HB4095

Michigan HB4095 requires insurers to reimburse mental health or substance use disorder providers for services rendered within 60 days of receiving a.

Michigan HB4095 amends the insurance code to mandate that insurers reimburse mental health or substance use disorder providers for services rendered within 60 days of receiving a complete credentialing application. Insurers may extend this period by an additional 15 days if additional consideration is needed. If a provider is not employed by a practice or group that has contracted with the insurer, they must be paid the insurer's standard in-network reimbursement rate. If no standard rate exists, the insurer must pay the median rate for providers of the same licensure.