Referrals/Requests for Preauthorization

referral request

 

Effective September 1, 2018: McLaren Health Plan (MHP) will no longer require preauthorization for Routine Prenatal Care for services provided by in-network or out-of- network providers. This applies only to our Medicaid and Healthy Michigan members only. For Health Advantage and Commercial members please refer to the preauthorization grid for further details.

https://www.mclaren.org/Uploads/Public/Documents/HealthPlan/documents/MHP%20Documents/referral_catagories.pdf

Effective September 1, 2018: McLaren Health Plan (MHP) will no longer require preauthorization for Hearing Aids and Supplies for in-network providers, this applies only to our Medicaid and Healthy Michigan members. Services that are beyond the benefit limits set by MDHHS will require medical necessity review and preauthorization. For Health Advantage and Commercial members, please refer to the preauthorization grid for further information.

https://www.mclaren.org/Uploads/Public/Documents/HealthPlan/documents/MHP%20Documents/referral_catagories.pdf

Effective October 1, 2018: McLaren Health Plan (MHP) is implementing the benefit limit of 36 visits per discipline of Physical Therapy, Occupational Therapy, and Speech Therapy per calendar year. We do not require preauthorization for those visits that are included within the 36 visit benefit limit for in-network providers. This applies only to our Medicaid and Healthy Michigan members. Visits beyond the benefit limit will require preauthorization and medical necessity review.

If you have any further questions, please contact your Network Development Coordinator at (888) 327-0671.

McLaren Health Plan thanks you for the quality care you deliver!