Advocacy





                                                                                                                                                                                                                                                            


Upcoming BCBS Policy Changes Impacting Billing — Your Input Matters! Please Complete the Survey

Blue Cross Blue Shield (BCBS) of Michigan recently published a document indicating they will not allow incident-to billing as of March 1, 2027 (Select this link to view BCBS's announcement).  MSHA, along with many private practice owners, have reached out to BCBS for more information regarding this policy change.  MSHA received a response this week that this policy change will impact the ability to bill for a CF under their supervisor's NPI.  We are gathering information as quickly as possible and working with any and all practices and ASHA to revise this policy, as we all know this will be detrimental to services in the State of Michigan.  Please complete this anonymous Incident-to Billing Survey to assist with our advocacy efforts.  

                                                                                                                                                                                                                                                          



Updated to Medicaid Policy to Remove the CCC Requirement Effective November 1, 2024

MSHA received word that effective November 1, 2024, MDHHS is updating Medicaid policy to remove the CCC requirement for SLPs across settings. Please reach out to MSHA at info@mislha.org with any questions.

Click here to access the MDHHS bulletin.

                                                                                                                                                                                                                   
 

MSHA and ASHA Secure 23% Rate Increase for Speech-Language Pathology Codes in 2025

Advocacy Win! As a result of ASHA and Michigan Speech Language Hearing Association (MSHA) advocacy, the Michigan legislature appropriated a $5.5 million increase for speech-language pathology codes in 2025, resulting in a 23% rate increase across all codes for which we requested increases. The payment increase will apply to services provided in private practices, nursing facilities, or outpatient facilities (including hospitals, rehabilitation agencies, and CORFs/CARFs).

ASHA Advocacy worked closely with Michigan’s State Advocate for Reimbursement, Julie Pratt, and MSHA’s state level lobbyist to demonstrate the need for this increase through an ASHA/MSHA survey of Michigan-based ASHA members regarding reimbursement trends and payment challenges. We met with Michigan legislature representatives and staff from Michigan’s Department of Health and Human Services (MDHHS)— relationships fostered from previous ASHA Payer Summits and many meetings—to smoothly facilitate this victory. We anticipate and appreciate continued collaboration from MDHHS through the implementation phase.

                                                                                                                                                                                                                   



To sign up for MDHHS email updates please click here
 

Have questions? Please reach out to MSHA at info@mislha.org for assistance!