Request for Retrospective PACER Review

PACER (Prior Authorization Certification, Evaluation and Review) is a telephonic review. MPRO assists the state in meeting its objective of assuring the admissions of Medicaid patients are:

• Medically necessary and to the appropriate setting
• Transfer to another facility is necessary in order to provide acute care services that are not available at the first facility
• Readmission within 15 days that is medically necessary, that is not a continuation of care from the first admit, and is not related to the prior admission
• Initial and continued stay of rehabilitation patients is medically necessary and appropriate

Download Request for PACER Review Form (PDF)

Resources

Medicaid Provider manual

Michigan Medicaid Provider Manual addresses all health insurance programs administered by the Michigan Department of Community Health (MDCH).

MDCH Medicaid Providers

The MDCH Web site is a complete source of health information for Medicaid providers in the state of Michigan.