Section 550.1911 – Request for External Review; Commencement; Preliminary Review; Notice of Acceptance; Duties of Director; Incomplete Request; Nonacceptance; Assignment of Independent Review Organization; Duty of Health Carrier to Provide Documents; Reconsideration by Health Carrier of Its Adverse Determination; Recommendation; Considerations; Review by Director; Notice of Decision.
550.1911 Request for external review; commencement; preliminary review; notice of acceptance; duties of director; incomplete request; nonacceptance; assignment of independent review organization; duty of health carrier to provide documents; reconsideration by health carrier of its adverse determination; recommendation; considerations; review by director; notice of decision. Sec. 11. (1) Not later than 60 days or, after […]
Section 550.1913 – Expedited External Review.
550.1913 Expedited external review. Sec. 13. (1) Except as provided in subsection (12), a covered person or the covered person’s authorized representative may make a request for an expedited external review with the director within 10 days after the covered person receives an adverse determination if both of the following apply: (a) The adverse determination […]
Section 550.1915 – Decision as Final Administrative Remedy; Other Remedies.
550.1915 Decision as final administrative remedy; other remedies. Sec. 15. (1) An external review decision and an expedited external review decision are the final administrative remedies available under this act. A person aggrieved by an external review decision or an expedited external review decision may seek judicial review no later than 60 days from the […]
Section 550.1917 – Approved Independent Review Organizations; Application; Form; Fee; Expiration; Termination; Updated List.
550.1917 Approved independent review organizations; application; form; fee; expiration; termination; updated list. Sec. 17. (1) The director shall approve independent review organizations eligible to be assigned to conduct external reviews under this act to ensure that an independent review organization satisfies the minimum standards established under section 19. (2) The director shall develop an application […]
Section 550.1919 – Approved Independent Review Organization; Requirements.
550.1919 Approved independent review organization; requirements. Sec. 19. (1) To be approved under section 17 to conduct external reviews, an independent review organization must do all of the following: (a) Have and maintain written policies and procedures that govern all aspects of both the standard external review process and the expedited external review process under […]
Section 550.1921 – Independent Review Organization; Liability for Damages.
550.1921 Independent review organization; liability for damages. Sec. 21. An independent review organization or clinical peer reviewer working on behalf of an independent review organization is not liable in damages to any person for any opinions rendered during or upon completion of an external review conducted under this act, unless the opinion was rendered in […]
Section 550.1869 – Effective Date.
550.1869 Effective date. Sec. 9. This act takes effect January 1, 2013. History: 2012, Act 530, Eff. Jan. 1, 2013
Section 550.1901 – Short Title.
550.1901 Short title. Sec. 1. This act shall be known and may be cited as the “patient’s right to independent review act”. History: 2000, Act 251, Eff. Oct. 1, 2000
Section 550.1837 – Autism Coverage Fund; Creation Within State Treasury; Investment; Credit of Interest and Earnings; Administration of Fund by Department for Auditing Purposes; Expenditures; Reimbursement; Insufficient Money in Fund; Notice of Insufficient Funds; Money in Fund at Close of Fiscal Year; Payment of Claim Approved Under MCL 550.1835; Reimbursement to Carrier or Third Party Administrator; Formula.
550.1837 Autism coverage fund; creation within state treasury; investment; credit of interest and earnings; administration of fund by department for auditing purposes; expenditures; reimbursement; insufficient money in fund; notice of insufficient funds; money in fund at close of fiscal year; payment of claim approved under MCL 550.1835; reimbursement to carrier or third party administrator; formula. […]
Section 550.1838 – University Autism Programs and Autism Family Assistance Services; Appropriation; Reimbursement.
550.1838 University autism programs and autism family assistance services; appropriation; reimbursement. Sec. 8. In addition to any other use for money in the fund under section 7, for the 2014-2015 fiscal year only, up to $8,500,000.00 may be expended from the fund, upon appropriation, for university autism programs and autism family assistance services as specified […]