MI HB4486

Establishes tiered reimbursement caps for medical treatment and rehabilitation services under personal protection insurance, scaling down from 200% of Medicare rates (July 1, 2021-July 1, 2022) to 190% by July 1, 2023.

Provides higher reimbursement rates (230% to 220% of Medicare) for providers with 20-30% indigent patient volume or designated freestanding rehabilitation facilities, with providers serving 30%+ indigent patients eligible for 250% of Medicare rates.

Establishes special provisions for rehabilitation clinics using a Michigan auto no-fault rehabilitation clinic fee schedule, with requirements for accreditation by the Commission on Accreditation of Rehabilitation Facilities unless the director determines accreditation is unnecessary.

Sets separate reimbursement caps for level I and II trauma centers providing emergency stabilization services, ranging from 240% to 230% of Medicare rates across the same three-year period.

Applies reimbursement limits to treatment rendered after July 1, 2021, with annual adjustments based on the medical care component of the Consumer Price Index.