The bill amends the Michigan insurance code by adding a new 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 model includes specific Current Procedural Terminology (CPT) billing codes established by the American Medical Association, which are listed in the bill. The director of the relevant department is tasked with updating this list as necessary to reflect any changes in the billing codes.
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 section also defines the "psychiatric collaborative care model" as an evidence-based, integrated behavioral health service delivery method.
Statutes affected: House Introduced Bill: 500.100, 500.8302