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MI HB5372

Bill

Status

Introduced

9/15/2009

Primary Sponsor

Bob Constan

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Origin

House of Representatives

95th Legislature

AI Summary

  • Adds "child support order" definition to require health entities to verify coverage for dependents named in court child support orders.

  • Requires health entities to provide monthly information to the Department of Community Health to identify individuals receiving both health coverage and medical assistance or subject to child support orders.

  • Prohibits entities from denying claims solely based on submission date, method, or format, provided claims are submitted within 3 years of service and state enforcement action is commenced within 6 years.

  • Prohibits entities from denying medical assistance claims due to lack of prior authorization and requires entities to adjudicate claims as if prior authorization had been requested.

  • Allows the Department of Community Health to share health coverage information with the Department of Human Services to update child support order databases.

Legislative Description

Insurance; insurers; health care insurer file sharing; expand. Amends secs. 1 & 3 of 2006 PA 593 (MCL 550.281 & 550.283) & adds sec. 5a.

Insurance, health

Last Action

Printed Bill Filed 09/16/2009

9/16/2009

Committee Referrals

Insurance9/15/2009

Full Bill Text

No bill text available