New Prescription Drug Prior Authorization Form Coming July 1

June 29, 2016  //  FOUND IN: Updates & Resources

Please be advised that if you are involved in submitting prior authorization requests for prescription drugs, a new Michigan law will impact your workflow.

Starting July 1, the use of a new standardized Prior Authorization Paper Request Form for Prescription Drugs will be required.  This law was enacted to streamline the prior authorization process by reducing the variety of prior authorization forms that need to be filled out. It is important to note that this law does not impact prior authorizations that are submitted through internet web portals or platforms, such as Cover My Meds.

What Is It?

The new form is a standardized two-page prior authorization form (FIS 2288) that needs to be filled out when submitting a prior authorization via paper form.

In addition to the two-page form, third party payors (including the University of Michigan Prescription Drug Plan) may also require additional pages that are specific to the drug for which the prior authorization is being submitted. Refer to the third party payor website for drug-specific requirements.

This form will be electronically available and transmissible (e.g., available on third party payor websites and transmissible by fax or similar device).

Please note: This paper form does not apply if the insurer uses an internet-based methodology (i.e., electronically submitted PAs through Cover My Meds or similar platform).

Which Patients Does This Impact?

This law impacts patients who have Michigan-based third party payor plans for their prescription drug coverage.

As a Michigan state law, this does not impact patients on:

  • Medicare Part B and D plans
  • Federal Employee Health Programs
  • Other federally sponsored prescription drug coverage plans
  • Out of state-based third party payor plans

Where to Find the Michigan Prior Authorization Request Form

https://www.michigan.gov/documents/difs/FIS_2288_501398_7.pdf

Please note that additional information may be required depending on the insurer.

For the University of Michigan Prescription Drug Plan

For members of the U-M Prescription Drug Plan, drug-specific information must be included with the new standard prior authorization form. There are ways to obtain the standard form with drug-specific additional questions:

For more information regarding this new law, please contact the Michigan Department of Insurance and Financial Services at 877-999-6442.

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