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    Provider Specific Information  

    Choose a provider category below for procedure codes, fee screens, and other billing and reimbursement information for services covered by the following programs: Medicaid, Children's Special Health Care Services (CSHCS), Adult Benefits Waiver (ABW), Maternity Outpatient Medical Services (MOMS), and other health care programs administered by MDCH.

     

    The information on this page serves as a reference only. It does not guarantee that services are covered.  Providers are instructed to refer to the Michigan Medicaid Provider Manual, MSA Bulletins and other relevant policy for specific coverage and reimbursement policies. This information can be found on the Medicaid Policy & Forms page.  If there are discrepancies between the information on this page and the Provider Manual, such as rate or coverage determinations, they will be resolved in favor of the Provider Manual language. 

    Databases are updated on an annual basis or more frequently if changes are applicable (e.g. quarterly updates).  A three-year history is maintained on this site.  For fee screens prior to 2009, submit an e-mail to:  msapolicy@michigan.gov. 

    bulletAmbulance bulletHospice bulletPharmacy
    bulletAmbulatory Surgical Centers bulletLaboratory bulletPhysicians / Practitioners / Medical Clinics
    bulletChildren's Special Health Care Services   bulletLocal Health Department bulletPrivate Duty Nurses
    bulletChiropractors  bulletInpatient Hospitals bulletSchool Based Services
    bulletDental bulletOutpatient Hospitals bulletSpecial Programs
    bulletFamily Planning

    bulletMaternal Infant Health Program

    bulletTherapies
    bulletFederally Qualified Health Centers (FQHC) 

    bulletMedical Suppliers / Orthotists / Prosthestists / DME Dealers

    bulletUrgent Care Centers 
    bulletHearing Services / Hearing Aid Dealers bulletMental Health / Substance Abuse bulletVision 
    bulletHome Health bulletNursing Facilities

     

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