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Medicaid Provider Handbook


Medicaid Provider Handbook

Due to the size of this document (approximately 16 MB), you may experience a delay before it opens. If you are using a dial-up modem, we recommend that you use the CD version of the manual. All other documents on this website are accessible using a dial-up modem. a smaller one zipped copy (14 MB) is also available.

Additional Medicaid Bulletins – bulletins that have not been incorporated into the manual and should still be kept for reference will appear on the list of additional bulletins.

About the manual

Using the manual

Printing of the manual

On The manual

The Medicaid Provider Electronic Handbook contains coverage, billing, and reimbursement policies for Medicaid, Healthy Michigan Plan, Children’s Special Health Care Services, Maternity Outpatient Medical Services (MOMS), and other health care programs administered by the Michigan Department of Health and Human Services (MDHHS).

Although MDHHS will continue to issue paper policy bulletins as needed, paper manuals are not provided. The online version of the manual is updated quarterly to incorporate all policies communicated through policy bulletins since the last update of the manual.

If you would like to receive a CD version of the Medicaid Provider Manual, you will need to submit a request to MDHHS. You will receive the current published version of the manual which is available at that time. The request should include the name and address of the business/facility, National Supplier Identifier (NPI) (if applicable), telephone number and name of a contact person. You can submit the application by mail, fax, or e-mail to one of the following:

MDHHS/Medicaid Program Policy Division

Lansing, MID 48909

E-mail: [email protected]

Suppliers using the CD should retain all newsletters received throughout the year for use in addition to the CD.

Using the manual

The manual was created in Adobe Acrobat Portable Document Format (PDF). To view and use the manual’s link and search functions, you need Adobe Acrobat version 6.0 or higher. If you do not have this software, or a lower version, you can click on the Adobe Acrobat Reader icon below to download the software for free.

To familiarize yourself with this handbook, start with the Medicaid Provider Handbook Overview. The overview describes how the information is organized and how to navigate through the document. With the Overview, you will be able to identify the most relevant chapters for you and your activities. We are confident that you will find the format and search capabilities of this manual user-friendly and that all of the policies in one document will be very convenient.

The recommended web browser to open the Medicaid Provider Handbook is Microsoft Edge, Mozilla Firefox, Google Chrome, and Microsoft Explorer 11. It is very important to keep your web browser up to date. New web browsers allow you to use more features and new technologies, which improve the browsing experience.

For the best viewing experience, adjust your personal computer’s settings to open all PDF files in Adobe Acrobat Reader. The manual is easier to navigate using bookmarks. Enabling bookmarks depends on the web browser you are using.

To enable bookmarks in Internet Explorer:

  1. Open Acrobat

  2. Go to Edit >> Preferences >> Internet

  3. Uncheck Allow Quick Web View

Now open the PDF in IE and all bookmarks are available.

For Microsoft Edge, enable Adobe Flash Player.

  1. Open Microsoft Edge

  2. Click on the three dots symbol which is located in the upper right corner of the browser and click on Settings.

  3. Click Show advanced settings.

  4. Activate Adobe Flash Player.

Printing of the manual

MDHHS recommends against printing the manual due to cost and loss of functionality (eg, searchability). However, if you decide to print, it is suggested that you limit the print to only those chapters relevant to your practice or interests, and print it in black and white.