MI HB5698

Changes payment language from "not eligible for" to "must be paid or reimbursed" for treatment of accidental bodily injuries covered by personal protection insurance, establishing mandatory payment obligations rather than payment prohibitions.

Establishes tiered reimbursement rates based on Medicare percentages: general providers at 200-190% (declining 2021-2023), high-indigent-volume providers at 230-220%, trauma centers at 240-230%, and high-indigent-volume providers at 250%, with rates decreasing annually.

Adds alternative reimbursement methods when Medicare does not provide payment rates, including 200% of 2019 Medicaid brain injury rehabilitation rates, 150% of Veterans Affairs home health rates, and 52.5-70% of January 1, 2019 charge description master amounts depending on provider type.

Limits attendant care for home-based services provided by relatives, household members, or business associates to 112 hours per week unless insurers contract for higher amounts.

Requires neurological rehabilitation clinics to be accredited by the Commission on Accreditation of Rehabilitation Facilities or similar organization recognized by the director to receive payment or reimbursement.

Applies all changes retroactively to July 1, 2021.