MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

NOTICE OF PROPOSED POLICY

Public Act 280 of 1939, as amended, and consultation guidelines for Medicaid policy provide an opportunity to review proposed changes in Medicaid policies and procedures. Please review the policy summary and the attached materials that describe the specific changes being proposed. Let us know why you support the change or oppose the change. Submit your comments to the analyst by the due date specified. Your comments must be received by the due date to be considered for the final policy bulletin. Thank you for participating in the consultation process.

Director, Program Policy Division Bureau of Medicaid Policy and Health System Innovation

Project Number:

1252-Modeling

Comments Due:

November 30, 2012

Proposed Effective Date:

January 1, 2013

Mail Comments to:

Margo Sharp Bureau of Medicaid Policy and Health System Innovation Medical Services Administration PO Box 30479 Lansing, MI 48909 Fax Number: (517) 335-5136 E-mail Address: sharpm1@michigan.gov

Telephone Number: (517) 335-6148

Policy Subject: Sanctioned Provider Notification Process Affected Programs: Medicaid, Adult Benefits Waiver, Children's Special Health Care Services, Children's Waiver, Maternity Outpatient Medical Services, MIChoice Waiver, Plan First! Distribution: All Providers Policy Summary: Effective January 1, 2013, the Michigan Department of Community Health will discontinue the distribution of Medicaid sanctioned provider updates through policy bulletins. The master sanctioned provider list posted on the MDCH website will be updated as sanction information is received. Purpose: This policy is being updated to allow more frequent changes to the master list posted online. Regular updates will decrease inconsistencies due to delayed information that is currently experienced with the once monthly updates.

Public Comment Cover (07/11)

Michigan Department of Community Health Medical Services A dministration

Distribution: Issued: Subject: Effective: Programs Affected:

All Providers December 1, 2012 (Proposed) Sanctioned Provider Notification Process January 1, 2013 (Proposed) Medicaid, Adult Benefits Waiver, Children's Special Health Care Services, Children's Waiver, Maternity Outpatient Medical Services, MIChoice Waiver, Plan First!

The Michigan Department of Community Health (MDCH) currently issues Medicaid policy bulletins throughout the year notifying providers of updates to the MDCH Sanctioned Provider List. This list contains information regarding providers currently sanctioned by MDCH, the Michigan Department of Licensing and Regulatory Affairs, the Office of the Inspector General, and the U.S. Department of Health and Human Services. Effective January 1, 2013, MDCH will no longer issue policy bulletins notifying providers of updates to the MDCH Sanctioned Provider List. The list will be continuously updated on the MDCH website as sanction information is received and notification will not be sent when these updates occur. Providers should check the MDCH website, as well as the websites of other sanctioning bodies, to avoid accepting orders/prescriptions for Medicaid beneficiaries from sanctioned providers. Further information regarding the Sanctioned Provider process can be found in the General Information for Providers Chapter of the Medicaid Provider Manual. The Sanctioned Provider List is posted on the MDCH website at www.michigan.gov/medicaidproviders >> Billing and Reimbursement >> List of Sanctioned Providers.