MedicaidPrior AuthMedium impact
MMP 24-06: Telemedicine Authorized Provider Policy Update
Michigan Medicaid - MDHHS·MI·Telehealth
Effective date
Apr 1, 2024
We identified it
Jun 20, 2026
Summary
Michigan Medicaid clarifies telemedicine provider authorization rules, requiring out-of-state providers to obtain prior authorization unless they meet specific exceptions like PSYPACT certification. Virtual-only providers must use specific Place of Service codes (02 or 10) with appropriate modifiers.
Action Required
By April 1, 2024: Billing team must verify all out-of-state telemedicine providers have prior authorization before submitting claims. Update billing system to require Place of Service codes 02 or 10 with appropriate modifiers for all virtual-only provider claims. Verify PSYPACT certification for psychology providers to determine if prior auth is needed.