Michigan
highVision
Run Date and Time
Mar 04, 2026
12s
Run Metrics
Fee Schedule Impacts
Run summary
Run: 94500c4e-9c19-4e0d-8669-c733bb18d32d Status: ok Started: 2026-03-04T04:09:36.074557+00:00 Finished: 2026-03-04T04:09:48.748606+00:00 Source: Michigan Department of Health and Human Services Hub: vision IMPORTANT HISTORICAL DISCOVERIES NEW_DOC (Historical) - 1 - Effective 2023-10-03 - The document provides updated Medicaid reimbursement rates for various vision and care services, effective October 3, 2023. It includes specific HCPCS codes and associated fees for both facility and non-facility settings. (LLM: high) URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/July-2023-DBs/Vision-072023_Revised-10032023-PDF.pdf?rev=b3029821b73c4f1a91b0377a1d92de3d OTHER NEW_DOC (Unknown date) - 9 - The document provides updated Medicaid reimbursement rates for various vision and home/residential visit services effective October 2023, with revisions noted for January 2024. It includes specific HCPCS codes and associated fees for both non-facility and facility settings. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/October-2023-DBs/Vision-102023-PDF.pdf?rev=ca5c8d268bb542ea9adb36a69a74cd52 - The document provides updated Medicaid reimbursement rates for various vision-related HCPCS codes, including procedures like foreign body removal from the eye and cataract surgery. Both non-facility and facility fees are listed, indicating potential changes in reimbursement amounts. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/October-2023-DBs/Vision-102023-XLSX.xlsx?rev=26fd6b76c0ee4dfcb0277195f9babdee - The document is a new fee schedule for vision services by the Michigan Department of Health and Human Services, effective January 2026. It includes specific CPT codes and associated rates for various procedures. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/January-2026-DBs/Vision_012026.xlsx?rev=906e4eb595214e198c1cf5eda6280271 - The document provides a new fee schedule for vision services by the Michigan Department of Health and Human Services, effective January 2024. It includes specific CPT codes, descriptions, and both non-facility and facility fees. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/January-2024-DBs/Vision_012024.xlsx?rev=73e134beeb86484d953b8bd89a240d23 - The document provides updated Medicaid reimbursement rates for various vision and telehealth services, effective January 2023. It includes specific HCPCS codes and associated fees for both facility and non-facility settings. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/January-2023-DBs/Vision-012023-PDF.pdf?rev=c931bfc8a15745d3a921cde33e9a7ca9 - The document provides instructions for interpreting the Michigan Medicaid database, including data elements like HCPCS codes and modifiers. It mentions formats for accessing the database but lacks specific rate or policy changes. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Folder1/Folder21/Database_instructions_-_vision.pdf?rev=6baf20ee4b1f4cc1aa9130b3320c888e - The document provides updated Medicaid reimbursement rates for various vision-related HCPCS codes, including procedures like foreign body removal from the eye and cataract surgeries. Rates are specified for both facility and non-facility settings. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/July-2023-DBs/Vision-072023_Revised-10032023-XLSX.xlsx?rev=0c4eb9087c8d4361a9f977ddba9ab29a - The document provides updated Medicaid reimbursement rates for various vision-related HCPCS codes, including procedures like foreign body removal from the eye and cataract surgeries. Rates are specified for both facility and non-facility settings. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/January-2023-DBs/Vision-012023-XLSX.xlsx?rev=c15558949ca9440a9afa9ebab970a986 - The document is a revised fee schedule for vision services by the Michigan Department of Health and Human Services, effective January 2025. It includes specific CPT codes and associated fees for various procedures, such as cataract surgery and lens extraction. URL: https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Assistance-Programs/Medicaid-BPHASA/January-2025-DBs/Vision_012025.xlsx?rev=45c5f786a59947ea90644767ae386d75
High Impact (7)
Vision-012023-XLSX.xlsx
The document provides updated Medicaid reimbursement rates for various vision-related HCPCS codes, including procedures like foreign body removal from the eye and cataract surgeries. Rates are specified for both facility and non-facility settings.
Highlights
- •Updated rates for vision-related HCPCS codes.
- •Includes procedures like foreign body removal and cataract surgeries.
- •Rates provided for facility and non-facility settings.
Reason
The document contains specific numeric rate changes for vision-related procedures, impacting reimbursement immediately.
Watch items
Vision-072023_Revised 10032023-XLSX.xlsx
The document provides updated Medicaid reimbursement rates for various vision-related HCPCS codes, including procedures like foreign body removal from the eye and cataract surgeries. Rates are specified for both facility and non-facility settings.
Highlights
- •Updated rates for vision-related HCPCS codes.
- •Includes procedures like foreign body removal and cataract surgeries.
- •Rates provided for both facility and non-facility settings.
Reason
The document contains specific numeric rate changes for vision-related procedures, impacting reimbursement immediately.
Watch items
Vision-072023_Revised 10032023-PDF.pdf
The document provides updated Medicaid reimbursement rates for various vision and care services, effective October 3, 2023. It includes specific HCPCS codes and associated fees for both facility and non-facility settings.
Highlights
- •Updated rates for vision services effective 10/03/2023.
- •Includes HCPCS codes like 65205, 65220, 66821, and more.
- •Lists non-facility and facility fees for each service.
- •Covers services such as foreign body removal, corneal treatment, and cataract surgery.
- •Includes home/residential visit codes with specific fees.
Reason
The document contains specific rate changes effective immediately, impacting reimbursement.
Watch items
Vision-102023-XLSX.xlsx
The document provides updated Medicaid reimbursement rates for various vision-related HCPCS codes, including procedures like foreign body removal from the eye and cataract surgery. Both non-facility and facility fees are listed, indicating potential changes in reimbursement amounts.
Highlights
- •Updated rates for vision-related HCPCS codes.
- •Includes procedures like foreign body removal and cataract surgery.
- •Lists both non-facility and facility fees.
- •Potential changes in reimbursement amounts.
Reason
The document contains specific numeric rate changes for vision-related procedures, impacting reimbursement.
Watch items
Vision-102023-PDF.pdf
The document provides updated Medicaid reimbursement rates for various vision and home/residential visit services effective October 2023, with revisions noted for January 2024. It includes specific HCPCS codes and associated fees for both non-facility and facility settings.
Highlights
- •Updated rates for vision services effective October 2023.
- •Revisions noted for January 2024.
- •Includes HCPCS codes like 65205, 66821, 99341, and 99441.
- •Details non-facility and facility fees.
- •Covers services such as foreign body removal and home visits.
Reason
The document contains specific reimbursement rate changes effective soon, impacting billing and policy.
Watch items
Vision-012023-PDF.pdf
The document provides updated Medicaid reimbursement rates for various vision and telehealth services, effective January 2023. It includes specific HCPCS codes and associated fees for both facility and non-facility settings.
Highlights
- •Updated rates for vision services effective January 2023.
- •Includes HCPCS codes like 65205, 65220, 65430, and more.
- •Telehealth service rates updated, including codes 99441, 99442, 99443.
- •Facility and non-facility fees are specified.
- •Document is current and impacts reimbursement.
Reason
The document contains specific rate changes effective January 2023, impacting reimbursement.
Watch items
Vision_012024.xlsx
The document provides a new fee schedule for vision services by the Michigan Department of Health and Human Services, effective January 2024. It includes specific CPT codes, descriptions, and both non-facility and facility fees.
Highlights
- •New fee schedule for vision services effective January 2024.
- •Includes CPT codes and descriptions for various procedures.
- •Lists non-facility and facility fees for each procedure.
- •Covers procedures like foreign body removal, corneal treatment, and lens extraction.
Reason
The document contains specific rate changes and effective dates that impact reimbursement, effective soon.
Watch items
Medium Impact (2)
Vision_012025.xlsx
The document is a revised fee schedule for vision services by the Michigan Department of Health and Human Services, effective January 2025. It includes specific CPT codes and associated fees for various procedures, such as cataract surgery and lens extraction.
Highlights
- •Revised vision services fee schedule for January 2025.
- •Includes CPT codes and fees for procedures like cataract surgery.
- •Effective date: January 2025, revised on 02/19/2025.
- •Providers should refer to the Medicaid provider manual for coverage details.
Reason
The document is current and includes specific fee updates, but the effective date is not imminent.
Watch items
Vision_012026.xlsx
The document is a new fee schedule for vision services by the Michigan Department of Health and Human Services, effective January 2026. It includes specific CPT codes and associated rates for various procedures.
Highlights
- •New vision services fee schedule for January 2026.
- •Includes CPT codes and rates for procedures like cataract surgery.
- •Rates for procedures such as 'removal of lens material' and 'extraction of lens' are specified.
- •Providers are advised to refer to the Medicaid provider manual for coverage details.
Reason
The document is future-dated to January 2026, indicating upcoming changes but not immediately urgent.
Watch items
Low Impact (1)
Database_instructions_-_vision.pdf
The document provides instructions for interpreting the Michigan Medicaid database, including data elements like HCPCS codes and modifiers. It mentions formats for accessing the database but lacks specific rate or policy changes.
Highlights
- •Database instructions for Michigan Medicaid.
- •Includes HCPCS codes and modifiers.
- •Formats: PDF and Excel for data access.
- •No specific rate or policy changes noted.
Reason
The document lacks specific rate or policy changes and appears to be instructional rather than urgent.