Michigan prior authorization laws (2026)
General reference compiled from public statutes and the AMA state-law chart. This is not legal advice. Statutes change; confirm the current law before relying on it.
Decision deadlines
Prior authorization (State-regulated health plans)
Standard decision: 7 days. Expedited: 72 hours.
Michigan MCL § 500.2212c (SB 247, 2022) · sourceGold-card law
Providers with a strong approval history may be exempted from prior authorization for qualifying services. Prescription drugs are included. Confirm current eligibility with the payer.
Michigan SB 247 (2021) · sourceFrequently asked questions
How long does an insurer have to decide a prior authorization in Michigan?
Under Michigan MCL § 500.2212c (SB 247, 2022), a standard prior authorization decision is generally due within 7 days, and an expedited decision within 72 hours. Confirm the current statute, as timeframes vary by plan type.
Does Michigan have a gold-card prior authorization law?
Yes. Michigan has a gold-card law (Michigan SB 247 (2021)) that can exempt providers with a strong approval history from prior authorization for qualifying services. Confirm current eligibility thresholds with the payer.
Other states
Track these rules automatically
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