MMP 23-65: Policy Updates for the Children with Serious Emotional Disturbances Waiver (SEDW)

By January 1, 2024: Billing teams serving Michigan Medicaid patients under SEDW must update billing systems to include Fiscal Intermediary services as covered and remove Transitional Services from covered service arrays. Update prior authorization workflows to reflect PIHPs as the responsible managed care entities for service delivery coordination. Review patient eligibility criteria and ensure documentation meets updated functional assessment requirements using CAFAS, PECFAS, or DECA Clinical Version scales.