April 12, 2022
From Priority Health:
In accordance with the Michigan Department of Health and Human Services (MDHHS), we’ll reject claims when the referring, ordering or attending providers don’t align with bulletin MSA 21-45 for dates of service 1/1/2022 and after.
How to make sure these claims are paid
Make sure the National Provider Identifier (NPI) reported on the claim is of a provider type consistent with current licensing, scope of practice and Medicaid policy criteria.
Reference these tip sheets when filing claims:
We’ve posted a news item to our Provider Manual with more details.