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Wednesday, 10 March 2021 17:11

MI Automobile No-Fault Fee Schedule Provisions: A Review of Proposed Rules

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The Michigan Department of Insurance and Financial Services (DIFS) has proposed new administrative rules to implement the medical fee schedules contained in Michigan’s automobile no-fault statute.

The proposed rules address certain issues arising under the fee schedule, including:

 

  • The Medicare fee schedules applicable to reimbursements
  • Providers eligible for enhanced reimbursement amounts
  • Use of charge description masters, average provider charged amounts and regional averages
  • Procedures for DIFS to collect information on provider charges
  • Facility accreditation procedures

 

The Michigan fee schedule goes into effect July 2, and will apply to charges for treatment and training rendered on or after that date. DIFS has stated the fee schedule provisions will apply to both “new and existing claims” where treatment is rendered on or after July 2.

 

Read CCC's full breakdown of the Michigan Proposed Fee Schedule Rules here.

 

In addition, a copy of the proposed rules is available here.

 

About Michigan Automobile No-Fault Reform

 

In June 2019, Michigan enacted major reforms to its automobile no-fault insurance law. Provisions of the law have been phased in over time, including allowing policyholders to choose from various coverage options and benefit amounts in lieu of unlimited lifetime benefits, as well as the requirement that insurers institute use review programs relating to provider services.

 

The next significant step in the reform law is the...


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