MedicaidPrior AuthMedium impact
MSA 16-16
Michigan Medicaid - MDHHS·MI · Emergency Medicine·Provider Bulletin
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Summary
Michigan Medicaid has updated prior authorization requirements for ambulance services, requiring specific documentation including medical necessity justification and proof that other transportation means are inadequate. Air ambulance providers must now submit additional licensing documentation for Medicaid enrollment.
Action Required
Before July 1, 2016: Ambulance providers must update prior authorization request procedures to include beneficiary Medicaid ID, diagnosis, pickup/destination points, medical necessity explanation, and justification for why other transportation cannot be used. Billing team must ensure PA numbers are entered on all claims before submission. Air ambulance providers must submit state aircraft operations licenses and CAMTS accreditation with enrollment applications.