Michigan HB6133 amends Medicaid regulations for managed care plans, focusing on timely claims processing, payment procedures, and provider contracts.

Michigan HB6133 amends sections of the Michigan Compiled Laws related to Medicaid managed care plans. It establishes a timely claims processing and payment procedure for health professionals and facilities. The commissioner of the Department of Insurance and Financial Services must consult with relevant parties to set the health care provider's contractual reimbursement rate. The bill also mandates that Medicaid managed care organizations provide standard and expedited prior authorization decisions for nursing facilities.

Michigan HB6133 amends Medicaid regulations for managed care plans, focusing on timely claims processing, payment procedures, and provider contracts.

Michigan HB6133 amends sections of the Michigan Compiled Laws related to Medicaid managed care plans. It establishes a timely claims processing and payment procedure for health professionals and facilities. The commissioner of the Department of Insurance and Financial Services must consult with relevant parties to set the health care provider's contractual reimbursement rate. The bill also mandates that Medicaid managed care organizations provide standard and expedited prior authorization decisions for nursing facilities.