MedicaidPrior AuthHigh impact
MMP 26-02: Update to the Fee-for-Service Prior Authorization Process
Michigan Medicaid - MDHHS·MI·Prior Authorization
Effective date
Mar 22, 2026
We identified it
Jun 16, 2026
Summary
Michigan Medicaid is implementing new prior authorization timeframes effective March 22, 2026: standard PA decisions within 7 calendar days, expedited PA decisions within 72 hours. Updated PA forms and CHAMPS system fields will be required starting the effective date.
Action Required
By March 22, 2026: Billing team must use updated PA request forms available on the Medicaid Provider Forms website. Submit PA requests via direct data entry in updated CHAMPS system. Update workflow to accommodate new timeframes: standard PA decisions within 7 days, expedited PA within 72 hours. Train staff on expedited PA criteria for services within 10 days that pose serious health risks or prevent hospital discharge.