Briefs & Reports

Medicaid Policies

The Michigan Department of Community Health (DCH) has issued eight final and six proposed policies that merit mention. The policies are available for review on DCH’s website.

  • MSA 14-15 advises Hospitals that, contingent upon federal approval of a State Plan Amendment, DCH will increase the Graduate Medical Education (GME) Innovations Grant to include $2.8 million for Pine Rest Mental Health services.
  • MSA 14-16 informs Prepaid Inpatient Health Plans (PIHPs) and Community Mental Health Services Programs (CMHSPs) that the Assertive Community Treatment Program Section in the Mental Health/Substance Abuse Chapter of the Medicaid Provider Manual has been revised.
  • MSA 14-17 advises Hospitals that, contingent upon federal approval of a State Plan Amendment, DCH will convert its Children’s Outpatient Hospital Adjuster Pool from a Medicaid-funded payment to a Children’s Health Insurance Program (CHIP)-funded payment. The pool will be established at $1,603,053 and continue to be restricted to the Michigan Regional Poison Control Center at Children’s Hospital of Michigan.
  • MSA 14-18 notifies Physicians, Medical Clinics and Local Health Departments of a change in policy regarding the effective date of retroactive coverage for Children’s Special Health Care Services (CSHCS) beneficiaries.
  • MSA 14-19 advises Hospitals that, contingent upon federal approval of a State Plan Amendment, DCH will implement a one-time $19 million increase in the Outpatient Uncompensated Care Disproportionate Share Hospital Pool.
  • MSA 14-21 notifies School Based Services Providers and Billing Agents of a change in reporting requirements for the Michigan Department of Education Transportation Expenditure Report (SE-4094).
  • MSA 14-22 advises All Providers of updates to the Medicaid Provider Manual. The bulletin provides special program updates, an ICD-10 project update, information about new and discontinued codes and other information of interest to providers of all types.
  • MSA 14-23 notifies Prepaid Inpatient Health Plans and Community Mental Health Service Programs that DCH plans to implement Medicaid Health Homes for individuals with Severe Mental Illness beginning July 1, 2014.
  • A proposed policy (1421-DME) has been issued that would implement additional standards of coverage and documentation regarding compliance for continued use of Wearable Cardioverter Defibrillators. Comments are due to DCH by June 6, 2014.
  • A proposed policy (1328-EPSDT) has been issued that would implement a new Medicaid Provider Manual Chapter dedicated to the Early and Periodic Screening, Diagnosis and Treatment Program and its requirements. Comments are due to DCH by June 12, 2014.
  • A proposed policy (1413-MI Choice) has been issued that would describe changes being made to the MI Choice Chapter in the Medicaid Provider Manual as a result of renewing the MI Choice waiver. Comments are due to DCH by June 15, 2014.
  • A proposed policy (1419-BMP) has been issued that would implement changes to the Beneficiary Monitoring Program to prevent inappropriate utilization of pharmacy services. Comments are due to DCH by June 15, 2014.
  • A proposed policy (1418-TIG) has been issued that would notify MI Choice providers of a new Telephonic Intake Guidelines document for use in the program. Comments are due to DCH by June 18, 2014.
  • A proposed policy (1415-Eligibility) has been issued that would reduce from three to two the number of ten-day extensions allowed for Medicaid applicants to provide verifications required to process eligibility applications. Additional extensions would still be allowed in extenuating circumstances. The new policy would apply to redeterminations of eligibility as well. Comments are due to DCH by June 28, 2014.

For more information, contact Esther Reagan, Senior Consultant, at (517) 482-9236.