Bill Text: MI HB4059 | 2021-2022 | 101st Legislature | Engrossed
Bill Title: Human services: medical services; autism evaluation review process requirements for Medicaid benefit eligibility; modify. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109n.
Spectrum: Partisan Bill (Republican 5-0)
Status: (Passed) 2021-11-30 - Assigned Pa 111'21 [HB4059 Detail]
Download: Michigan-2021-HB4059-Engrossed.html
HOUSE BILL NO. 4059
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
(MCL 400.1 to 400.119b) by adding section 109n.
the people of the state of michigan enact:
Sec. 109n. (1) If the initial evaluation was completed by a qualified licensed practitioner, a child with a confirmed diagnosis of autism spectrum disorder is not required to have a re-evaluation to determine continued eligibility for behavioral health treatment unless a re-evaluation is medically necessary.
(2) As used in this section, "qualified licensed practitioner" means 1 of the following:
(a) A physician with a specialty in psychiatry or neurology.
(b) A physician with a subspecialty in developmental pediatrics, development-behavioral pediatrics, or a related discipline.
(c) A physician with a specialty in pediatrics or other appropriate specialty with training, experience, or expertise in autism spectrum disorder or behavioral health.
(d) A psychologist with a specialty in clinical child psychology, behavioral and cognitive psychology, or clinical neuropsychology, or other appropriate specialty with training, experience, or expertise in autism spectrum disorder or behavioral health.
(e) A clinical social worker with at least 1 year of experience working within his or her scope of practice who is qualified and experienced in diagnosing autism spectrum disorder.
(f) An advanced practice registered nurse with training, experience, or expertise in autism spectrum disorder or behavioral health.
(g) A physician’s assistant with training, experience, or expertise in autism spectrum disorder or behavioral health.
