MCL - Act 251 of 2000


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

The People of the State of Michigan enact:
Document Type Description
Section 550.1901 Section Short title.
Section 550.1903 Section Definitions.
Section 550.1905 Section Scope.
Section 550.1907 Section Right to request external review for adverse determination; written notice.
Section 550.1909 Section Written request to director; manner; electronic communication.
Section 550.1911 Section Request 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 550.1913 Section Expedited external review.
Section 550.1915 Section Decision as final administrative remedy; other remedies.
Section 550.1917 Section Approved independent review organizations; application; form; fee; expiration; termination; updated list.
Section 550.1919 Section Approved independent review organization; requirements.
Section 550.1921 Section Independent review organization; liability for damages.
Section 550.1923 Section Maintenance of records; report to director.
Section 550.1925 Section Description of internal grievance and external review procedures; inclusion with materials provided to covered persons.
Section 550.1927 Section Rules.
Section 550.1929 Section Cease and desist order; additional orders; fines; hearing; injunction; creation of cancer clinical trials; disposition of funds.