MedicaidPrior AuthHigh impact
MSA 20-80
Michigan Medicaid - MDHHS·MI · Genetics, Pathology·Provider Bulletin
Effective date
Feb 1, 2021
We identified it
Jun 20, 2026
Summary
Michigan Medicaid now requires prior authorization for genetic and molecular laboratory tests using new form MSA-2081, which must be submitted within 30 days of specimen collection. Specimen processing cannot begin until authorization is approved, and specific clinical documentation requirements must be met.
Action Required
By February 1, 2021: Billing team must implement new prior authorization workflow for all genetic and molecular lab tests for Michigan Medicaid patients. Download form MSA-2081 from MDHHS website and establish process to submit authorization requests within 30 days of specimen collection via CHAMPS system. Train providers on new documentation requirements including test indication, clinical notes, family history, and treatment plan changes. Update lab ordering workflow to halt specimen processing until authorization approval is received. Claims will be denied without proper authorization.