Bill Text: MI HB5408 | 2019-2020 | 100th 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: Moderate Partisan Bill (Democrat 7-1)
Status: (Introduced - Dead) 2020-12-01 - Placed On Third Reading [HB5408 Detail]
Download: Michigan-2019-HB5408-Introduced.html
HOUSE BILL NO. 5408
January 23, 2020, Introduced by Reps. Hammoud,
Whitsett, Bolden, Manoogian, Love, Liberati, Bellino and Camilleri 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 physician, including an advanced practice provider, 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 physician, including an advanced practice provider 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:
(a) "Advanced practice provider" means a health care provider with prescriptive authority under the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.
(b) "Nonphysician practitioner" means an individual licensed or certified in this state to provide nonphysician behavioral health services including, but not limited to, behavioral health services identified in the department's behavioral health fee schedule.
