Temporary Changes for Submitting Prior Authorizations
Because of the recent COVID-19 outbreak, MDHHS is instituting some temporary changes in how to submit prior authorization (PA) requests to their office.
Because of the recent COVID-19 outbreak, we are instituting some temporary changes in how to submit prior authorization (PA) requests to our office. These changes will be effective through 30 days from the end of the emergency declaration or the first of the month, whichever is later.
Effectively immediately, we ask that you submit your requests electronically through the CHAMPS system to help minimize delays in authorization. Our analysts will review the requests electronically, and determination letters will be available in CHAMPS for providers to access through Archived Documents by tracking number or beneficiary ID.
For electronic submissions, all supporting documentation, the Prior Authorization Request Form, and signatures required (as outlined in the Michigan Medicaid Provider Manual chapter correlating with the program area for services being requested) must be uploaded in CHAMPS via the Additional Documentation section. Please avoid faxing documents if you can.
If you are unable to upload the supporting documentation to your electronic request, you may fax the supporting documents using only the fax cover sheet that is generated by CHAMPS when the fax option is chosen in the Additional Document section. In this case, please make a notation in your procedure code comments that supporting documentation has been faxed.
Please avoid faxing or mailing PA requests if you can. We realize in isolated situations there may be a need to submit a request via fax.
- During this period of time only, dental providers without digital radiography may submit requests without film
- Dental providers with digital radiography should continue to submit digital radiographs through direct upload or upload of paper copies.
- Only one PA request for one beneficiary should be faxed at a time, please do not include more than one request per fax.
Providers can find instructions on how to submit Prior Authorizations in CHAMPS at www.Michigan.gov/MedicaidProviders click on CHAMPS, select Prior Authorization or click here. Questions, regarding how to submit requests electronically and/or how to access *Archived Documents in CHAMPS, should be directed to the Provider Support Hotline at 1-800-292-2550 or by email ProviderSupport@Michigan.gov.
Please be aware that faxing or mailing may result in a delay authorization of your request.
Please forward this notification to the appropriate clinicians and staff who process your prior authorization requests.
We appreciate your patience and understanding. Once this crisis is over, normal processing and requirements will resume.