1. Program Definition and Services 

Specialized medical equipment in Michigan includes items or sets of items that enable individuals to increase their ability to perform activities of daily living (ADLs) with greater independence. These items are not available through other Medicaid coverage or insurance and must be specified in the individual's plan of service. Examples include adaptations to vehicles, communication devices, and special personal care items accommodating disabilities 

2. Regulations 

Key regulations governing specialized medical equipment include: 

• Michigan Medicaid Regulations: Services must comply with Medicaid standards for reimbursement. 

• Medicaid Policy Bulletins: Detail specific requirements for specialized medical equipment, including prior authorization and documentation 

• HCPCS Codes: Specific codes like T2028 and T2029 are used for billing specialized supplies and equipment 

3. Licensing or Certification 

To operate as a provider of specialized medical equipment, you typically need to be enrolled as a Medicaid provider and comply with DMEPOS (Durable Medical Equipment, Prosthetics, Orthotics, and Supplies) standards. For complex rehabilitation technology (CRT) equipment, providers must be specifically enrolled as CRT providers and accredited by a Medicare-approved organization 

4. Responsible State Agency 

The Michigan Department of Health and Human Services (MDHHS) is responsible for overseeing Medicaid-funded services, including specialized medical equipment. 

5. Application Process 

The application process involves enrolling as a Medicaid provider through the CHAMPS (Community Health Automated Medicaid Processing System) online platform. For CRT providers, additional accreditation and enrollment steps are required 

6. Required Documentation 

• Business Registration Documents: Proof of business registration in Michigan. 

• Insurance and Liability Coverage: Proof of adequate insurance coverage. 

• Staff Qualifications: Documentation of staff qualifications, including training records. 

• Medicaid Enrollment Forms: Completed forms for Medicaid provider enrollment. 

• Accreditation for CRT Providers: Proof of accreditation by a Medicare-approved organization. 

• Prior Authorization Forms: Completed prior authorization forms for specific equipment 

7. Timeline for Approval 

The approval timeline varies depending on the completeness of the application and specific requirements. Generally, it can take several weeks to a few months. 

8. Pre-Application Process 

There is no specific pre-license application process, but potential providers should familiarize themselves with state regulations and requirements before applying. 

9. Pre-Application Training 

While not explicitly mandated as a pre-application requirement, providers must ensure their staff are trained in the proper use and maintenance of specialized medical equipment. 

10. Additional Notes 

• Prior Authorization: Required for delivery of specialized equipment 

• Documentation of Delivery: Providers must maintain records of delivery, including proof of education on equipment use 

• Compliance with DMEPOS Standards: Providers must adhere to federal and state standards for DMEPOS