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MedicaidPrior AuthMedium impact

MSA 17-18

Michigan Medicaid - MDHHS·MI · Speech Therapy, Occupational Therapy, Physical Therapy·Provider Bulletin
Effective date
Jul 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Michigan Medicaid has updated its Speech Generating Device (SGD) policy with new coverage standards, evaluation requirements, and prior authorization processes. The policy defines SGDs as durable medical equipment for severe speech impairments and establishes specific documentation requirements including mandatory trial periods and multi-disciplinary evaluations.

Action Required

Action needed
By July 1, 2017: Billing teams must update prior authorization processes for SGD requests to include mandatory trial periods of at least one month, multi-disciplinary evaluations from SLP, PT/OT, and physician orders. Update documentation requirements to include comprehensive communication assessments and plans of care. Ensure all SGD authorization requests include evaluation of multiple devices from different manufacturers and justification for least costly alternative selection.