The Michigan Department of Health & Human Services (MDHHS) recent policy for Psychiatric Residential Treatment Facilities (PRTF) went into effect Dec. 1, 2023.
Initially released for comment in May 2023, the MHA provided feedback on the proposed rule to ensure that a final policy adequately captured clinical workflow, while balancing access, service availability, insurance coverage and evidence-based clinical care.
The proposed rule was adopted as written and outlines essential elements of a PRTF program, including:
- Certification and Certificate of Need.
- Provider certification criteria.
- Patient eligibility requirements.
- Service authorization.
- Responsibilities of prepaid inpatient health plans, PRTF and referring providers.
- Provider requirements, including reimbursement and staff education.
- Coverage of out-of-state services.
Members with questions about the PRTF model may contact Lauren LaPine at the MHA.