Section 550.2006 – Program Benefits; Duties of Department.
550.2006 Program benefits; duties of department. Sec. 6. In providing program benefits, the department may do all of the following: (a) Enter into a contract with a private individual, corporation, or agency to manage the EPIC program. A contract entered into under this subdivision shall be awarded through a competitive bidding process. (b) Use procedures […]
Section 550.2007 – Other Senior Focused Entities; Utilization and Assistance; Establishment of Advisory Committee.
550.2007 Other senior focused entities; utilization and assistance; establishment of advisory committee. Sec. 7. (1) To assist in implementing this act, the department may utilize the office of services to the aging, area agencies on aging, senior citizens centers, or other senior focused entities, to provide outreach, enrollment assistance, and education services to potentially eligible […]
Section 550.2008 – Reports.
550.2008 Reports. Sec. 8. The department shall provide quarterly reports to the senate and house appropriations committees, and the senate and house fiscal agencies, that include quantified data as to the number of program applicants and enrollees, the amount of expenditures, and the number of enrollees subsequently found eligible for medicaid. Each report shall also […]
Section 550.2009 – Program Not as Entitlement; Limitation on Benefits; Epic as Payer of Last Resort; Use of Automated System; Pharmacy Dispensing Fee.
550.2009 Program not as entitlement; limitation on benefits; EPIC as payer of last resort; use of automated system; pharmacy dispensing fee. Sec. 9. (1) The program created by this act is not an entitlement. Benefits are limited to the level supported by the money explicitly appropriated in this or other acts for the EPIC program. […]
Section 550.2004 – Expedited Enrollment Process; Temporary Eligibility Card or Voucher; Eligibility Requirements.
550.2004 Expedited enrollment process; temporary eligibility card or voucher; eligibility requirements. Sec. 4. (1) The department shall establish an expedited enrollment process or provide an emergency voucher if an otherwise eligible EPIC applicant immediately needs to obtain a medically necessary prescription. (2) The department shall give an applicant enrolled under subsection (1) a temporary EPIC […]
Section 550.2005 – Brand Name Drug; Copayment.
550.2005 Brand name drug; copayment. Sec. 5. Except as otherwise specified in this section, if an enrollee chooses to have a prescription filled with a brand name drug when a recognized generic drug is available, a copayment is required. For the initial year of operation, the copayment amount is $15.00. For subsequent years, the amount […]
Section 550.1923 – Maintenance of Records; Report to Director.
550.1923 Maintenance of records; report to director. Sec. 23. (1) An independent review organization assigned to conduct an external review under section 11 or 13 shall maintain for 3 years written records in the aggregate and by health carrier on all requests for external review for which it conducted an external review during a calendar […]
Section 550.1925 – Description of Internal Grievance and External Review Procedures; Inclusion With Materials Provided to Covered Persons.
550.1925 Description of internal grievance and external review procedures; inclusion with materials provided to covered persons. Sec. 25. (1) A health carrier shall include a description of the internal grievance and external review procedures in or attached to the policy, certificate, membership booklet, outline of coverage, or other evidence of coverage it provides to covered […]
Section 550.1927 – Rules.
550.1927 Rules. Sec. 27. The director may promulgate rules under the administrative procedures act of 1969, 1969 PA 306, MCL 24.201 to 24.328, necessary to carry out this act. History: 2000, Act 251, Eff. Oct. 1, 2000 ;– Am. 2016, Act 274, Eff. Sept. 29, 2016
Section 550.1929 – Cease and Desist Order; Additional Orders; Fines; Hearing; Injunction; Creation of Cancer Clinical Trials; Disposition of Funds.
550.1929 Cease and desist order; additional orders; fines; hearing; injunction; creation of cancer clinical trials; disposition of funds. Sec. 29. (1) If the commissioner finds that a violation of this act has occurred, the commissioner shall reduce the findings and decision to writing and shall issue and cause to be served upon the person charged […]