Medicaid Michigan
Medicaid Michigan is a Medicaid managed-care plan operating in Michigan. For an ASC, what matters isn't the logo. It's how Medicaid Michigan pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
Pilot Analysis
Get the complete Medicaid Michigan analysis
Tell us where to send it. Our team will prepare an analysis of Medicaid Michigan covering rates by code, market position, and underpaid areas, and email it to you within 5-10 business days. Need it faster? Book a demo.
What Insights reveals
How Medicaid Michigan pays
See how Medicaid Michigan reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases. Not a raw rate sheet, a read on where it sits.
Geographic footprint
Medicaid Michigan's presence spans Michigan. See where it concentrates and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for Medicaid Michigan and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive Medicaid Michigan's volume, so you know where a rate change moves the needle.
Whether you're an ASC benchmarking a contract or a provider team looking Medicaid Michigan up, DataLily AI maps how it reimburses across procedures and markets, and where your own rates sit against the peer benchmark.
Reference
Working with Medicaid Michigan
- Payer ID
- D00111 is the EDI identifier used to route electronic eligibility checks (270/271), claim-status inquiries (276/277), and claims to Medicaid Michigan through a clearinghouse.
- Eligibility verification
- Coverage and benefits for Medicaid Michigan members are verified before the date of service, through a clearinghouse using payer ID D00111or through the payer's provider portal.
- Prior authorization
- Requirements are set per plan and per procedure. Confirm whether an authorization is required with Medicaid Michigan directly before the date of service.
Book a demo: pick a time
A 15-minute walkthrough of Medicaid Michigan the way it pays.
- What is Medicaid Michigan's payer ID?
- Medicaid Michigan's electronic payer ID is D00111. ASC billing teams use it to route eligibility checks (270/271), claim-status inquiries (276/277), and electronic claims to Medicaid Michigan through a clearinghouse.
- How do ASCs verify eligibility for Medicaid Michigan members?
- Eligibility and benefits for Medicaid Michigan members are verified before the date of service, either electronically through a clearinghouse (a 270/271 transaction using payer ID D00111) or through the payer's provider portal.
- Does Medicaid Michigan require prior authorization for ASC procedures?
- Prior-authorization requirements for Medicaid Michigan are set per plan and per procedure. Confirm whether an authorization is required with Medicaid Michigan directly before the date of service.
- What type of payer is Medicaid Michigan?
- Medicaid Michigan is a Medicaid managed-care plan operating in Michigan.
- How does Medicaid Michigan compare with other payers for ASC procedures?
- Ask Rose and you get a plain-language read on where Medicaid Michigan pays above or below peer plans for your top procedures, charted, and ending in a recommendation you can take into a contract conversation.
- Is Medicaid Michigan paying my ASC below market?
- Put your own Medicaid Michigan contract next to the peer benchmark in DataLily AI and you'll see the gap by procedure and market, the fastest way to know whether you're leaving money on the table.