OSP News

MDHSS Updates Prior Authorization Policy For Non-routine Therapy For Medicaid Beneficiaries Residing In A Nursing Facility

Posted: 07/17/2023

Effective August 1, 2023, the Michigan Department of Health and Human Services will remove the prior authorization requirement for non-routine therapy services provided to Medicaid beneficiaries residing in a nursing facility within 60 days of admission to the facility.

Providers must obtain PA for all therapy services provided after 60 days. Re-authorizations are required every 60 days. This change only applies to new admissions to a nursing facility.

Click here to view the full article sent out by Blue Cross Complete.

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