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Billing for Maternal Infant Health (MSS/ISS) Program Services

A and M Status
A = Active code
M = Additional information needed to process claim

Medicaid Provider Manual
Use the Provider Manual at the Michigan Department of Community Health website to find the coverage, billing and reimbursement policies for:
  • Medicaid
  • Chidren's Special Health Care Services
  • Adult Benefits Waiver
  • Maternity Outpatient Medical Services (MOMS)
Use the codes shown below to bill for MDCH Maternal Infant Health Program services for Medicaid patients.
Latest Revision: October 2006.

Code Service Status
H1000
 Maternal - Assessment in office
 A
994021 Maternal - Professional visit, office1 A
994021
 Maternal - Professional visit, home1 A
H2000
 Maternal - Assessment in home
 A
S9442
 Maternal - Childbirth education
 A
A0110
 Maternal - Transportation bus/van A
A0100
 Maternal - Transportation in taxi
 A
S0215
 Maternal - Transportation, volunteer mileage
 A
A0170
 Maternal - Transportation, other
 M
T1023
 Maternal - Screening A
H2000
 Infant - Assessment in home A
994021
 Infant - Professional visit in home1 A
994021
 Infant - Professional visit1 A
961542
 Infant - Professional visit, drug-exposed infants2
 A
S9444
 Infant - Parenting education
 A
A0110
 Infant - Transportation, bus/van
 A
A0100
 Infant - Transportation, taxi
 A
S0215
 Infant - Transportation, volunteer
 A
A0170
 Infant - Transportation, other
 M

1Use the 99402 code for all MIHP visits in the home, office, or places other than the home. Home visits are reimbursed at a different rate than clinic visits. To receive appropriate reimbursement, you must include the place of service when billing for these codes. Coverage is limited to a 30-minute visit.

2For code 96154, the HCPCS defines one unit as a 15-minute session. Current policy states that each infant visit must last for at least 30 minutes to be billable. Therefore, to receive full reimbursement, bill for two units.

Last modified 01/26/07