MHA Monday Report May 15, 2023

MHA Monday Report

capitol buildingHarmful Nurse Staffing Legislation Introduced in Michigan Legislature

Harmful nurse staffing legislation was introduced May 11 in the Michigan Legislature that would mandate nurse staffing ratios, require public disclosure of the ratios and restrict mandatory overtime for nurses. The bill package is pushed by the Michigan Nurses Association and was ….

Behavioral Health ED Boarding Data Available

Behavioral health emergency department (ED) boarding data the MHA has been collecting on a weekly basis from acute care hospitals across Michigan since March 2023 is now available on the Health Data webpage of the …

Annual Meeting iconMHA Annual Membership Meeting Includes Ways to Support Michigan Hospitals

The MHA membership will convene in person for the MHA Annual Membership Meeting June 28 through 30 at Grand Hotel on Mackinac Island. The annual meeting will feature an outstanding lineup of speakers, the family …

DEA Issues Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications

After delaying the final rule for ending COVID-19 telehealth prescribing rules, the Drug Enforcement Agency (DEA) has issued a temporary rule to allow the following: The full set of telemedicine flexibilities regarding prescription of controlled …

Upcoming Webinars on Medicare FFS Quality-based Programs

The MHA is partnering with DataGen to host two free webinars focused on Medicare fee-for-service (FFS) quality-based programs, which can reduce hospital inpatient FFS payments by up to 6%, depending upon hospital performance. The webinars …

Webinar Outlines Practices to Re-engage Patients and Families in Care

Fractured social contracts in today’s world have changed the healthcare landscape and culture. There is a convergence of patient consumerism and digital transformation happening, and those who focus on patient-centered care and person and family …

MHA Keystone Center PSO Safe Table – Health IT & Risk Safety

The MHA Keystone Center PSO is hosting a Health IT & Risk Safety Safe Table from 12:30 to 3 p.m. June 14. The event will be held at Goshen Health, located at 200 High Park …

Direct Care and Behavioral Health Workforce Assessment: Regional Feedback Sessions

Public Sector Consultants and Health Management Associates are partnering with the Michigan Department of Health and Human Services to gather the perspectives of people impacted by the direct care worker and behavioral health workforce …

MHA Webinar Focuses on Building Trust and Relationships for Trustees

When stakeholders gather to discuss community vitality, the health and wellbeing of the community is not only about access to safe, affordable healthcare, but about non-medical health influences that have an impact on the community. …

MDHHS Releases Beginner Guide for Doula Providers

Michigan Medicaid began reimbursing doula services provided to individuals covered by or eligible for Medicaid as of Jan. 1, 2023. Doula providers are required to be on the Michigan Department of Health and Human Services …

The Keckley ReportPaul Keckley

The End of the Pandemic Health Emergency is Ill-timed and Short-sighted: The Impact will further Destabilize the Health Industry

“The national spotlight this week will be on the debt ceiling stand-off in Congress, the end of Title 42 that enables immigrants’ legal access to the U.S., the April CPI report from the Department of Labor and the aftermath of the nation’s 199th mass shooting this year in Allen TX.

The official end of the Pandemic Health Emergency (PHE) Thursday will also be noted but its impact on the health industry will be immediate and under-estimated. …

In the weeks ahead as the debt ceiling is debated, the Federal FY 2024 budget finalized and campaign 2024 launches, the societal value of the entire health system and speculation about its preparedness for the next pandemic will be top of mind. …“

Paul Keckley, May 8, 2023

News to Know

  • Upon the end of the COVID-19 Public Health Emergency, the Health Resources & Services Administration will end a 2020 policy allowing hospitals to use 340B drugs for eligible patients in new hospital locations, even if they have not yet appeared on a filed Medicare cost report.
  • The MHA is hosting the webinar MHA Programs of All-Inclusive Care for the Elderly (PACE): An Alternative to Traditional Nursing Home care from 8:30 to 9:30 a.m. May 23.
  • Completed 2022 occupational mix surveys must be submitted by acute care hospitals paid under the Medicare prospective payment system to the Medicare Administrative Contractor by June 30, 2023.

Brian PetersMHA in the News

The MHA received media coverage the week of May 8 regarding nurse staffing legislation, healthcare worker shortages, the ending of the COVID-19 public health emergency and more. A joint media statement was published May 11 …

MHA Monday Report May 8, 2023

MHA Monday Report

capitol buildingState Legislation Introduced to Address Violence Against Healthcare Workers, Strengthen Healthy Michigan Plan and Expand Organ Donor Registration

Legislation to increase the penalties for assaulting healthcare employees and volunteers was introduced in the state House of Representatives during the week of May 1. Additional legislation was introduced to remove unnecessary provisions of the …

Michigan’s Largest Private-sector Employer Remains Healthcare

The Partnership for Michigan’s Health reports healthcare directly employed nearly 568,000 Michigan residents in 2021, demonstrating that healthcare remains the largest private-sector employer in the state despite continued staffing losses attributed to the COVID-19 pandemic. …

Webinar Reveals New Tool to Improve Person and Family Engagement

The MHA is hosting a webinar from 8:30 to 10 a.m. May 24 to review the newly released MHA Person & Family Engagement Roadmap, which includes recommended policies to re-engage patients and caregivers and …

Final Medicaid Bulletin on Continuous Glucose Monitoring Systems

The Michigan Department of Health and Human Services issued a final Medicaid Policy Bulletin May 1 with revisions to the Continuous Glucose Monitoring Systems Policy. In response to the proposed policy issued April 1, …

speak upE.W. Sparrow Hospital Nurse Receives Q2 MHA Keystone Center Speak-up! Award

The MHA Keystone Center presented Cheryl Kay, RN, at E.W. Sparrow Hospital with the quarterly MHA Keystone Center Speak-up! Award, which celebrates individuals or teams in Michigan hospitals demonstrating a commitment to the prevention of …

DEA Delays Ending COVID-19 Telehealth Prescribing Rules

The Drug Enforcement Agency (DEA) is delaying draft rules that proposed stricter telehealth limits on providers prescribing controlled substances, like buprenorphine for opioid use disorder or Adderall for ADHD. The DEA will temporarily extend …

MHA Webinar Reviews PACE Programs

With the closure of nursing homes and long-term care facilities, hospitals and health systems need options to care for seniors. Dually eligible frail seniors are one of the most complex cohorts with multiple comorbidities, frequent …

MHA Podcast Explores How Michigan Leaders Can Collaborate to Address Gaps in Behavioral Health

The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities. On episode 29, State Representative …

2023 Ludwig Nominee: Priority Health, National Fitness Campaign Partner to Offer Free Fitness Courts

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, …

MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Attracting Healthcare Talent

Talent acquisition is always top of mind for all business leaders. Demand for workers now outpaces supply throughout the U.S., but particularly here in Michigan due to our demographic realities, including an aging baby-boom generation entering retirement in significant numbers. …

The Keckley Report

Paul KeckleyThe Tit for Tat Game in Healthcare produces No Winners

“Tit for Tat battles in healthcare are nothing new. Last week, they were on full display. …

Most of the food fights in healthcare like last week’s revolve around each sector’s unique response to the three challenges above. That’s why they exist: to protect the interests of their members and advocate on their behalf. All believe their mission and vision is essential to the greater good and the moral high ground theirs. Some are imperiled more than others: not for profit, rural and safety net hospitals, long-term care operators, direct caregivers and public health programs at the top of this list.

Educating lawmakers is necessary but what’s needed is serious, objective forward-looking definition of the U.S. health system’s future. The tit for tat game will not solve anything. That’s where we are. …“

Paul Keckley, May 1, 2023

News to Know

  • National Hospital Week 2023 is May 7-13.
  • The Michigan Department of Health and Human Services created a series of short videos to help providers and community partners navigate policies impacted by the ending of the federal COVID-19 Public Health Emergency.
  • Registration remains open for the 2023 MHA Annual Membership Meeting, scheduled June 28 through 30 at Grand Hotel on Mackinac Island.
  • Completed 2022 occupational mix surveys must be submitted by acute care hospitals paid under the Medicare prospective payment system to the Medicare Administrative Contractor by June 30, 2023.

MHA CEO Brian Peters speaks with WLNS.MHA in the News

The MHA received media coverage the week of May 1 on the economic impact of healthcare in Michigan and planned state legislation that would require nurse-to-patient staffing ratios in hospitals. Crain’s Grand Rapids Business published …

News to Know – May 8, 2023

  • National Hospital Week 2023 is May 7-13. To align with the American Hospital Association theme #WeAreHealthcare, the MHA will be sharing a series of videos across social media featuring local leaders to demonstrate how the work of Michigan’s hospitals and health systems impacts all communities and industries.
  • The Michigan Department of Health and Human Services (MDHHS) created a series of short videos to help providers and community partners navigate policies impacted by the ending of the federal COVID-19 Public Health Emergency (PHE). Videos are available on eligibility changes for Medicaid and Food Assistance benefits, the PHE Unwind Policy Crosswalk resource and the MDHHS Stakeholder Toolkit. Additional MDHHS resources can be found on the MDHHS COVID-19 PHE 2023 Benefit Changes website. Further information on the ending of the PHE is available on the MHA PHE webpage. Members with questions about PHE resources may contact Lauren LaPine at the MHA.
  • Registration remains open for the 2023 MHA Annual Membership Meeting, scheduled June 28 through 30 at Grand Hotel on Mackinac Island.The annual meeting will feature an outstanding lineup of healthcare experts, including Brian Castrucci, DrPH, MA, president and CEO of the deBeaumont Foundation and author of “Talking Health.” Castrucci will speak on defining public health, reframing public health assumptions and bringing data to life through storytelling. Members with questions should email the MHA or call (517-323-3443).
  • Completed 2022 occupational mix surveys must be submitted by acute care hospitals paid under the Medicare prospective payment system to the Medicare Administrative Contractor by June 30, 2023. Hospitals are required to complete the survey every three years, with results from the 2022 survey to be used to adjust the Medicare wage index for fiscal years 2025, 2026 and 2027. Hospitals are encouraged to review their 2019 survey and determine whether there have been payroll changes, new job codes or job descriptions added, etc., to streamline the completion process. It is important to note that contact labor should be included in the various categories of the survey. Resource materials from the educational webinar hosted by the MHA in late January are available upon request. Members with questions should contact Vickie Kunz at the MHA.

MHA Monday Report April 24, 2023

MHA Monday Report

Several bills tracked by the MHA saw further action in the Michigan Legislature the week of April 17. Committees in the House and Senate took votes on bills to create a new tax credit for blood donations and to allow …

New MHA Resource Outlines Changing Public Health Emergency Flexibilities

The U.S. Department of Health and Human Services COVID-19 public health emergency will expire May 11, 2023. The end of the PHE will eliminate several pandemic flexibilities, while others have been extended by Congress. …

MHA Unemployment Compensation Program Receives National Recognition

The MHA Unemployment Compensation Program (UCP) was recognized by the National Association of State Workforce Agencies (NASWA) April 19 for the MHA UCP’s commitment to utilizing the NASWA’s nationwide, web-based system SIDES for receiving new claims …

FAQs Released for Michigan Physician Order for Scope of Treatment

The Michigan Physician Order for Scope of Treatment is an optional advance care planning form for adult patients with advanced illness or frailty for whom, based on their current medical condition, death would occur …

New State Psychiatric Hospital to Replace Hawthorn Center

The Michigan Department of Health and Human Services and the Department of Technology, Management & Budget announced the state will construct a new $325 million psychiatric hospital located at the current site of Hawthorn Center …

Latest AHA Trustee Insights Focuses on Board Competency

A hospital governing board must truly understand factors influencing their community’s healthcare and recruit trustees with the competencies needed to effectively guide annual priorities, objectives and strategies for the hospital. The March edition of Trustee Insights, the …

The Keckley Report

Paul KeckleyHospital CEO Pay: in the Spotlight: Three Critical Facts and Important Implications

“In recent months, compensation for hospital CEOs has received heightened attention among regulators, policymakers, academic researchers and in media …

The burden falls on Boards to bolster messaging to address transparency concerns, misinformation and disinformation on a broad range of issues including CEO pay. It falls on the Board compensation committees to justify adjustments to compensation that address the long-term sustainability of the organization, incorporating measures in addition to financial performance in evaluating the CEO’s performance. And increasingly, the relationship between the CEO’s pay to the short and long-term performance of the organization and to the “average worker’s pay” will be closely scrutinized.“

Paul Keckley, April 17, 2023

Annual Meeting iconNews to Know

  • The MHA membership will convene in person for the MHA Annual Membership Meeting June 28 through 30 at the Grand Hotel on Mackinac Island.
  • The Root Cause Coalition is accepting requests for proposals by April 24 to present at the 8th Annual National Summit on the Social Determinants of Health Dec. 3-5 in Kansas City.

MHA in the News

Brian PetersCrain’s Grand Rapids Business published a story April 20 on the annual release of the West Michigan Works! list of “hot jobs,” with nearly half of the 100 high-demand careers being in health-related professions. …


Public Health Emergency Michigan Provider Licensing Guidance

The U.S. Department of Health and Human Services is set to end the federal Public Health Emergency May 11. At that time, the special privileges and exemptions Michigan extended to licensed healthcare facilities and providers during the pandemic will be discontinued. Beginning May 12, all healthcare providers and health facilities operating in Michigan must have the appropriate license(s) and permit(s) required under Michigan and federal law.

Impacted by this notice are emergency certificate of need approvals granted to hospitals and health systems for additional licensed beds.

The Michigan Department of Licensing and Regulatory Affairs (LARA) expressed to the MHA a willingness to work with healthcare providers to minimize any interruptions in the delivery of care by healthcare providers and within their facilities.

LARA’s Bureau of Community and Health Systems (BCHS) issues state licenses for various health facilities, agencies and programs. The BCHS webpage contains information on how to apply for a State of Michigan health facility license or permit. Members with questions about health facility license may contact the BCHS.

LARA’s Bureau of Professional Licensing (BPL) issues state licenses for health professionals. The BPL webpage contains information on how to apply for a State of Michigan health professional license. Members with questions about health professional licensure may contact the BPL.

Members with further questions about licensure and the ending of the PHE may contact Laura Appel at the MHA.

MHA CEO Report — A Healthy Michigan is an Insured Michigan

MHA Rounds Report - Brian Peters, MHA CEO

“Life is what happens while you are busy making other plans.” — John Lennon

MHA Rounds Report - Brian Peters, MHA CEOThe United States celebrated last month the 13th anniversary of the signing of the Affordable Care Act (ACA). Simply put, when then-President Obama signed the legislation March 23, 2010, it was one of the most monumental healthcare policy changes in our lifetime. Since its passage, it has provided millions of Americans with health insurance, provided access to care for millions of residents with preexisting conditions and incentivized the launch of innovative models of care that have improved patients’ lives and saved billions of healthcare dollars.

The MHA was pleased to celebrate the anniversary by having MHA Executive Vice President Laura Appel join U.S. Rep. Elissa Slotkin and others in a virtual press conference discussing the positive impact the ACA has had on Michiganders.

The mission of the MHA is to “advance the health of individuals and communities.”  We have long supported the ACA, as the availability of robust health insurance coverage is crucial to achieving this mission. The benefits of the ACA can be measured by the more than one million Michiganders now covered by our Medicaid expansion program – the Healthy Michigan Plan – and more than 320,000 Michiganders who now receive coverage through the Health Insurance Marketplace created simultaneously by the act. Combined, these new developments have helped to significantly reduce the number of uninsured individuals in Michigan, which consistently numbered well over one million people in the years prior to the ACA’s passage.

The history of health insurance coverage in America is interesting and complex, and there were two major turning points in the 20th century that preceded the ACA. First, to combat inflation amid World War II, Congress passed the 1942 Stabilization Act. Designed to limit the ability to raise wages, the act led employers to instead offer health benefits for the very first time. Because health benefits did not count as income, they were not taxable to the employees. With a flip of the proverbial switch, employers were in the health insurance business and have never looked back. Second, in 1965 then-President Lyndon B. Johnson signed into law the enabling legislation to create the Medicare and Medicaid programs, which have provided coverage to important populations including seniors, those with disabilities, low-income and more.

Today the majority of Michiganders – over six million – are covered by employer-sponsored private insurance. But both Medicare and Medicaid have grown, accounting for approximately two million enrollees in each program respectively.  This growth is driven by different factors: for Medicare, we obviously have an aging population, increasingly fueled by the baby-boom generation. And for Medicaid, we have seen both organic growth in the traditional program, as well as significant growth in the Medicaid expansion program.

Whether public or private, we celebrate health insurance coverage because it directly benefits people, as they are more likely to see a primary care practitioner, seek recommended tests and screenings, receive appropriate prenatal care and generally access a wide array of healthcare services in such a way that their issues can be identified and resolved as early as possible. Not only does this mean better outcomes, but it also saves healthcare costs in the long run. And of course, having insurance coverage provides financial peace of mind for families when an unanticipated serious illness or catastrophic injury occurs.

The truth is that better insurance coverage is a positive for hospitals as well, as it helps to reduce the amount of uncompensated care that we must absorb. However, simply having an insurance card is no guarantee that an individual will have the appropriate level of coverage, as the rise in high-deductible and “skinny” insurance plans still result in significant and growing out-of-pocket expenses for consumers. These plans in turn have created more bad debt and uncompensated care for hospitals because consumers often purchase these plans based strictly on price without full knowledge of their co-pays, deductibles, which providers are considered in-network and what care may not be covered at all. On this note, the subject of surprise medical bills has been in the spotlight in recent years, culminating with the implementation of the federal No Surprises Act in January 2022. There is no doubt hospitals own our share of this issue – and we are committed to doing all we can to improve. But as a wise health policy observer commented to me at the time, the situation for far too many Americans can be summarized as “surprise, your health insurance stinks.” The total unpaid costs of patient care for Michigan hospitals in 2020 exceeded $3.4 billion, and the anecdotal evidence points to this challenge continuing ever since.

Back to the public policy front, one key issue on our radar screen now is the pending expiration of the COVID-19 public health emergency (PHE). Michigan has an additional 355,000 residents enrolled in traditional Medicaid and 367,000 additional Healthy Michigan Plan enrollees since the PHE began, and many of them will be at risk of losing coverage when the PHE ends and the Medicaid “redetermination” process begins.

In many Michigan counties, more than 30% of the population uses Medicaid for its healthcare benefit. The goal of the MHA and our partner stakeholder groups is to work with the Michigan Department of Health and Human Services (MDHHS) to ensure as many people as possible either maintain their Medicaid coverage or transition to an appropriate plan on the insurance exchange if they do not now have employer-sponsored coverage. This will continue to ensure that community members avoid interruptions in their care and will allow us to maintain many of the health outcome gains achieved over the past 13 years.

The MDHHS has created tools and resources for providers and partners aimed at educating their patients about the need to ensure their contact information is updated so they properly process their redetermination paperwork. The MHA has worked closely with our member hospitals and health systems to share these resources. This may be the first time for many beneficiaries that they must renew their coverage, and some may not even be aware they’re on Medicaid. Hospitals are the main touchpoint for many beneficiaries and hence play a very significant role in helping to facilitate this process for vulnerable patients.

The ACA, like any other major public policy change, has been far from perfect. But reflecting on the success in providing coverage to more Michiganders, we must express our gratitude for those at both the federal and state levels for the gains we’ve made over the past 13 years. In Michigan, we’ve received bipartisan support over the years for expanded coverage. Despite all the challenges hospitals and health systems have experienced in recent years, the gains made from the ACA have been a big reason why Michigan hospitals can continue to serve their communities throughout all areas of the state.

And on the broader issue of health insurance coverage, we would be remiss if we did not acknowledge that insurance is only one element that contributes to – but does not on its own ensure – access to care. Our efforts in the health equity domain have shown clearly that language and cultural barriers, transportation, housing, food insecurity and many other factors contribute to the ability of many Michiganders to get the care they need. But at the end of the day, having insurance is a critically important first step. No one plans to get sick or injured – but when “life” happens, that coverage is nothing short of a blessing.

As always, I welcome your thoughts.

MHA Monday Report March 27, 2023

MHA Monday Report

capitol buildingMHA-supported Bills See Action Before Break

The Michigan House of Representatives acted on a pair of MHA-supported bills during the week of March 20. In the House Health Policy Committee, members voted to report legislation to strengthen Michigan’s Healthy Michigan statute. …

Speakers of the Protect Our Care press conference.MHA Celebrates ACA Anniversary with Congresswoman Slotkin

MHA Executive Vice President Laura Appel joined U.S. Rep. Elissa Slotkin and other healthcare advocates March 23 as part of a virtual press conference organized by Protect Our Care to celebrate the 13th anniversary of …

As individuals and families across the state and country continue to face food insecurity, Michigan’s hospitals, health systems and community leaders are engaged in creating collaborative solutions. MHA CEO Brian Peters joined fellow food security …

Expanding Advocacy Roots with the Next Generation

The MHA collaborated with Wayne State University for the first-ever student-led advocacy day March 22. Science Policy Network-Detroit is a student organization at Wayne State that aims to advocate for science-related issues in …

March 30 Webinar Outlines Considerations for the End of the Public Health Emergency

The Department of Health and Human Services COVID-19 public health emergency expires May 11, 2023, which may significantly decrease the flexibility providers have become accustomed to. The MHA will host The End of the …

Medicaid Eligibility Redetermination Webinar Recording Available

The Michigan Medicaid program has grown to nearly 3.2 million Michiganders, an increase of more than 700,000 when compared to pre-pandemic levels, due to federal statutory limitations on states’ abilities to remove people from the …

MHA Webinar Explores PACE Program Partnerships

With the closure of nursing homes and long-term care facilities, hospitals and health systems need options to care for seniors. Dually eligible frail seniors are one of the most complex cohorts with multiple co-morbidities, frequent …

Applications Open for Excellence in Governance Fellowship, Prepares Trustees to Lead

The MHA Excellence in Governance Fellowship is now available to healthcare board members looking for innovative, effective ways to lead their organizations as hospitals and health systems navigate financial strain and labor challenges. Applications are …

The Keckley Report

Paul KeckleyAffordable Care Act 2.0: New Trends and Issues, New Urgency

“Thursday marks the 13th anniversary of the signing of the Affordable Care Act– perhaps the most consequential healthcare legislation since LBJ’s passage of the Medicare Act in 1965. Except in healthcare circles, it will probably go unnoticed. …

Complicating matters, the political environment today is more complicated than in 2010 when the ACA became law. The economic environment is more challenging: the pandemic, inflation and economic downturn have taken their toll. Intramural tensions in key sectors have spiked as each fights for control and autonomy i.e. primary care vs. specialty medicine, investor-owned vs. not-for-profit hospitals, retail medicine & virtual vs. office-based services, carve-outs, direct contracting et al . Consolidation has widened capabilities and resources distancing big organizations from others. Today’s media attention to healthcare is more sophisticated. Employers are more frustrated. And the public’s confidence in the health system is at an all-time low. …“

Paul Keckley, March 19, 2023

News to Know

  • Registration is now open for the MHA Keystone Center Safe Patient Handling Conference.
  • The MHA is issuing a request for proposal for a $50 million competitive grant program for Michigan healthcare entities to expand access to pediatric inpatient behavioral health services.
  • The MHA Health Foundation will host a four-part webinar series MHA Board Governance Education that outlines the trends affecting current and future strategic plans, techniques for effectively communicating with stakeholders on key issues and ways to build trust, drive engagement and develop relationships.
  • The MHA will host an in-person Human Resources Member Forumat the MHA Headquarters in Okemos from 8:30 a.m. to noon April 26, with a virtual option available as well.
  • The Root Cause Coalition is accepting requests for proposals to present at the 8th Annual National Summit on the Social Determinants of Health Dec. 3-5 in Kansas City.

March 30 Webinar Outlines Considerations for the End of the Public Health Emergency

The Department of Health and Human Services (DHHS) COVID-19 public health emergency expires May 11, 2023, which may significantly decrease the flexibility providers have become accustomed to.

The MHA will host The End of the COVID-19 Public Health Emergency (PHE) and Preparing for the New Regulatory Environment webinar from 4 to 5 p.m. March 30, 2023, providing practical guidance on unwinding reliance on the COVID-19 public health emergency flexibilities. The webinar will identify the steps hospitals should take to prepare for the end of the federal and state public health emergency, review the status of waivers and extensions of PHE-oriented flexibilities and outline how the Michigan Department of Health & Human Services will work with providers in determining which COVID-19 response policies will end, be modified or remain permanently. Experts from Jones Day and the MHA staff will present and answer questions.

Chief executives, financial, medical and nursing executives, legal counsel, patient account and revenue cycle directors, government relations officers, public relations directors and human resources directors are encouraged to register. The webinar is free of charge and open to MHA member organizations only.

Members with questions should contact Brenda Carr at the MHA.

News to Know – March 20, 2023

Changes to Telemedicine Policy Post-COVID-19 Public Health Emergency

The Michigan Department of Health and Human Services (MDHHS) will rescind certain COVID-19 telemedicine flexibilities beginning May 12, 2023, with the conclusion of the federal health public health emergency. Policy MMP 23-10 outlines flexibilities that will remain permanent and which flexibilities will be rescinded. Notable permanent flexibilities include:

  • Reimbursement: The telemedicine reimbursement rate for allowable services will be the same as the in-person reimbursement rate. Providers must report the place of service as they would if they were providing the service in-person.
  • Audio-Only: Audio-only services will be allowed for the procedure codes CPT/HCPCS 99441-99443 and 98955-98968. The MDHHS will create an audio-only database for providers to reference.
  • Prior Authorizations: There are no prior authorization (PA) requirements when providing telemedicine services for fee-for-service beneficiaries or those accessing behavioral health services through prepaid inpatient health plans/community mental health services programs unless the equivalent in-person service requires a PA. The PA requirements for Medicaid health plans (MHP) may vary and providers should refer to individual MHPs for any PA requirements.
  • MSA 20-09 General Telemedicine Policy Changes will be permanent and remain effective with the Facility Rate subsection redacted.
  • MSA 21-24 Asynchronous Telemedicine Services will be permanent and remain effect.

Rescinded telemedicine policies include:

  • MSA 20-13 COVID-19 Response: Telemedicine Policy Expansion.
  • MSA 20-15 COVID-19 Response: Behavioral Health Telepractice; Telephone (Audio Only) Services.
  • MSA 20-34 COVID-19 Response: Telemedicine Reimbursement for Federally Qualified Health Centers.
  • MSA 20-21 COVID-19 Response: Limited Oral Evaluation via Telemedicine.

Members with questions may contact Renée Smiddy at the MHA.