Michigan Medicaid (MDHHS)

MedicaidMI

ABA billing requirements · Source: Michigan MDHHS — ABA Medicaid Coverage Policy

Medium confidence

Verified 2026-03-01

Authorization Requirements

Requires prior auth Yes

Initial auth durationN/A

Renewal auth durationN/A

Submission deadlineN/A

Unit tracking cadenceTotal

Requires FBA Yes

Diagnostic eval validityN/A

Re-eval cadenceN/A

Parent signatures required Yes

Start/stop times required Yes

Treatment plan componentsBaseline data, Target behaviors, Methods

Progress summary cadenceEvery 6 months

Authorization is required for re-evaluations and services. Decisions to deny or change service authorization must be made by the PIHP.

CPT rules require a free account

View H-codes, modifiers, unit limits, and billing restrictions for Michigan Medicaid (MDHHS).

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Data last verified: 2026-03-01 · Confidence: Medium · See our methodology