Service Codes & Information

Region 10 PIHP codes and additional information used to report services performed by health care providers, professional services, procedures, and supplies.
 

Michigan Medicaid Provider Manual


The Medicaid Provider Manual contains participation coverage and reimbursement policies related to Medicaid, Healthy Michigan Plan, Children's Special Health Care Services, and other healthcare delivery programs administered by the Michigan Department of Health and Human Services (MDHHS). 

External LinkMedicaid Provider Manual

Michigan Medicaid Policy Bulletins

The Michigan Department of Health and Human Services (MDHHS) issues periodic bulletins as changes are implemented to the policies and/or processes described in the Michigan Medicaid Provider Manual.  These bulletins are incorporated into the online version of the Manual on a quarterly basis.

External LinkMedicaid Policy Bulletins
 

Service Codes


Current Procedural Terminology (CPT) and the Healthcare/Common Procedure Coding System (HCPCS) are used to define a standard set of procedure codes that are compliant with state and federal regulations and used through the region.  Documents to assist defining and reporting service codes are listed below.

External LinkMDHHS PIHP/CMHSP Encounter Reporting HCPCS and Revenue Codes

External LinkMDHHS Michigan PIHP/CMHSP Provider Qualifications Per Medicaid Services & HCPCS/CPT Codes

PDF DocumentRegion 10 PIHP Service Code Clarifications