The bill amends the Michigan insurance code by adding section 3406uu, which mandates that insurers providing health insurance policies with mental health and substance use disorder benefits must reimburse for services delivered through the psychiatric collaborative care model. This reimbursement must include specific Current Procedural Terminology (CPT) billing codes established by the American Medical Association, including codes 90844, 99492, 99493, 99494, and G2214. The bill also requires the director to update this list of codes as necessary.

Additionally, the bill allows insurers to deny reimbursement for any of the listed CPT codes based on medical necessity, provided that such determinations comply with the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 and its related regulations. The term "psychiatric collaborative care model" is defined within the bill as an evidence-based, integrated behavioral health service delivery method.

Statutes affected:
House Introduced Bill: 500.100, 500.8302