MI HB5125

Delays implementation of Medicare-based fee schedules for medical providers treating no-fault auto insurance patients, with treatment rendered after July 1, 2021 subject to 200% of Medicare rates (declining to 190% by July 2023) instead of the originally scheduled rates.

Establishes higher reimbursement rates (230% declining to 220% of Medicare by July 2023) for providers with 20-30% indigent patient volume and freestanding rehabilitation facilities (limited to 2 per year designated by the director).

Providers with 30% or more indigent volume receive 250% of Medicare rates instead of lower percentages, and providers without Medicare data use 2019 charge description master amounts at percentages ranging from 52.5% to 78%.

Level I and II trauma centers providing emergency stabilization services receive 240% of Medicare rates (declining to 230% by July 2023) for emergency treatment before patient transfer.

Limits attendant care payments for home-based care provided by relatives, household members, or individuals with prior relationships to injured persons to hourly rates under Michigan's workers' compensation law, effective July 1, 2022, unless insurer voluntarily contracts for higher amounts.