Reminder: Prior authorization changes start June 1

Michigan’s prior authorization law requirements** go into effect on June 1, 2023. These requirements apply to Michigan health care plans and providers whose members or patients have commercial coverage.

One of the requirements of the law is that providers must submit prior authorization requests electronically. If providers can’t submit requests electronically due to temporary technical problems, such as power or internet outages, they can submit via alternate methods, such as phone or fax. For alternate submission methods, see the appropriate page of our ereferrals.bcbsm.com website.

The law also requires health care plans to:

• Provide a list of services that require prior authorization and the clinical criteria used to make determinations on prior authorization requests. On June 1, this information will be available at bcbsm.com/priorauth.

• Make determinations on standard (non-urgent) preservice prior authorization requests within nine days of receiving a request. We’ll do this starting June 1.

We’re updating other communications to reflect these changes.

We previously communicated this information and more about the requirements of the law in our provider newsletters and in the provider alert titled “Update: Prior authorization changes coming in June.”

**Blue Cross Blue Shield of Michigan doesn’t own or control this website.