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MI HB6200
Bill
Status
9/21/2022
Primary Sponsor
Mark Tisdel
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AI Summary
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Clarifies terminology in the medical assistance program by replacing "medical assistance" with consistent phrasing and updating statute citations to modern format.
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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.
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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.
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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.
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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