Issued: January 24, 2024

Effective Feb. 18, 2024, a prior authorization will be required for Medicaid Direct Peer Support Services. State-funded Peer Support Services will remain unmanaged with no prior approval required.

What is changing?
A Notification Service Authorization Request (SAR) is required for members who receive 24 units or less per fiscal year. No clinical documentation is required for a Notification SAR. For members receiving over 24 units per fiscal year, providers must submit a SAR for medical necessity review.

Below is a list of services to which this change applies.

Who can providers contact with questions?
If they have questions, providers can email UMQuestions@PartnersBHM.org.