Section 550.1518 – Considerations and Standards; Applicability; Appeal.
550.1518 Considerations and standards; applicability; appeal. Sec. 518. The considerations set forth in section 509(4) and the standards set forth in section 516 shall only apply for purposes of this act and may be appealed only as specifically provided in this act. An appeal from a final determination of an independent hearing officer shall be […]
Section 550.1515 – Appeal; Parties; Request; Time; Relief; Transmittal of Provider Class Plan to Hearing Officer; Determinations.
550.1515 Appeal; parties; request; time; relief; transmittal of provider class plan to hearing officer; determinations. Sec. 515. (1) An appeal may be brought from any action or determination of the commissioner under section 509(1), 510(1), or 513(1) or (2), by a subscriber, the health care corporation, the attorney general, an employer, an organization or association […]
Section 550.1516 – Provider Class Plan; Standards.
550.1516 Provider class plan; standards. Sec. 516. (1) All provider class plans retained by the commissioner under section 513 or approved by the hearing officer shall maintain the following standards for all providers: (a) Responsible cost controls shall exist that balance quality, accessibility, and cost. (b) The health care corporation shall promote programs and policies […]
Section 550.1517 – Annual Report.
550.1517 Annual report. Sec. 517. A health care corporation shall transmit an annual report for each provider class to the commissioner regarding the level of achievement of the goals provided in section 504. The report shall include data necessary to a determination of the corporation’s compliance or noncompliance with the goals, as prescribed in section […]
Section 550.1508 – Provider Class Plan; Modifications.
550.1508 Provider class plan; modifications. Sec. 508. (1) Except during the 6-month period provided in section 509(2), a provider class plan retained by the commissioner as provided in section 506(4) may be modified by the health care corporation after the retention, under either of the following circumstances: (a) If the plan was prepared by the […]
Section 550.1509 – Achievement of Goals and Objectives; Determinations by Commissioner.
550.1509 Achievement of goals and objectives; determinations by commissioner. Sec. 509. (1) The commissioner may determine if the health care corporation has substantially achieved the goals of a corporation as provided in section 504 and achieved the objectives contained in the provider class plan, at the following times: (a) For a provider contract or a […]
Section 550.1510 – Additional Determinations by Commissioner.
550.1510 Additional determinations by commissioner. Sec. 510. (1) After considering the information and factors described in section 509(4), the goals of a health care corporation as provided in section 504, and the objectives contained in the provider class plan, the commissioner shall determined 1 of the following: (a) That the provider class plan achieves the […]
Section 550.1511 – Provider Class Plan; Transmittal to Commissioner; Preparation by Commissioner.
550.1511 Provider class plan; transmittal to commissioner; preparation by commissioner. Sec. 511. (1) Upon receipt of notice under section 510(2), the health care corporation, within 6 months or a period determined by the commissioner pursuant to section 512, shall transmit to the commissioner a provider class plan that substantially achieves the goals, achieves the objectives, […]
Section 550.1512 – Extension of 6-Month Period Provided in MCL 550.511(1); Determination.
550.1512 Extension of 6-month period provided in MCL 550.511(1); determination. Sec. 512. The commissioner may extend the 6-month period provided in section 511(1) once, for not more than 90 days, if the commissioner determines that a health care corporation requires additional time to assess the findings made by the commissioner or to prepare a provider […]
Section 550.1513 – Provider Class Plan; Examination; Automatic Retention; Placing Plan Into Effect; Preparation of Plan by Commissioner; Notice.
550.1513 Provider class plan; examination; automatic retention; placing plan into effect; preparation of plan by commissioner; notice. Sec. 513. (1) Upon receipt of a provider class plan under section 511(1), the commissioner, after considering the information and factors described in section 509(4), within 90 days shall examine the plan and determine if the plan substantially […]