MDCH - Medicaid 2010 Policy Bulletins

Medicaid 2010 Policy Bulletins

Policy Bulletins

This page contains policy bulletins issued in 2010.

For other years of approved Medicaid Policy bulletins, click here.

For Notices of Proposed Policy, click here.

For Provider "L" Letters, click here. (Provider "L" letters do not represent promulgated policy and are provided to communicate new developments, information, policy clarifications, etc.)

Archived Proposed Medicaid Policy Distributed for Public Comment and Consultation Summaries

Archived proposed Medicaid policy distributed for public comment and consultation summaries are available electronically upon request. If you would like to view historical versions of proposed Medicaid policy that were released for public comment or you would like to obtain a consultation summary of any bulletin, e-mail msadraftpolicy@michigan.gov with your request. Please identify the project number of the proposed Medicaid policy or consultation summary if known. If this information is unknown, reference the month, year, and subject of the bulletin or the consultation summary in your request. The documents will be e-mailed to you.

NOTE: Comments will not be accepted for proposed Medicaid policy after the public comment period has closed.

Issue Date	Bulletin Number	Subject
December 21, 2010	MSA 10-65	January 1, 2011 Annual Healthcare Common Procedure Coding System (HCPCS) Code Updates; New Coverage of Existing Codes for Plan First!; Retroactive Coverage of Existing Codes
December 21, 2010	MSA 10-64	Medicaid Electronic Health Record (EHR) Incentive Program
December 2, 2010	MSA 10-63	Ambulatory Surgical Centers - Coding and Billing
December 1, 2010	MSA 10-62	Transitional Medicaid Plus Program (TMA Plus) Premiums
December 1, 2010	MSA 10-61	Outpatient Prospective Payment System and Ambulatory Surgical Center Reduction Factor
December 1, 2010	MSA 10-60	Preadmission Diagnostic Services - Three Day (or one day) Payment Window - Outpatient Services Treated as Inpatient Services
December 1, 2010	MSA 10-59	Telephone Prior Authorization for Care in Medicaid-Enrolled Ventilator Dependent Care Units (VDCU)
December 1, 2010	MSA 10-58	Billing Long Term Care Insurance, and Reporting National Uniform Billing Committee (NUBC) Value Codes 22 and 66
December 1, 2010	MSA 10-57	Graduate Medical Education (GME) Payment Timing and Increase in Allocations to Indigent Care Agreement (ICA), Small Hospital, and Outpatient Uncompensated Care Disproportionate Share Hospital (DSH) Pools
December 1, 2010	MSA 10-56	Non-Emergency Medical Transportation (NEMT) Program in Wayne, Oakland, and Macomb Counties
December 1, 2010	MSA 10-55	Updates to the Medicaid Provider Manual; Physicians/Practitioners and Medical Clinics Database; Correction to Bulletin MSA 10-20; Patient Protection and Affordable Care Act (ACA) Compliance; Habilitation/Supports Waiver (HSW) New Service
December 1, 2010	MSA 10-54	Upcoming Michigan Department of Community Health (MDCH) Implementation of the Health Insurance Portability and Accountability Act (HIPAA) 5010 and ICD-10
December 1, 2010	MSA 10-53	New Telephone Prior Authorization Process for Selected Durable Medical Equipment and Medical Supplies
December 1, 2010	MSA 10-52	Requests for Mobility Device Repairs; Use of Modifiers RA & RB, and Replacement of Durable Medical Equipment (DME) Parts/Components
November 12, 2010	MSA 10-20	Registered Dental Hygienists as an enrolled Medicaid Provider
November 1, 2010	MSA 10-51	Occupational Therapist (OT) and Occupational Therapist Assistant (OTA) Licensure
November 1, 2010	MSA 10-50	Third Party Liability (TPL) Section Re-Insertion
November 1, 2010	MSA 10-49	Medicaid Long Term Care Post Eligibility Patient Pay Offsets
November 1, 2010	MSA 10-48	Product Cost Payment Limit Update
October 5, 2010	MSA 10-47	Reinstating Medicaid Coverage for the Adult Dental Benefit, Podiatry, and Low-Vision Services; and Reinstating Children's Special Health Care (CSHCS) Coverage for Transportation
October 1, 2010	MSA 10-46	Institutional Crossover Claims
October 1, 2010	MSA 10-45	Service Setting for Administration of Infant Risk Identifier and Implementation of New Billing Code
October 1, 2010	MSA 10-44	Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) Code Updates
October 1, 2010	MSA 10-43	Changes to Children's Special Health Care Services (CSHCS) Application/Financial Processes
October 1, 2010	MSA 10-42	Enrollment of Foster Care Children in Medicaid Health Plans and Clarification of Pharmacist Administration of the Seasonal Influenza Vaccine
October 1, 2010	MSA 10-41	Managed Care Enrollment Lock-In
October 1, 2010	MSA 10-40	MiChild Health Plans
September 15, 2010	MSA 10-38	New Taxonomy Reporting Requirements
September 13, 2010	MSA 10-39	Adults Benefit Waiver (ABW) Enrollment
September 1, 2010	MSA 10-36	Minimum Data Set (MDS) 3.0 - Section Q / Participation in Assessment and Goal Setting / Return to the Community - Local Contact Agency (LCA)
September 1, 2010	MSA 10-35	Change in Healthcare Common Procedure Coding System (HCPCS) Codes; Reporting Change in Beneficiary's Condition/PDN as a Transitional Benefit
September 1, 2010	MSA 10-34	Local Contact Agency (LCA) Designation - Minimum Data Set (MDS) 3.0 - Section Q
September 1, 2010	MSA 10-33	Updates to the Medicaid Provider Manual; Vaccine Administration Policy Clarification; New Place of Service Code (17) for Walk-In Retail Health Clinic
September 1, 2010	MSA 10-31	Cochlear Implants and Auditory Osseointegrated Devices, Cochlear Implant Accessories, and Auditory Osseointegrated Device Replacements
August 31, 2010	MSA 10-37	Elimination of the $5 Million Small Hospital Disproportionate Share Hospital (DSH) Pool
August 26, 2010	MSA 10-29	Medicaid Recovery
August 2010	MSA 10-32	Sanctioned Providers Update
August 10, 2010	MSA 10-30	Pharmacy Vaccine Administration Reimbursement for Seasonal Influenza Administration
July 15, 2010	MSA 10-28	Inpatient Hospital Payment Reduction
July 1, 2010	MSA 10-27	Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) Code Updates
July 1, 2010	MSA 10-26	National Drug Code (NDC) Reporting for Outpatient Drugs Dispensed to Individuals Enrolled in Medicaid Health Plans
July 1, 2010	MSA 10-25	Changes in Hearing Aid Standards of Coverage and Documentation Requirements for Unilateral Hearing Loss
July 1, 2010	MSA 10-24	Non-Available Bed Plans
June 15, 2010	MSA 10-23	Ambulatory Surgical Centers - Recognition and Reimbursement
June 1, 2010	MSA 10-22	Updates to the Medicaid Provider Manual; Correction/Clarification to Bulletin MSA 10-11
June 1, 2010	MSA 10-21	Home Help Provider Agreement
June 1, 2010	MSA 10-18	Maternal Infant Health Program Policy Chapter
May 25, 2010	MSA 10-19	Medicaid Eligibility Reviews at Closure
May 1, 2010	MSA 10-17	Revise Eligibility Criteria for the Children's Serious Emotional Disturbance Home and Community-Based Services Waiver (SEDW); Add New Waiver Services for the SEDW and the Children's Home and Community-Based Services Waiver Program for Children with Developmental Disabilities (CWP)
May 1, 2010	MSA 10-16	Prior Authorization and Coverage of Mobility and Custom Fabricated Seating for Beneficiaries in the Community and in Nursing Facilities; Mobility and Seating Evaluation and Justification Form (MSA‑1656) for All Beneficiaries; and Revised Special Services Prior Approval-Request/Authorization Form ( MSA‑1653‑B)
May 1, 2010	MSA 10-15	Reporting National Drug Codes (NDC) for Physician Adminstered Drugs and Tamper Resistant Prescription Pads
May 1, 2010	MSA 10-14	Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) Code Updates for Laboratory Services and Immunizations
May 1, 2010	MSA 10-13	Implementation of National Council for Prescription Drug Programs (NCPDP) 20.9 for Coordination of Benefits (COB) Claims
April 1, 2010	MSA 10-12	Beneficiary Change in Enrollment Status During an Episode of Care
April 1, 2010	MSA 10-11	Change to Pre-Admission Certification and Evaluation Review (PACER) Requirement
April 1, 2010	MSA 10-10	Hospice Services for Beneficiary Receiving Private Duty Nursing
April 1, 2010	MSA 10-09	School Based Services Summer Quarter Random Moment Time Study Parameter Change and Cost Reconciliation Information Clarification
April 1, 2010	MSA 10-05	Complex Care Prior Authorization and Annual Pulmonary Evaluation Processes
March 1, 2010	MSA 10-08	Medicaid Health Plan Pharmacy Carve-out
March 1, 2010	MSA 10-07	Citizenship Verification for MIChild Eligibility
March 1, 2010	MSA 10-06	Updates to the Medicaid Provider Manual; Healthcare Common Procedure Coding System (HCPCS) Code Changes
January 22, 2010	MSA 10-04	Provider Registration Requirements
January 21, 2010	MSA 10-02	Human Papillomavirus Vaccine (HPV) Coverage Update
January 19, 2010	MSA 10-03	Use of Occurrence Span Code 70 - "Qualifying Stay Dates for Skilled Nursing Facility (SNF)"
January 2010	MSA 10-01	January 2010 Sanctioned Provider Update
January 1, 2010	MSA 09-65	Coverage of Occupational Therapy Services in a Physician's Office