MedicaidPrior AuthMedium impact
MMP 23-60: Asynchronous Telemedicine: Interprofessional Telephone / Internet / Electronic Health Record Consultations (eConsults), Updated Requirements
Michigan Medicaid - MDHHS·MI·Telehealth
Effective date
Dec 1, 2023
We identified it
Jun 20, 2026
Summary
Michigan Medicaid updated requirements for asynchronous telemedicine consultations (eConsults) where providers request specialty opinions without patient face-to-face contact. Cross-state consultations now require prior authorization, and specific documentation requirements must be met including written reports from consulting providers.
Action Required
Before December 1, 2023: Billing team must implement prior authorization requirements for all interprofessional consultations that cross state lines for Michigan Medicaid patients. Update provider workflows to ensure documentation includes date of service, provider name, nature/extent of service, place of service, and written consultation reports. Train providers on AMA coding guidelines for eConsult services and ensure they do not bill when communication is solely for care transfers.