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MI HB4685
Bill
Status
6/25/2025
Primary Sponsor
Mike McFall
Click for details
AI Summary
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Requires health insurers providing mental health and substance use disorder benefits to reimburse for services delivered through the psychiatric collaborative care model
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Mandates coverage of specific Current Procedural Terminology (CPT) billing codes: 90844, 99492, 99493, 99494, and G2214
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Authorizes the director to update the list of required billing codes if the American Medical Association alters or adds codes for the psychiatric collaborative care model
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Permits insurers to deny reimbursement based on medical necessity determinations, provided they comply with the federal Mental Health Parity and Addiction Equity Act of 2008 and state utilization review requirements
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Defines "psychiatric collaborative care model" as the evidence-based, integrated behavioral health service delivery method described in federal regulations (81 FR 80230)
Legislative Description
Insurance: health insurers; collaborative care model for mental health care; provide for. Amends 1956 PA 218 (MCL 500.100 - 500.8302) by adding sec. 3406uu.
Insurance: health insurers
Last Action
Bill Electronically Reproduced 06/25/2025
6/26/2025