HB5136

Michigan HB5136 mandates coverage for pediatric autoimmune neuropsychiatric disorders under the state's medical assistance program.

Michigan HB5136 amends the state's medical assistance program to require coverage for the prophylaxis, diagnosis, and treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. This includes antibiotics, medication, behavioral therapies, and immunomodulating medicines. The bill specifies that coverage must not be limited over an individual's lifetime, except by eligibility period. It also mandates that these disorders be coded as autoimmune encephalopathy for billing purposes.