MSA-0732. Private Duty Nursing Prior Approval - Request - michigan-2025

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To qualify for Medicaid in Michigan, your household income must be at or below 133% of the federal poverty level. Todays income limits for Michigan Medicaid are roughly $20,800 for an individual, $28,000 for a couple, or $42,800 for a family of four.
A prior authorization RN is a registered nurse who assesses applications for specific treatments, medical procedures, and medications. In this job, you review each request for medical coverage and determine the necessity or potential benefits of the treatment or medicine.
What to bring to your DHS appointment Proof of Income. Pay Stub(s) from the last 30 days. Bank Statement from the last 30 days. Social Security awards letter. Tax Return. Unemployment letter. Social Security Number. Identification. Drivers License. State ID. Proof of Address. ID with current address. Utility Bill.
Some services and procedures require prior authorization. Referrals and prior authorizations must be obtained prior to services being rendered.
States have authority over prior authorization practices in Medicaid and can implement prior authorization regulations that are stricter than federal requirements (Medicaid Health Plans of America (MHPA) 2023). Medicaid statute provides authority for utilization review in Medicaid ( 1902(a)(30) of the Act).
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