Nursing Facility Bed Isolation Exception Request Update

The Michigan Department of Health and Human Services (MDHHS) released policy MMP 24-03, effective April 1, 2024, to introduce a new form and process for nursing facilities to request approval for Medicaid residents to temporarily reside in a non-Medicaid-certified bed due to isolation needs.

MDHHS requires a Medicaid beneficiary to reside in a Medicaid-certified bed for a provider to receive reimbursement. The MDHHS Long-Term Care Operations section may provide a written exception to this policy in cases where a Medicaid resident needs to be in a private room because they require isolation due to an infection or illness, but no Medicaid-certified private rooms are available. This exception is provided to allow the resident to reside in a non-Medicaid-certified bed on a short-term, temporary basis.

Skilled nursing facilities in need of isolating a Medicaid resident in a private room using a non-Medicaid-certified bed may complete the MSA-0832 – NF Bed Isolation Form Request and submit an encrypted request to [email protected]. SNFs unable to encrypt the information may fax the form to (517) 241-0066.

The MSA-0832 form must be submitted within five business days of the return of the isolated individual to their dually certified Medicaid Bed. When submitting the MSA-0832 form, you must include the physicians’ orders or other relevant documentation to substantiate the need for isolation.