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

Supplemental Medicaid Bulletins- bulletins that have not been incorporated into the manual and must still be retained for reference will appear on the Supplemental Bulletin List.

Cms Medical Billing Guidelines

Aboutthe Manual

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

Although MDHHS will continue to issue paper policy bulletins as necessary, paper manuals are not provided. The online version of the Manual is updated quarterly to incorporate any policies transmitted via policy bulletins since the last Manual update.

For Medicare and Medicaid Services (CMS). Encounters do not generate an Explanation of Payment (EOP). A claim is a request for reimbursement either electronically or by paper for any medical service. A claim must be filed on the proper form, such as CMS 1500 or UB 04. A claim will be paid or denied with an explanation for the denial. About the Manual. The electronic Medicaid Provider Manual contains coverage, billing, and reimbursement policies for Medicaid, Healthy Michigan Plan, Children's Special Health Care Services, Maternity Outpatient Medical Services (MOMS), and other healthcare programs administered by the Michigan Department of Health and Human Services (MDHHS). IHS/Tribal Provider Billing Manual Non-Emergency Medical Transportation (NEMT) Claims for Non-Emergency Medical Transportation (NEMT) services shall be submitted on the CMS 1500 claim form. These services will be billed under the provider’s previous provider type (05 or 77). These services will be reimbursed at the capped FFS fee schedule. The CMS Online Manual System is used by CMS program components, partners, contractors, and State Survey Agencies to administer CMS programs. It offers day-to-day operating instructions, policies, and procedures based on statutes and regulations, guidelines, models, and directives.

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 that is available at that time.The request must include a company/facility name and address, National Provider Identifier (NPI) (if applicable), telephone number, and a contact person's name. You may submit the request by mail, fax, or e-mail to one of the following:

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Plate Count Agar (PCA) or. Test sample. It has the advantage of not requiring previously prepared plates, and is often used to assay bacterial contamination of food stuffs.Materials and Equipments. To insure a countable plate a series of dilutions should be plated.The pour plate method of counting bacteria is more precise than the, but, on the average, it will give a lower count as heat sensitive microorganisms may die when they come contact with hot, molten agar medium.Uses:The pour plate technique can be used to determine the number of microbes/mL in a specimen. Serial dilution technique plate.

MDHHS/Medicaid Program Policy Division
PO Box30479
Lansing,MI48909
or
Fax: 517-335-5136
or
E-mail: MSA-Forms@Michigan.gov

Providers using the CD will need to retain all bulletins received throughout the year to use in addition to the CD.

Using the Manual

The Manual was created in Adobe Acrobat portable document format (PDF). To view and utilize the link and search functions of the Manual, you will need to have 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 free of charge.

Cms Medical Billing Manual Download

To acquaint yourself with this manual, begin with the Medicaid Provider Manual Overview. The Overview describes how information is organized and how to navigate through the document. Using the Overview, you will be able to identify the chapters most relevant to you and your activities. We believe you will find the format and search capabilities of this Manual to be user-friendly, and having all policies in a single document very convenient.

Cms Medical Billing Manual Download

Printing the Manual

Cms Medical Billing Manual Pdf

MDHHS discourages printing of the manual because of the cost and loss of functionality (e.g., search capability). However, if you decide to print, it is suggested printing be limited to only those chapters relevant to your practice or interest, and that printing be done in black and white.