The Michigan Department of Health and Human Services (MDHHS) has provided the following clarification regarding neuropsychiatric testing in Medicaid Policy Bulletin 24-30 issued on August 30, 2024. 

• Medicaid Health Plan will provide coverage and reimbursement for screenings provided by a Primary Care Physician. 
• The Prepaid Inpatient Health Plan is responsible for testing, assessment and/or evaluation for behavioral health diagnoses. If results of the completed testing, assessment and/or evaluation do not determine the need for specialty behavioral health services for serious emotional disturbance or intellectual/developmental disabilities, such as autism, the member should be referred back to the PCP for treatment or subsequent referral to the appropriate practitioner in the MHP network. 
• Blue Cross Complete will continue to provide coverage and reimbursement for neuropsychiatric testing required for medical diagnoses. These services require prior authorization by Blue Cross Complete. 

For full details, review Bulletin 24-30. As a reminder, when you do need to verify whether a service requires prior authorization, use the Prior Authorization Lookup Tool at mibluecrosscomplete.com. Please remember, the results of this tool are not a guarantee of coverage or authorization. 

If you have any questions, contact your Blue Cross Complete provider account executive or the Blue Cross Complete Provider Inquiry at 1-888-312-5713.