Effective Oct. 1, the Michigan Department of Health and Human Services (MDHHS) will transition the telephone prior authorization process from Admissions and Certification Review (ACRC) to the MDHHS Program Review Division. This applies for the following services:
- Prior Authorization Certification Evaluation Review (PACER).
- Ventilator-dependent care units.
- Long-term acute care hospitals.
- Distinct part rehab units.
- Freestanding rehabilitation hospitals.
- Durable medical equipment and supplies, limited to: Enteral/parenteral nutrition/supplies, negative pressure wound therapy, home infusion therapy and home uterine activity monitors.
These changes only apply to Medicaid and Children’s Special Health Care Services fee-for-service. On and after Oct. 1, 2023, members are urged to use 1-844-PACERMI (1-844-722-3764) to request authorizations of the above services. All policy standards of coverage, telephone prior authorization processes and documentation requirements remain unchanged.
Members are able to refer to Medicaid Letter L-23-55 for more details. Members with questions may contact Kelsey Ostergren at the MHA.