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BAM 402 14 of 20 MA BENEFITS BPB 2021-026 10-1-2021
BRIDGES ADMINISTRATIVE MANUAL STATE OF MICHIGAN DEPARTMENT OF HEALTH & HUMAN SERVICES
Provider Inquiry 400 S. Pine Street PO Box 30239 Lansing, MI 48909-7979 Providers may call: 1-800-292-2550 Claims Medicaid will pay non-enrolled Michigan and borderland providers for: • Emergency services, and • Nonemergency services with prior approval. The following occurs when non-emergency services claims are submitted by a non-enrolled provider: • The miscellaneous transactions unit will process the claim and send a letter to the provider with a Medical Assistance Provider Enrollment/Trading Partner Agreement form. • If the provider elects not to complete the Medical Assistance Provider Enrollment/Trading Partner Agreement form, the claim will not be paid. Reimbursement for services not paid by Medicaid is between the beneficiary and the provider. The provider must notify the beneficiary prior to rendering the service that it is not covered by Medicaid. Borderland providers who are not enrolled and all beyond border- land providers should submit claims to: Michigan Department of Health and Human Services Provider Enrollment Medicaid Payments PO Box 30238 Lansing, MI 48909