There is a newer version of the Michigan Compiled Laws
2010 Michigan Compiled Laws
Chapter 550 - GENERAL INSURANCE LAWS
Act 251 of 2000 - PATIENT'S RIGHT TO INDEPENDENT REVIEW ACT (550.1901 - 550.1929)
PATIENT'S RIGHT TO INDEPENDENT REVIEW ACTAct 251 of 2000
AN ACT to provide review of certain health care coverage adverse determinations made by health carriers; to prescribe eligibility, powers, and duties of certain independent review organizations; to prescribe the powers and duties of certain health carriers; to prescribe the powers and duties of certain persons; to prescribe the powers and duties of certain state officials; to provide for the reporting of certain information; to provide fees; and to provide penalties for violations of this act.
History: 2000, Act 251, Eff. Oct. 1, 2000
- Section 550.1901 - Short title.
- Section 550.1903 - Definitions.
- Section 550.1905 - Scope.
- Section 550.1907 - Right to request external review for adverse determination; written notice.
- Section 550.1909 - Written request to commissioner.
- Section 550.1911 - Request for external review; commencement; preliminary review; notice of acceptance; duties of commissioner; incomplete request; nonacceptance; assignment of independent review organization; duty of health carrier to provide documents; reconsideration by health carrier of its adverse determination; recommendation; considerations; review by commissioner; notice of decision.
- Section 550.1913 - Expedited external review.
- Section 550.1915 - Decision as final administrative remedy; other remedies.
- Section 550.1917 - Approved independent review organizations; application; form; fee; expiration; termination; updated list.
- Section 550.1919 - Approved independent review organizations; requirements.
- Section 550.1921 - Independent review organization; liability for damages.
- Section 550.1923 - Maintenance of records; report to commissioner.
- Section 550.1925 - Description of internal grievance and external review procedures; inclusion with materials provided to covered persons.
- Section 550.1927 - Rules.
- Section 550.1929 - Cease and desist order; additional orders; fines; hearing; injunction; creation of cancer clinical trials; disposition of funds.
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