The Michigan Department of Health and Human Services (MDHHS) recently issued Medicaid Policy Bulletin MMP 26-20, expanding coverage for pharmacist-provided services effective July 1, 2026, pending approval of a state plan amendment by the Centers for Medicare & Medicaid Services. The policy applies to Medicaid, the Healthy Michigan Plan, MIChild, Plan First and several additional Medicaid programs.
The policy aligns Medicaid coverage with Michigan’s expanded pharmacist scope of practice and allows qualified Medicaid-enrolled pharmacists to provide and bill for additional services, including:
- Ordering and administering immunizations.
- Ordering and administering certain laboratory tests such as COVID-19 and influenza.
- Prescribing antiviral treatments based on test results.
- Counseling on and prescribing self-administered hormonal contraceptives.
Pharmacists must meet enrollment, training and documentation requirements established by MDHHS.
According to MDHHS, the policy is intended to increase access to preventive and diagnostic services, support timely treatment of common conditions and improve access to care for Medicaid beneficiaries. Members are encouraged to review the bulletin for enrollment, billing and reimbursement requirements.
Members with questions may contact Lenise Freeman at the MHA.