400.109f Medicaid-covered specialty services and supports; management and delivery; specialty prepaid health plans.
Sec. 109f.
(1) The department of community health shall support the use of medicaid funds for specialty services and supports for eligible medicaid beneficiaries with a serious mental illness, developmental disability, serious emotional disturbance, or substance abuse disorder. Medicaid-covered specialty services and supports shall be managed and delivered by specialty prepaid health plans chosen by the department of community health with advice and recommendations from the specialty services panel created in section 109g. The specialty services and supports shall be carved out from the basic medicaid health care benefits package.
(2) Specialty prepaid health plans shall be considered medicaid managed care organizations as described in section 1903(m)(1)(A) of title XIX of the social security act, 42 USC 1396b, and shall be responsible for providing defined inpatient services, outpatient hospital services, physician services, other specified medicaid state plan services, and additional services approved by the centers for medicare and medicaid services under section 1915(b)(3) of title XIX of the social security act, 42 USC 1396n. As medicaid managed care organizations, specialty prepaid health plans are subject to the quality assurance assessment fee described in section 224b of the insurance code of 1956, 1956 PA 218, MCL 500.224b.
400.109f Medicaid-covered specialty services and supports; management and delivery; specialty prepaid health plans.
Sec. 109f.
(1) The department of community health shall support the use of medicaid funds for specialty services and supports for eligible medicaid beneficiaries with a serious mental illness, developmental disability, serious emotional disturbance, or substance abuse disorder. Medicaid-covered specialty services and supports shall be managed and delivered by specialty prepaid health plans chosen by the department of community health with advice and recommendations from the specialty services panel created in section 109g. The specialty services and supports shall be carved out from the basic medicaid health care benefits package.
(2) Specialty prepaid health plans shall be considered medicaid managed care organizations as described in section 1903(m)(1)(A) of title XIX of the social security act, 42 USC 1396b, and shall be responsible for providing defined inpatient services, outpatient hospital services, physician services, other specified medicaid state plan services, and additional services approved by the centers for medicare and medicaid services under section 1915(b)(3) of title XIX of the social security act, 42 USC 1396n. As medicaid managed care organizations, specialty prepaid health plans are subject to the quality assurance assessment fee described in section 224b of the insurance code of 1956, 1956 PA 218, MCL 500.224b.
400.109f Medicaid-covered specialty services and supports; management and delivery; specialty prepaid health plans.
Sec. 109f.
(1) The department of community health shall support the use of medicaid funds for specialty services and supports for eligible medicaid beneficiaries with a serious mental illness, developmental disability, serious emotional disturbance, or substance abuse disorder. Medicaid-covered specialty services and supports shall be managed and delivered by specialty prepaid health plans chosen by the department of community health with advice and recommendations from the specialty services panel created in section 109g. The specialty services and supports shall be carved out from the basic medicaid health care benefits package.
(2) Specialty prepaid health plans shall be considered medicaid managed care organizations as described in section 1903(m)(1)(A) of title XIX of the social security act, 42 USC 1396b, and shall be responsible for providing defined inpatient services, outpatient hospital services, physician services, other specified medicaid state plan services, and additional services approved by the centers for medicare and medicaid services under section 1915(b)(3) of title XIX of the social security act, 42 USC 1396n. As medicaid managed care organizations, specialty prepaid health plans are subject to the quality assurance assessment fee described in section 224b of the insurance code of 1956, 1956 PA 218, MCL 500.224b.
