Section 400.109f Medicaid-Covered Specialty Services and Supports; Management and Delivery; Specialty Prepaid Health Plans; Section Inapplicable to Pilot Project.

MI Comp L § 400.109f (2019) (N/A)

Copy with citation

Copy as parenthetical citation

Sec. 109f.

(1) The department 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 use disorder. Medicaid-covered specialty services and supports shall be managed and delivered by specialty prepaid health plans chosen by the department. The specialty services and supports shall be carved out from the basic Medicaid health care benefits package.

(2) Specialty prepaid health plans are Medicaid managed care organizations as described in section 1903(m)(1)(A) of title XIX, 42 USC 1396b, and are 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, 42 USC 1396n.

(3) This section does not apply to a pilot project authorized under section 298(3) of article X of 2017 PA 107.

History: Add. 2000, Act 410, Imd. Eff. Jan. 8, 2001 ;-- Am. 2005, Act 84, Imd. Eff. July 19, 2005 ;-- Am. 2017, Act 224, Eff. Mar. 20, 2018 Popular Name: Act 280

Previous Section

Section 400.109e Definitions; Reimbursement for Performance of Abortion; Prohibition; Violation; Penalty; Enforcement; Scope of Section.

Next Section

Section 400.109g Specialty Services Panel; Creation; Purpose; Membership; Qualifications; Terms; Vacancy; Conflict of Interest; Advisory Capacity; Meetings.