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Michigan Compiled Laws Complete Through PA 341 of 2018
House: Adjourned until Wednesday, November 7, 2018 1:30:00 PM

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Act 251 of 2000
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Act 251 of 2000

AN ACT to provide review of certain health care coverage adverse determinations made by health carriers; to prescribe eligibility, powers, and duties of certain independent review organizations; to prescribe the powers and duties of certain health carriers; to prescribe the powers and duties of certain persons; to prescribe the powers and duties of certain state officials; to provide for the reporting of certain information; to provide fees; and to provide penalties for violations of this act.

History: 2000, Act 251, Eff. Oct. 1, 2000

© 2017 Legislative Council, State of Michigan

The People of the State of Michigan enact:

Section 550.1901SectionShort title.
Section 550.1903SectionDefinitions.
Section 550.1905SectionScope.
Section 550.1907SectionRight to request external review for adverse determination; written notice.
Section 550.1909SectionWritten request to director; manner; electronic communication.
Section 550.1911SectionRequest 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.
Section 550.1913SectionExpedited external review.
Section 550.1915SectionDecision as final administrative remedy; other remedies.
Section 550.1917SectionApproved independent review organizations; application; form; fee; expiration; termination; updated list.
Section 550.1919SectionApproved independent review organization; requirements.
Section 550.1921SectionIndependent review organization; liability for damages.
Section 550.1923SectionMaintenance of records; report to director.
Section 550.1925SectionDescription of internal grievance and external review procedures; inclusion with materials provided to covered persons.
Section 550.1927SectionRules.
Section 550.1929SectionCease and desist order; additional orders; fines; hearing; injunction; creation of cancer clinical trials; disposition of funds.
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