MedicaidCoverageMedium impact
MMP 23-62: Policy Updates to Behavior Treatment Review
Michigan Medicaid - MDHHS·MI · Psychiatry·Medical Policy
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated Behavior Treatment Plan Review requirements effective January 1, 2024. Key changes include allowing additional non-voting consultants on review committees, expanding coverage to include beneficiaries with serious mental illness/emotional disturbance, and defining prohibited treatment techniques that will be automatically disapproved.
Action Required
By January 1, 2024: Behavioral health providers must update Behavior Treatment Plan Review Committee procedures to include new member requirements and coverage criteria. Update documentation templates to reflect that beneficiaries with serious mental illness/emotional disturbance are now covered. Ensure staff are trained on prohibited techniques that will be automatically disapproved (physical management, law enforcement involvement in non-emergent situations, aversive techniques, prohibited restraint/seclusion).