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MI HB6200

Bill

Status

Engrossed

9/21/2022

Primary Sponsor

Mark Tisdel

Click for details

Origin

House of Representatives

101st Legislature

AI Summary

  • Clarifies terminology in the medical assistance program by replacing "medical assistance" with consistent phrasing and updating statute citations to modern format.

  • Authorizes the director to issue emergency suspension orders for medical assistance providers based on reasonable belief of medically unnecessary services, false claims violations, or failure to comply with program requirements.

  • Establishes specific dollar thresholds triggering emergency action: $10,000 or 10% of claims (whichever is less) for noninstitutional providers and $50,000 or 10% for institutional providers, with higher thresholds for consecutive 12-month periods.

  • Requires the director to consult with peer review committees of the same profession before determining if emergency conditions exist for suspensions based on medical necessity or service quality.

  • Mandates the department provide quarterly notice to the legislature of any suspension orders issued under this section.

Legislative Description

Human services: county services; notice to legislature of suspension of payments; require. Amends sec. 111f of 1939 PA 280 (MCL 400.111f).

Human services: county services

Last Action

Referred To Committee On Oversight

9/27/2022

Committee Referrals

Oversight9/27/2022
Oversight6/9/2022

Full Bill Text

No bill text available