Payer Updates | October 2026
For a curated summary of the latest payer updates* impacting Northern Michigan provider offices, grouped by payer, please see below:
Medicaid
Munson has launched a systemwide effort to help patients navigate upcoming Medicaid eligibility and renewal changes and avoid disruptions in coverage.
Patients now have access to:
- Dedicated Medicaid assistance line: 231-935-2860 and press 1
- Online resources: munsonhealthcare.org/patients-visitors/medicaid-enrollment
- Enrollment support
- Targeted outreach
- Education to help them understand requirements and stay connected to care
To help support patient conversations, the following staff resources are available:
- Medicaid Information Cards: Concise reference guides with key patient support information and contact details.
- Key Messages & Talking Points: Simple, consistent messaging to help answer common patient questions and connect individuals to the right resources.
Priority Health
Retrospective Authorization Program Change
Priority Health will be limiting retrospective authorizations and appeals, beginning Nov. 1. We have a workgroup and scheduled office hours, to help prepare for this change. If you would like to join, please contact Laura Stuursma. SOURCE
*News items from the following payers were reviewed for this month’s highlighted articles: Aetna, BCBSM, Blue Care Complete, Blue Care Network (BCN), Health Alliance, McLaren, Molina, Nomi Health, and Priority Health.