MedicaidCoverageMedium impact
MMP 25-10: Revisions to Psychiatric Residential Treatment Facility (PRTF) Policy
Michigan Medicaid - MDHHS·MI · Psychiatry, Pediatrics·Medical Policy
Effective date
May 1, 2025
We identified it
Jun 20, 2026
Summary
MMP 25-10 revises the Psychiatric Residential Treatment Facility (PRTF) policy for youth under 21, updating provider certification criteria, eligibility requirements, and service authorization processes. This supersedes previous bulletins MMP 23-39 and MMP 23-69 and affects Medicaid, Healthy Michigan Plan, and MI Choice programs.
Action Required
Before May 1, 2025: Billing teams serving youth under 21 for psychiatric residential treatment must review updated PRTF eligibility criteria and ensure proper authorization through PIHPs/CMHSPs before admission. Update billing workflows to verify medical clearance documentation and primary mental health diagnosis requirements. Coordinate with PIHPs for service authorization entry into CHAMPS system.