Inpatient admission notification to Utilization Management
Customize your policy alerts
Sign up for meridian_health_plan_of_michigan Policy CC.UM.05 alerts
Get alerted when Policy CC.UM.05 changes without checking for updates manually.
Monitor payer policy activity
Requires providers to communicate all inpatient admissions to Meridian Utilization Management within one business day following admission (or per provider contract); applies to providers contracting with Meridian Health Plan of Michigan.
No material clinical or coverage changes in this revision.
Inpatient Admission Notification Requirement
Inpatient admission notification requirement
Covered when ALL of the following are met:
ALL of the following
- Providers must notify Meridian Utilization Management of all inpatient admissions within one business day of admission or as specified in the provider contract.
- This reporting requirement was reinstated effective May 5, 2023, after a grace period allowed during the public health emergency was lifted in Michigan.
ALL of the following
- Action: Notify Meridian Utilization Management within 1 business day of admission or per provider contract.
ALL of the following
- Scope: Applies to providers contracting with Meridian Health Plan of Michigan.
Provider Responsibilities for Reporting Admissions
Notify Meridian Utilization Management of inpatient admissions within 1 business day
All inpatient admissions must be communicated to Meridian Utilization Management within one business day following the admission, or as specified in the provider contract. This requirement was reinstated effective May 5, 2023 after the public health emergency grace period ended.
- Report every inpatient admission to Meridian Utilization Management within 1 business day of admission (unless a different timeframe is defined in your provider contract).
- Contact Meridian Provider Network Representative or refer to policy CC.UM.05 for additional guidance.
Key Terms
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.