xMk09e 4iBhvcCM4mFqvwi4;3VrWbV`|a3@2A+2~&[X\Y[NE} ux*SS (mEewx{)]~PZ HDdJvnoua&H&p~n/.`0WS(]z?mdF'dR&2M{\hu0Fhm2*hHLvsXhC 0FP%$R%,;k+SP=94t1@|+2odi{@+Ty? endobj xZYoH~7 nO6AXI&3>H,:2ooU5)PL04MVW4;b/__N>aWvc$V%\jf~zr&V$0+_l_NO{B Select Medicaid Code and Rate Reference from the External Links Tab . Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at providersupport@michigan.gov. For additional pertinent coverage parameters, such as documentation and billing indicators, refer to the Medicaid Code and Rate Reference tool, which is accessible via the External Links menu within CHAMPS. . II. endobj lJFgLlPvyQe5fX}ucMZ 7ThM~bI8_)#Xf+B:)V2Z/S3X*2Y,( stream Provider Payments Information on the direct deposit of State of Michigan payments into a provider's bank account. Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. Michigan Medicaid Provider Manual >> Chapter Coordination of Benefits >> Sections 1 and 3.6. Prior authorizations and medical conditions that may bypass these requirements, To request or view upcoming training sessions please refer to Michigan Department of Health and Human Serviceswebsite at, Any questions should be directed to Provider Inquiry, Michigan Department of Health and Human Services, phone toll-free 800-292-2550 or email at, Durable Medical Equipment Face-to-Face List, Michigan Medicaid Wheelchair Repair/Labor Guide, Wednesday, October 12, 2022 - Cancelled, Emergency Relief: Home, Utilities & Burial, Formula Updates and Shortage Information for WIC Clients, General Information For Families About CSHCS, Supplemental Nutrition Assistance Program Education, Behavioral and Physical Health and Aging Services Administration, Immunization Info for Families & Providers, Michigan Maternal Mortality Surveillance Program, Bureau of Emergency Preparedness, EMS, and Systems of Care, Division of Emergency Preparedness & Response, Infant Safe Sleep for EMS Agencies and Fire Departments, Adult Behavioral Health & Developmental Disability, Behavioral Health Information Sharing & Privacy, Integrated Treatment for Co-occurring Disorders, Cardiovascular Health, Nutrition & Physical Activity, Office of Equity and Minority Health (OEMH), Communicable Disease Information and Resources, Mother Infant Health & Equity Improvement Plan (MIHEIP), Michigan Perinatal Quality Collaborative (MI PQC), Mother Infant Health & Equity Collaborative (MIHEC) Meetings, Child Lead Exposure Elimination Commission, Coronavirus Task Force on Racial Disparities, Michigan Commission on Services to the Aging, Nursing Home Workforce Stabilization Council, Guy Thompson Parent Advisory Council (GTPAC), Strengthening Our Focus on Children & Families, Supports for Working with Youth Who Identify as LGBTQ, Civil Monetary Penalty (CMP) Grant Program, Nurse Aide Training and Testing Reimbursement Forms and Instructions, MI Kids Now Student Loan Repayment Program, Michigan Opioid Treatment Access Loan Repayment Program, Trauma Facility Verification and Designation, MI Interagency Migrant Services Committee, Students in Energy Efficiency-Related Field, Other Chronic Disease & Injury Control Data, Nondiscrimination Statement (No discriminacion), 2022-2024 Social Determinants of Health Strategy, Wednesday, November 10, 2021 - Cancelled. Health Care Coverage information and resources. Billing OI to Medicaid Providers must secure other insurance adjudication response(s) n ?NHhy{w4.p'E _f X5k>X%6+*u?HPKC+1rd5Y_ We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing . 7. Call the Michigan Medicaid Beneficiary Helpline 1-800-642-3195; Medicare. . %PDF-1.7 Prescription/Service Reference Number Qualifier (455-EM) is "1" 42-D2 PRESCRIPTION/SERVICE REFERENCE NUMBER endobj 16 0 obj <> The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. The guide provides detail around CMS' expectations of information to be included in actuarial rate certifications, and the guide will be used as a basis for CMS review. Michigan Medicaid NCPDP D.0 Payer Specifications August 30, 2021 . Information about injury and violence prevention programs in Michigan. 1 0 obj Secure .gov websites use HTTPS 2 0 obj Please direct any questions related to this guide toMMCratesetting@cms.hhs.gov. For additional pertinent coverage parameters, such as documentation and billing indicators, refer to the Medicaid Code and Rate Reference tool, which is accessible via the External Links menu within CHAMPS. 15 0 obj 6 0 obj Michigan Medicaid uses the terms "telemedicine" and "telepractice". oW~G\y^y"]&gasklV[rOd$P&(}sS"Oo. endstream Title: PowerPoint Presentation Author: Phillips, Amanda (DCH) Created Date: 7/1/2019 1:26:27 PM . CMS develops fee schedules for physicians, ambulance services, clinical laboratory services, and durable medical . The supplemental information will be available real-time by accessing the Medicaid Code and Rate Reference tool. 11 0 obj stream endobj endobj Medicaid Code and Rate Reference Tool. Medicaid Code and Rate Reference is an online code inquiry system that provides real-time information for the following: Age restrictions, oW~G\y^y"]&gasklV[rOd$P&(}sS"Oo. xf{ a8 YdD@ '[Mb90BB $[Uwu3Z3=l!B!B!B!B!B!B{>/OU{[}z_:Xzr{oTWWwz5,j~L'?+J/?={BK+Cu~7%B"Uz$IR^9NOUOW]'Mvp+J/?uofk j +rXPr{oTWt3grnO;j~LDy?:!{4$~ Definitions. Information on the Children's Foster Care program and becoming a Foster Parent. Information on American Indian Services, Employment and Training. endobj The tool is housed in CHAMPS within the External Links function. Heres how you know. Information is collected to monitor the general health and well-being of Michigan citizens. endobj All meetings will be held from 1:00 PM - 2:30 PM via conference call and Microsoft Teams. 1 0 obj endobj % A locked padlock This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. A fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. Information on DHS Applications and Forms grouped by category. !jo^Bu8*WtMABR|syMu651){EFn`iC5L('P4imY4f=Hgs Information on Safe Sleep for your baby, how to protect your baby's life. Program Contact 1-800-803-7174 Additional Info Apply for Michigan Medicaid Managing Agency U.S. Department of Health and Human Services Checkif you may be eligible for this benefit endobj . <> If the link is not working, please email us at info@med-comply.com. 1 0 obj <>/Metadata 1924 0 R/ViewerPreferences 1925 0 R>> Information & resources for Community and Faith-Based partners. 2 0 obj Adult Behavioral Health & Developmental Disability Services. Official websites use .gov Medicaid & CHIP Enrollment Data. Michigan Medicaid fee schedules are updated every January. hSaj5$#wOKtBBfhz %} r&B |~[GzRv~ rR_&CGz+v+)>zQyg2t [|2! Programs Affected: Medicaid, Healthy Michigan Plan, Children's Special Health Care Services, Maternity Outpatient Medical Services . %PDF-1.7 Information on communicable & chronic diseases. Help users access the login page while offering essential notes during the login process. <>/Metadata 535 0 R/ViewerPreferences 536 0 R>> MDHHS News, Press Releases, Media toolkit, and Media Inquiries. <> endobj This information is provided in addition to MDHHS guidance released on March 17, 2020, in letter L 20-16 The professional fee schedule format lists procedure codes, descriptions, and fee screens. Adult Medical Program (AMP), provides basic medical care to low income childless . There will be NO in-person meetings in 2022. Michigan Medicaid Provider Manual >>>> Billing and Reimbursement for Dental Providers >> Section 5.2- stream 13 0 obj % <> endobj <> <> Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. On April 3, 2014, the Centers for Medicare & Medicaid Services (CMS) announced a new partnership with the State of Michigan to test an initiative to improve care for Medicare-Medicaid enrollees. Information on How to Bid, Requests for Proposals, forms and publications, contractor rates, and manuals. endobj CMS is releasing the2022-2023 Medicaid Managed Care Rate Development Guidefor states to use when setting rates with respect to any managed care program subject to federal actuarial soundness requirements during rating periods starting between July 1, 2022 and June 30, 2023. Below is the Medicaid DMEPOS Liaison meeting schedule for 2022. 5 0 obj endobj Medicaid Code and Rate Reference - 2/09/18 www.Michigan.gov . stream 4 0 obj 2 0 obj <> . A federal government managed website by theCenters for Medicare & Medicaid Services.7500 Security Boulevard Baltimore, MD 21244, An official website of the United States government, Improving Care for Medicaid Beneficiaries with Complex Care Needs and High Costs, Promoting Community Integration Through Long-Term Services and Supports, Eligibility & Administration SPA Implementation Guides, Medicaid Data Collection Tool (MDCT) Portal, Using Section 1115 Demonstrations for Disaster Response, Home & Community-Based Services in Public Health Emergencies, Unwinding and Returning to Regular Operations after COVID-19, Medicaid and CHIP Eligibility & Enrollment Webinars, Affordable Care Act Program Integrity Provisions, Medicaid and CHIP Quality Resource Library, Lawfully Residing Immigrant Children & Pregnant Women, Home & Community Based Services Authorities, July 2022 Medicaid & CHIP Enrollment Data Highlights, Medicaid Enrollment Data Collected Through MBES, Performance Indicator Technical Assistance, 1115 Demonstration Monitoring & Evaluation, 1115 Substance Use Disorder Demonstrations, Coronavirus Disease 2019 (COVID-19): Section 1115 Demonstrations, Medicaid and CHIP Managed Care Final Rules, Seniors & Medicare and Medicaid Enrollees, Medicaid Third Party Liability & Coordination of Benefits, Medicaid Eligibility Quality Control Program, State Budget & Expenditure Reporting for Medicaid and CHIP, CMS-64 FFCRA Increased FMAP Expenditure Data, Actuarial Report on the Financial Outlook for Medicaid, Section 223 Demonstration Program to Improve Community Mental Health Services, Medicaid Information Technology Architecture, Medicaid Enterprise Certification Toolkit, Medicaid Eligibility & Enrollment Toolkit, SUPPORT Act Innovative State Initiatives and Strategies, SUPPORT Act Provider Capacity Demonstration, State Planning Grants for Qualifying Community-Based Mobile Crisis Intervention Services, Early and Periodic Screening, Diagnostic, and Treatment, Vision and Hearing Screening Services for Children and Adolescents, Alternatives to Psychiatric Residential Treatment Facilities Demonstration, Testing Experience & Functional Tools demonstration, Medicaid MAGI & CHIP Application Processing Time, 2022-2023 Medicaid Managed Care Rate Development Guide, 2021-2022 Medicaid Managed Care Rate Development Guide, 2020-2021 Medicaid Managed Care Rate Development Guide, 2019-2020 Medicaid Managed Care Rate Development Guide, 2018-2019 Medicaid Managed Care Rate Development Guide, 2017-2018 Medicaid Managed Care Rate Development Guide, 2017 Managed Care Rate Setting Consultation Guide, Addendum to 2016 Medicaid Managed Care Rate Development Guide, 2016 Managed Care Rate Setting Consultation Guide, 2015 Managed Care Rate Setting Consultation Guide, 2014 Managed Care Rate Setting Consultation Guide. Bridge Card Participation Information on Electronic Benefits for clients and businesses, lists of participating retailers and ATMs, and QUEST. According to the Michigan Department of Health and Human Services, the rate of primary and secondary syphilis in women has increased substantially across the United States; 21% from 2019-2020 and 147% from 2016 through 2020. Information on the Children's Protective Services Program, child abuse reporting procedures, and help for parents in caring for their children. xf{ a8 YdD@ '[Mb90BB $[Uwu3Z3=l!B!B!B!B!B!B{>/OU{[}z_:Xzr{oTWWwz5,j~L'?+J/?={BK+Cu~7%B"Uz$IR^9NOUOW]'Mvp+J/?uofk j +rXPr{oTWt3grnO;j~LDy?:!{4$~ endobj endobj <> MI Public Health Code states that certain individuals are not required to have a license for practice of a health profession in MI, including the following: . Under the demonstration, Michigan and CMS will contract with health plans called Integrated Care Organizations (ICOs), which will . Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. For purpose of comparison, the table also presents (a) the change in enrollment since the initial open of the Health Insurance Marketplaces . Information on the Food Assistance Program, eligibility requirements, and other food resources. % %PDF-1.5 Common chronic diseases include diabetes, functional gastrointestinal disorder, eczema, arthritis, asthma, cancer, chronic obstructive pulmonary . Postal Code indicating the state where Medicaid coverage exists. 7 0 obj endobj 5 0 obj stream ul`^c{eDPVg!Z'e$2?FLPE~Oye_]P*}W@!xyOR*! `#Mk8|&vq VHv7'p?Mn?|\\lT}M-; ;@Q0OOo'>,z2IvDIdSI$" /e|f"6l9(_:LExZ,>]<>sQU~E|f;i KE4;|W U~~$U]u\MwO$Qs6 -rY6\e]Z-pX[* ]ifSl'/,s"R]3[+pamQEZ.eWHi_MJ=fS8Z47z,m;6ui!hcC6B_g ^bs#,w#dDUO2B8 ^ rasR7w9=cvqgR^)Y[h1:^CjFzcG GK<>"ts309czIj(Vgq(yYPYa]Kk`$$m endobj <> Equal Opportunity, Legal Base, Laws and Reporting Welfare Fraud information. . endobj ) or https:// means youve safely connected to the .gov website. endobj Children's Special Health Care Services information and FAQ's. Thank you for participating in the Michigan Medicaid Program. Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. Michigan Medicaid's policy requirements regarding the provision of out-of-state . RW Imp Guide: Required, if known, when patient has Medicaid . <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 960 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> To request or view upcoming training sessions, please refer to Michigan Department of Community Health Note that these rates apply to fee-for-service, if the patient is enrolled in Medicaid managed care plan, then rates may be different. This benefit plan, a.k.a. should refer to the Medicaid Provider Manual or the Medicaid Code and Rate Reference tool accessible via the External Links menu within CHAMPS. Birth, Death, Marriage and Divorce Records. This bulletin is being issued in response to Michigan Public Act 207 of 2018, Section 1803. The term chronic is often applied when the course of the disease lasts for more than three months. Resources and information to assist in assuring firearm safety for families in the state of Michigan. 18 0 obj <> Michigan Department of Health and Human Services Medical Services Administration . <> <> Prevention of diseases & conditions such as heart disease, cancer, diabetes and many others. Effective for dates of service on and after September 1, 2019, the Michigan Department of Information on the Family Independence Program, State Disability Assistance, SSI, Refugee, and other cash assistance. 8 0 obj 2022-2023 Medicaid Managed Care Rate Development Guide CMS is releasing the 2022-2023 Medicaid Managed Care Rate Development Guide (PDF, 567.27 KB) for states to use when setting rates with respect to any managed care program subject to federal actuarial soundness requirements during rating periods starting between July 1, 2022 and June 30, 2023. <> *We only collect and arrange information about third-party websites for your reference. endobj For help on locating this tool please reference the External Links hyperlink above. 3 0 obj 17 0 obj If you live alone, try this tool to see if your countable income is below SSI-related Medicaid's income limit. Navigating through the Medicaid Code and Rate Reference tool The Medicaid Code and Rate Reference tool is used for providers to view code details such as rates, limits, age restrictions, gender restrictions, modifier requirements, and prior authorization requirements. 7 0 obj D 3"dsxQg?8aIHHH9:-. <>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 720 540] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 6 0 obj A federal program which helps persons admitted into the U.S. as refugees to become self-sufficient after their arrival. )bw31Q'Sc SB3v_|Y}2Z?$2W&?6z:roF9~zGl@2 Healthy Kids Dental - HKD benefit plan covers, at a minimum, all codes on the MDHHS Dental Fee Schedule. 10 0 obj Rendering Provider not associated with Billing Provider in CHAMPS Review the rendering provider's enrollment information to make sure the NPI is associated to the group NPI in CHAMPS for the DOS. A .gov website belongs to an official government organization in the United States. Ohio (/ o h a o / ()) is a state in the Midwestern region of the United States.Of the fifty U.S. states, it is the 34th-largest by area, and with a population of nearly 11.8 million, is the seventh-most populous and tenth-most densely populated.The state's capital and largest city is Columbus, with the Columbus metro area, Greater Cincinnati, and Greater Cleveland being the largest . Health Link Model. endobj endobj 8 0 obj . 12 0 obj <> The managed care regulation requires that states develop valid managed care capitation rates in accordance with generally accepted actuarial principles and practices. 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