MI HB5996

Removes language prohibiting insurers from denying claims solely because treatment is not "usually associated with" accepted treatments for a patient's diagnosis or condition.

Establishes that treatments, products, services, or accommodations cannot be deemed inappropriate merely because they are not usually associated with standard treatments for the patient's diagnosis or condition.

Requires physicians, hospitals, clinics, and other providers to submit records and comply with department decisions regarding utilization review for personal protection insurance claims filed after July 1, 2020.

Authorizes insurers to request written explanations from providers when treatment duration, frequency, or number of days exceeds what is usually required for the diagnosed condition.

Allows providers to appeal insurer determinations of overutilization or inappropriate treatment to the Michigan Department of Insurance and Financial Services under established procedures.