State playbook

Michigan

State insurers, legislation, and appeal resources for patients and advocates in Michigan.

4 guides

Beginner guide for Michigan—HealthCare.gov Marketplace, DIFS PRIRA external review, PA deadlines, and what to open next.

MCL 500.2212e—7-day/72-hour PA, deemed granted if late, electronic PA, 60-day validity, specialty-matched appeals.

PRIRA internal grievance—30/60-day carrier review, late decision exhaustion, path to DIFS § 550.1911.

Binding Director order—IRO review, 127-day filing, 14-day standard, 72-hour expedited, MCL 550.1911–1913.

Prior auth & internal appeals

Match the plan on the member ID card. Use the denial letter for where to file appeals.

After internal appeal, for eligible Michigan fully insured plans only.

The weekly brief

One short email a week — policy changes, denial trends, and new guides. Free. No spam.