eligibility.

Draft Policy Bulletins for Public Comment
Draft policy bulletins issued for public review and comment.

Get information about Policy and Forms like the Medicaid Provider Manual, draft and final policy bulletin, etc.	In Billing and Reimbursement find information necessary for claim submission, including billing tips, provider-specific procedure code databases (including fee screens), electronic billing information, Sanctioned Provider list, Beneficiary Co-Payment Requirements, Third Party Liability, etc.
Communications and Training gives access to Provider Update newsletters, numbered letters, information on training opportunities, etc.	Prior Authorization gives access to the Medicaid Nursing Facility Level of Care Determination tool.
Waivers includes information related to current and proposed Medicaid waivers.