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06/08/2022

Meridian Medicaid Removes Prior Authorization Requirements for Cancer Patients!

Direct Result of the Passing of SB 412 - Open Access to Cancer Medication

Senate Bill 412, introduced by Senator Curtis Hertel, amends the Social Welfare Act to exempt additional drugs, including cancer drugs, from the current prior authorization requirement under Medicaid.  

This bipartisan legislation codifies an annual budget boilerplate item that supporters have fought for every year in the budget process since 2016 but takes it a step further by including cancer drugs, which the budget language has not historically included.  MSHO and ASCO have both supported this bill.

MSHO applauds the Governor for signing this bill into law which will ensure that the most vulnerable patients don’t wait a moment longer to access the lifesaving care they need to survive.  There have been several bills passed this year which will help our patients!  Little by little we are getting things done. 

 

Below is an excerpt from the Meridian Policy Update:

Dear Providers,

We are notifying you of an important change to the Medicaid prior authorization (PA) requirements. In accordance with Michigan Legislation, effective June 8, Meridian will no longer require prior authorization for the cancer related codes listed below for members with a cancer diagnosis.
You can access the most up to date PA requirements HERE.

If you have any questions, please call Meridian’s Provider Services at 888-773-2647 or your Provider Network Management Representative.

Sincerely, Meridian

 

To view this announcement and see the long list of drugs, CLICK HERE

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