Bill Text: MI HB4208 | 2021-2022 | 101st Legislature | Introduced
Bill Title: Human services: medical services; certain Medicaid reimbursement for treatment of alcohol use disorder; provide for. Amends sec. 109f of 1939 PA 280 (MCL 400.109f).
Spectrum: Partisan Bill (Democrat 13-0)
Status: (Introduced - Dead) 2021-02-11 - Bill Electronically Reproduced 02/10/2021 [HB4208 Detail]
Download: Michigan-2021-HB4208-Introduced.html
HOUSE BILL NO. 4208
February 10, 2021, Introduced by Reps. Hammoud,
Steckloff, Sowerby, Cavanagh, Hood, Camilleri, Manoogian, Weiss, Aiyash,
Stone, Brabec, Anthony and Jones and referred to the Committee on Health
Policy.
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
by amending section 109f (MCL 400.109f), as amended by 2017 PA 224.
the people of the state of michigan enact:
Sec. 109f. (1)
The department shall support the use of Medicaid funds for specialty services
and supports for eligible Medicaid beneficiaries with a serious mental illness,
developmental disability, serious emotional disturbance, or substance use
disorder. Medicaid-covered specialty services and supports shall be managed and
delivered by specialty prepaid health plans chosen by the department. The
specialty services and supports shall
must be carved out from the basic
Medicaid health care benefits package.
(2) Specialty prepaid health plans are Medicaid managed care organizations
as described in section 1903(m)(1)(A) of title XIX, 42 USC 1396b, and are
responsible for providing defined inpatient services, outpatient hospital
services, physician services, other specified Medicaid state plan services, and
additional services approved by the Centers for Medicare and Medicaid Services
under section 1915(b)(3) of title XIX, 42 USC 1396n.
(3) This section does Subsections (1) and (2) do not apply to a pilot
project authorized under section 298(3) of article X of 2017 PA 107.
(4) Beginning on the effective date of the amendatory act that added this subsection, the department shall establish a fee-for-service payment for services provided by a health care provider with prescriptive authority under the public health code, 1978 PA 368, MCL 333.1101 to 333.25211, or nonphysician practitioner related to a primary diagnosis of alcohol use disorder as specified in the most recent diagnostic and statistical manual of mental disorders published by the American Psychiatric Association. When a Medicaid beneficiary has a primary diagnosis of alcohol use disorder, the health care provider with prescriptive authority under the public health code, 1978 PA 368, MCL 333.1101 to 333.25211, or nonphysician practitioner qualifies for fee-for-service reimbursement for services including, but not limited to, evaluation and management services, and consultation services.
(5) As used in this section, "nonphysician practitioner" means an individual licensed or certified in this state to provide nonphysician behavioral health services who is associated with an office-based primary care provider when he or she renders services within his or her scope of practice.
