A bill to amend 1980 PA 350, entitled “The nonprofit health care corporation reform act,” (MCL 550.1101 to 550.1704) by adding section 414c.
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
