Michigan Medicaid Fee Schedule

Michigan Medicaid, published by the Michigan Department of Health and Human Services (MDHHS). Schedules effective through Sep 2026.

Michigan publishes 12,435 Medicaid fee-for-service rates across 9 service categories. An established-patient office visit (99213) pays $60.71, a two-view chest X-ray (71046) $21.09 and a CPAP device (E0601) $76.09. Pooled across categories with a national Medicare comparator, Michigan's published rates run a median 63.8% of the Medicare amount, ranking 47 of 49 jurisdictions with a comparable basis.

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These pages show common-procedure samples per category. The complete all-codes Michigan schedules export as CSV with the Rates plan.

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Michigan's published schedules by category

Codes on the current schedule, the newest effective date, the median published rate as a percentage of national Medicare where a comparator exists, and one recognizable procedure's rate per category. Open a category for its common-procedure table.

CategoryCodesEffectiveMedian % of MedicareExample ratePA required
Physician6,955Jul 202663.8%$60.71 Office visit, established patient, low complexity (20-29 min) (99213)--
Lab & Imaging2,094Jul 202682.8%$21.09 Chest X-ray, 2 views (71046)--
DME & Supplies1,661Jul 202671.6%$76.09 Continuous positive airway pressure (cpap) device (E0601)2
Drugs852Jul 2026------
Vision129Jul 202650.4%$95.42 Eye exam, new patient, comprehensive (92004)--
Behavioral Health29Sep 202666.4%$110.81 Psychotherapy, 60 minutes (90837)--
Hearing36Sep 2026----28
Transport13Jul 2026--$265.54 Ambulance service, basic life support, non-emergency transport, (bls) (A0428)--
State-Specific Services666Jul 202663.8%$26.35 Telehealth originating site facility fee (Q3014)--
DentalMichigan's dental Medicaid rates live in the dental section, with their own per-state page.

Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one.

Where Michigan publishes its fee schedules

Publisher
Michigan Department of Health and Human Services (MDHHS)
Program
Michigan Medicaid
Official source
https://www.michigan.gov/mdhhs/doing-business/providers/providers/billingreimbursement/information-specific-to-different-providers
Last checked
Sep 5, 2026

ProviderSignal collects every category from the state's publication, standardizes the rows and labels each code in its own plain language. Rates are the published amounts; the state's page remains the legal source.

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These are common-procedure samples. The complete Michigan schedules, every category and every code, export as CSV on the Rates plan.

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Frequently asked questions

Does Michigan publish a Medicaid fee schedule?

Yes. Michigan publishes 12,435 Medicaid fee-for-service procedure rates across 9 service categories, effective through Sep 2026, all collected and normalized here with plain-language procedure names. Michigan Department of Health and Human Services (MDHHS) publishes Michigan's Medicaid fee schedules.

Who publishes Michigan's Medicaid fee schedule?

Michigan Department of Health and Human Services (MDHHS) publishes Michigan's Medicaid fee schedules. The state's own fee-schedule page is https://www.michigan.gov/mdhhs/doing-business/providers/providers/billingreimbursement/information-specific-to-different-providers. ProviderSignal collects every category from it, standardizes the rows and re-checks the source on a rolling cadence (last checked Sep 5, 2026).

What does Michigan Medicaid pay for common services?

An established-patient office visit (99213) pays $60.71, a two-view chest X-ray (71046) $21.09 and a CPAP device (E0601) $76.09. Every figure is the state's published fee-for-service amount for the code's benchmark locality; managed-care plans can pay differently. The category pages list common procedures with plain-language names, and the complete all-codes schedules export as CSV on the Rates plan.

How do Michigan's Medicaid rates compare with Medicare?

Pooled across categories with a national Medicare comparator, Michigan's published rates run a median 63.8% of the Medicare amount, ranking 47 of 49 jurisdictions with a comparable basis.

What service categories does Michigan publish?

Physician (6,955 codes), Lab & Imaging (2,094 codes), DME & Supplies (1,661 codes), Drugs (852 codes), Vision (129 codes), Behavioral Health (29 codes), Hearing (36 codes), Transport (13 codes), State-Specific Services (666 codes). Dental rates have their own section with per-state pages.

How current are these rates?

Rates come from Michigan's currently published fee schedules, the newest effective Sep 2026, and are re-collected on a rolling monthly cadence. This page updates automatically after each collection sweep.