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Prior Authorization Update: Behavioral Health Visit Limits

Dear Provider Partners,

Effective January 1, 2026, Meridian Health Plan of Michigan will implement a prior authorization (PA) requirement for behavioral health services after a member’s 24th visit within a benefit period (see table below for details).

Additionally, code 90870 ELEC-CONVULS THERAP; SNGL SEIZURE
will require prior authorization for all providers. 

These changes align with Meridian’s ongoing commitment to ensure members receive appropriate, clinically necessary care while supporting high-quality outcomes.

What This Means for Providers

  • Visits 1-24: No prior authorization is required. Members will continue to have uninterrupted access to behavioral health services during this initial period.
  • After 24 Visits: Providers will be required to obtain prior authorization for additional sessions beyond the 24th visit. This process will confirm that ongoing treatment remains medically necessary and tailored to the member’s individual needs.

Code

Code Description

ARQ Edit

90870

ELEC-CONVULS THERAP; SNGL SEIZURE

Prior authorization required for all providers.

90785

PSYCHOPHYSIOLOGICAL THERAPY

Prior authorization required after 24 visits.

90791

PSYCH DIAGNOSTIC EVALUATION

Prior authorization required after 24 visits.

90792

PSYCH DIAG EVAL W/MED SRVCS

Prior authorization required after 24 visits.

90832

Psytx W Pt 30 Minutes

Prior authorization required after 24 visits.

90834

Psytx W Pt 45 Minutes

Prior authorization required after 24 visits.

90836

Psytx W Pt W E/M 45 Minutes

Prior authorization required after 24 visits.

90837

Psytx W Pt 60 Minutes

Prior authorization required after 24 visits.

90839

Psytx Crisis Initial 60 Min

Prior authorization required after 24 visits.

90840

Psytx Crisis Ea Addl 30 Min

Prior authorization required after 24 visits.

Our commitment to Providers

Meridian values its provider partnerships and is dedicated to ensuring that this process is streamlined and efficient.

  • Providers will receive clear guidance and supporting tools to submit authorization requests quickly.
  • Our goal is to minimize administrative burdens while maintaining access to essential behavioral health services.

Next Steps

Additional resources for submitting authorization requests will be distributed prior to implementation. Please review your current processes to ensure readiness for this change.

Last Updated: 11/25/2025