April 1 Medicaid fee schedule delayed

04-17-2017

The state of Michigan releases updated practitioner fee schedules for Medicaid each quarter. Unfortunately the state has not released the new fee schedule which is effective April 1, 2017. At this time we will continue to process Medicaid claims based on the most recently released fee schedule.

Once we receive the quarterly fee schedule, it takes approximately two weeks to load and apply the new fees.

Provider options

Providers can:

  • Choose to hold any claims with dates of service on or after April 1, 2017 and send them to Priority Health once the new fee schedule is applied.
  • Send in claims with dates of service on or after April 1 to process at first-quarter rates. We will not reprocess these claims with the new rates.

We will send an update as soon as we have additional information or a timeline for when the new fee schedule will be applied.