The bill amends the Michigan Insurance Code of 1956 by adding Section 3406ss, which establishes new requirements for insurers regarding the credentialing of mental health and substance use disorder providers. Insurers must assess and verify the qualifications of applicants within 60 calendar days of receiving a complete application and provide a written decision on the application within the same timeframe. If an application is incomplete, insurers are required to notify the applicant within 10 business days, detailing the necessary information to complete the application. Additionally, insurers may extend the credentialing period by 15 days if further review is needed due to specific circumstances.

Furthermore, the bill mandates that insurers reimburse providers for covered services if their credentialing application has not been approved or denied within the specified timeframes, provided certain conditions are met, such as the absence of license sanctions and possession of professional liability insurance. The reimbursement rates for eligible providers are defined based on their licensure status, ensuring that they receive fair compensation for their services. The bill also clarifies the definition of a "mental health or substance use disorder provider," encompassing various licensed professionals in the field.

Statutes affected:
House Introduced Bill: 500.100, 500.8302