Proposed Medicaid Changes

The Michigan Department of Health and Human Services periodically issues notices of proposed policy. These documents inform interested parties of proposed changes in Michigan Medicaid policy.

Proposed policy must undergo a 30-day public comment period before it becomes final. The notices provide a way for interested parties to comment on proposed policy. People may comment by electronic or postal mail before the comment due date. Notice contents are, in effect, a draft. They do not represent official Medicaid policy.

If you would like to receive a copy of Notices of Proposed Policy, fill out the  MSA-0209  - Request to Participate in Policy Proposal Review. This form is provided to you in MS Word format. Please fax the completed form to (517) 335-5136 or email to .

To open these files, you need the free Adobe Acrobat Reader. Click the Acrobat Reader icon, below, for instructions on downloading.

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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 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.

Notices of Proposed Policy

Comment Due Date  

Notice Number  


January 4, 2016 1561-OPPS Outpatient Prospective Payment System and Ambulatory Surgical Center Reduction Factor Update
December 23, 2015 1559-MACI Outpatient Hospital Medicaid Access to Care Initiative (MACI) Pool Allocation
December 23, 2015 1557-DSH Disproportionate Share Hospital (DSH) Balance
December 10, 2015 1558-EPSDT Clarification of Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Covered Services and Definition of "Medically Necessary"