A bill to amend 1956 PA 218, entitled “The insurance code of 1956,” (MCL 500.100 to 500.8302) by adding section 3406z.
Mandates notification of incomplete applications within 10 business days and the prompt inclusion of approved provider information into payment systems. The bill specifies conditions under which health care corporations must reimburse providers for covered services if credentialing decisions are delayed, including immediate reimbursement upon approval within specified timeframes. It outlines reimbursement rates for providers both within and outside of contracted rates, applying equally to initial and recredentialing applications.
Co-sponsored by Reps.
Referred to the Committee on Health Policy
