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2024
MI MCD net new policies CXT #585 (PDF)
Provider letter - Enhancing Claims intake editing for SNIP Types 1-4 through a software change (PDF)
Provider bulletin no. 220 CLIA (PDF)
Coverage change for certain antiretroviral drugs 10/10/2024 (PDF)
Provider Letter - Transportation Vendor Change (PDF)
Provider Letter - Foster Care (PDF)
Provider Letter - FC Notification Form (PDF)
Provider Letter - Non emergent ambulance (PDF)
Provider Letter - MI EVV Providers and CHAMPS Enrollment (PDF)
Provider Letter - DRG Claims (PDF)
Provider Letter - ABH MI HP Provider Notification PA Removals - Updates (PDF)
Provider Letter - ABH MI HP Provider Notification PA Removals (PDF)
Provider Letter - ABH MI HP Provider Notification PA Additions (PDF)
Provider Letter - Q4 2023 Cotiviti PUR updates (PDF)
Provider Letter - Change Healthcare (PDF)
CKD Provider Communication (Medicaid plan) (PDF)
CKD Member Brochure (Medicaid plan) (PDF)
Chronic Kidney Disease What You Need To Know (Medicaid plan) (PDF)
Estimated Glomerular Filtration Rate (eGFR) (Medicaid plan) (PDF)
High Blood Pressure and Chronic Kidney Disease (Medicaid plan) (PDF)
Provider Letter - CKD Provider Outreach (Medicaid plan) (PDF)
2023
2024 Value-Based Pay-for-Quality (P4Q) Program (Medicaid plan) (PDF)
CHAMPS Provider Enrollment for Electronic Visit Verification (EVV)(Medicaid plan)(PDF)
Provider Bulletin No 216 - NCD Provider Notification (Medicaid plan) (PDF)
Provider Bulletin No 215 - Provider Notification for 23 Lab NCDs(Medicaid plan) (PDF)
Provider Bulletin No 214 REVISED - Mae_Aetna MI - Provider Announcement (Medicaid plan) (PDF)
Listeria Warning (Medicare-Medicaid plan) (PDF)
Provider Letter - ABH of MI Code Removal Provider Notification (Medicaid) (PDF)
Provider Letter - ABH of MI COVID monovalent non covered (Medicaid)
(PDF)
EFT and ERA Program Update (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 217 Updated New - 2024 MI P4Q Incentive (PDF)
Provider Bulletin No 212 - Availity Resources for Providers (both Medicaid and Medicare-Medicaid plan) (PDF)
2024 Formulary Update (Medicare-Medicaid plan) (PDF)
Emergent and Non-Emergent Transportation Claims (Medicare-Medicaid plan) (PDF)
Provider Letter MOP HP Provider Notification Code Removals (Medicaid plan) (PDF)
Cardiac Codes (Medicare-Medicaid plan) (PDF)
Lab NCDs and Precertification optimization (Medicare-Medicaid plan (PDF)
Wheelchair Payment Updates (Medicare-Medicaid plan) (PDF)
Genetic Codes (Medicare-Medicaid plan) (PDF)
Provider Letter - Updated_PN MI CXT New Policies 7.2023 (Medicaid) (PDF)
Provider Letter - MI MCAID CPT 92229 PN (Medicaid) (PDF)
Provider Letter - MI MCAID J0598 PN (Medicaid) (PDF)
Duals-Covid Non-Covered Services (Medicare-Medicaid plan) (PDF)
Provider Bulletin No 213 - MOP HP Provider Notification Code Additions Template (Medicaid) (PDF)
COVID-19 PHE Unwinding Liberalizations (both Medicaid and Medicare-Medicaid plan) (PDF)
Precertification Optimization 06/30/2023 (Medicare-Medicaid plan) (PDF)
Dual Plan Clinical Payment, Coding and Policy Changes - Genetic Testing (Medicare-Medicaid plan)
Dual Plan Clinical Payment, Coding and Policy Changes (Medicare-Medicaid plan) (PDF)
Medicaid Clinical Payment, Coding and Policy Changes (Medicaid) (PDF)
Provider Letter - Duals NPP Meeting (Medicare-Medicaid plan) (PDF)
2022
Provider Bulletin No 209 - MI Call to Action (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 208 - Attending Provider Billing (Medicaid) (PDF)
Provider Bulletin No 205 - Prior Auth Fax Number (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 204 - Change in Prior Authorization process for OB Ultrasounds (Medicaid) (PDF)
Provider Bulletin No 202 FINAL - ABH of MI Member Support in Pandemic (Medicaid) (PDF)
Provider Bulletin No 200 - ABH Shutdown Retraction (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 199 - Prior Auth Update Ordering Practitioner (Medicaid) (PDF)
Provider Bulletin No 198 SNIP Level editing (Medicaid) (PDF)
Provider Bulletin No 197 Updated Availity Flyer (both Medicaid and Medicare-Medicaid plan) (PDF)
Healthy Home Visit Program (Medicaid) (PDF)
Southwest Michigan Behavioral Health Program Ending (Medicare-Medicaid plan) (PDF)
Prior Authorization Waiver Notification (both Medicaid and Medicare-Medicaid plan) (PDF)
MMP/Duals Precertification Optimization removal (Medicare-Medicaid plan) (PDF)
Precertification Optimization Notice 3rd Update (Medicare-Medicaid plan) (PDF)
Medicaid Precertification Optimization (Medicaid) (PDF)
MMP/Duals Precertification Optimization Add (Medicare-Medicaid plan) (PDF)
Provider Notification - Duals - Precertification Optimization (Medicare-Medicaid plan) (PDF)
Nursing Facility Claim Submission Update (Medicare-Medicaid plan) (PDF)
2021
Provider Bulletin 195 - Availity Flyer (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin no. 194 - GIC Availity (Medicaid) (PDF)
Provider Bulletin No 191 - Letter PA for Hep C (Medicaid) (PDF)
HEDIS 2020 - 2019 Quality report (Medicare-Medicaid plan) (PDF)
HEDIS 2020 - 2019 Quality report (Medicaid) (PDF)
Provider Bulletin No 188 - ABH MI Prior Authorization Requirements (Medicaid) (PDF)
Provider Bulletin No 187 - ABH of MI Letter (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin 182 (both Medicaid and Medicare-Medicaid plan) (PDF)
Aetna Portal Upgrade (both Medicaid and Medicare-Medicaid plan) (PDF)
IMPART Alliance Infection Control Training (both Medicaid and Medicare-Medicaid plan) (PDF)
Upgrades to the Provider Portal (both Medicaid and Medicare-Medicaid plan) (PDF)
Prior Authorization Fax Numbers for Providers (both Medicaid and Medicare-Medicaid plan) (PDF)
2021 VBS Booklet (Medicaid) (PDF)
Archives
Provider Letter - Web Access introduction Letter (both Medicaid and Medicare-Medicaid plan) (PDF)
COVID 19: Taking Action (Medicaid) (PDF)
PDGM Provider Communication (both Medicaid and Medicare-Medicaid plan) (PDF)
PDPM Provider Communication (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Letter - Quest Diagnostic letter (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Letter - MI HRA Fax Blast (both Medicaid and Medicare-Medicaid plan) (PDF)
Novermber 2017 Provider Webinar invitation (Medicaid) (PDF)
PCMH Survey 8-25-2017 (Medicaid) (PDF)
PCMH Survey 9-7-2017 (Medicaid) (PDF)
Quest Diagnostic Letter (both Medicaid and Medicare-Medicaid plan) (PDF)
September 2017 Provider Webinar Invitation (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin 181 (Medicaid) (PDF)
Provider Bulletin No 180 - Office Location Change (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 178 - AET One Call NEMT (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 177 - SNF Grants (Medicaid) (PDF)
Provider Bulletin No 176 - Provider Relief Extended (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 172 Attachment - MI P4Q 2020 Incentive Program (Medicaid) (PDF)
Provider Bulletin No 167 - G and A Change of Address (Medicaid) (PDF)
Provider Bulletin No 167 - Non Par Appeal Form (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 167 - Dispute Form 6-2019 (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 166 - PA Change J3145 (Medicaid) (PDF)
Provider Bulletin No 165-Change in PA Requirements S2900 2019 (Medicaid) (PDF)
Provider Bulletin No 164- Payment Integrity Project (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No 162 - ABH Emergency Room Facility Claims Bulletin (Medicaid) (PDF)
Provider Bulletin 158 - PA Codes 2019 Updates (Medicaid) (PDF)
Provider Bulletin No. 157 - Medicaid Participating Pharmacies (Medicaid) (PDF)
Provider Bulletin No 154 - HRA (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No. 148 - Health Risk Assessment (Medicaid) (PDF)
Provider Bulletin No. 149 - Nursing Home Bulletin (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No. 150 - Prior Authorization (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin No. 151 CHAMPS enrollment (both Medicaid and Medicare-Medicaid plan) (PDF)
Bulletin No. 141 Preauthorization List (both Medicaid and Medicare-Medicaid plan) (PDF)
Bulletin No. 142A Satisfaction Survey Letter (both Medicaid and Medicare-Medicaid plan) (PDF)
Bulletin No. 142 Satisfaction Survey Results (both Medicaid and Medicare-Medicaid plan) (PDF)
Bulletin No. 143 DentaQuest Dental Program (both Medicaid and Medicare-Medicaid plan) (PDF)
Bulletin No. 144 Medicaid MiChild (Medicaid) (PDF)
Provider Bulletin #146 PHQ-9 SBIRT (both Medicaid and Medicare-Medicaid plan) (PDF)
Provider Bulletin #147 MOON (both Medicaid and Medicare-Medicaid plan) (PDF)
Urgent Authorization Request (Medicaid) (PDF)
Nursing Home Billers (both Medicaid and Medicare-Medicaid plan) (PDF)
Jimmo v. Sebelius letter (both Medicaid and Medicare-Medicaid plan) (PDF)
Cross Claim Payment Policy (Medicaid) (PDF)
HEDIS Training Webinar Series (Medicaid) (PDF)
Provider Letter - Final Prior Auth letter (Medicaid) (PDF)
Provider Letter - Provider Evaluation and Management (EM) coding Letter (Medicaid) (PDF)
Dispute Appeal Grievance Processes (Medicare-Medicaid plan) (PDF)
Dispute Appeal Grievance Processes (Medicaid) (PDF)
Medicaid Eviti Provider Letter (Medicaid) (PDF)
Eviti Recommended Provider Notice Letter (Medicaid) (PDF)
Provider Notification for Sterilization Codes (Medicaid) (PDF)
COVID-19 Vaccine Information for Providers (both Medicaid and Medicare-Medicaid plan) (PDF)
Billing for COVID-19 vaccination and Monoclonal Antibody infusion treatment (Medicaid) (PDF)