Member Login | Join HCAOA
Home Care Association of America
  • Membership Resources
    • Member Login
    • Code of Conduct
    • Resources
    • Newsletters
    • Product & Services Guide
    • Join HCAOA
    • Member-Get-A-Member
    • Benefits: Agency Membership
    • Benefits: Associate Membership
  • State Chapters
    • State Chapters
  • Education/Events
    • Calendar
    • On-Demand Video Library
    • 2025 National Home Care Conference >
      • Exhibitor Opportunities
      • Sponsorship Opportunities
  • Advocacy/Policy
    • Advocacy Fund
    • Issues & Positions
    • Legislative Action Network
    • State & Federal Legislative and Regulatory Tracker
    • Industry Reports
    • Home Care by the Numbers
  • About HCAOA
    • Mission & Vision
    • Board of Directors
    • Committees
    • Staff
    • Caregiver of the Year Award >
      • 2025 Nomination Form
    • News Releases
    • Sponsorship Opportunities
    • Contact Us
  • Find a Job

MICHIGAN: Response Requested Regarding HB 4486 & SB 314

5/12/2021

0 Comments

 
Picture
Two years ago this month, the Legislature passed and Governor Whitmer signed legislation that would overhaul the state’s No Fault insurance system that had been in place since 1972. The primary components of the package were choice, a rate freeze and mandatory cuts in rates for insurance companies, and a fee schedule for services performed on behalf of those injured in a car accident. Additionally, the reform set in place a medical fee schedule that set rates for what hospitals and rehabilitation clinics can charge under the No Fault system. While there are some variations in what the fee schedule pays based on percentage of indigent care, the average payment for a procedure with a code under Medicare will receive 200% of what Medicare normally pays. If there is not a Medicare code, then the provider will be paid 55% of whatever their rate was in January of 2019. As part of the fee schedule, a limit was placed on attendant care at 56 hours per week. 

The majority of the reforms were put in place last July, but the fee schedule portion takes effect on July 2nd of this year.  The initial intent of this law was to give people an option on what level of coverage they would want for Personal Injury Protection (PIP).  Drivers could continue to choose an unlimited PIP amount as well as $50,000 for those on Medicaid, $250,000, $500,000, or if qualified, no PIP coverage at all.  If a lower level of PIP is chosen, then a person’s health insurance would become the primary payer once their benefit was exhausted. The Legislature also mandated a rate cut for each level of choice and froze that rate for eight years.  For example, unlimited PIP is required to have a rate cut of 10% under the legislation. 

Additionally, the reform set in place a medical fee schedule that set rates for what hospitals and rehabilitation clinics can charge under the No Fault system.  While there are some variations in what the fee schedule pays based on percentage of indigent care, the average payment for a procedure with a code under Medicare will receive 200% of what Medicare normally pays.  If there is not a Medicare code, then the provider will be paid 55% of whatever their rate was in January of 2019.  As part of the fee schedule, a limit was placed on attendant care at 56 hours per week. 

There is a push by some in the post-acute rehabilitation space to try to alter the fee schedule, specifically the 55% provision for services without a Medicare code, which would include home care services. 
​

If your home care organization would be affected by this change, please respond to this message no later than Wednesday, May 12. 
 
Fee Schedule Fix — Michigan Brain Injury Provider Council (mbipc.org)
0 Comments



Leave a Reply.

    Archives

    June 2025
    May 2025
    April 2025
    March 2025
    February 2025
    January 2025
    December 2024
    November 2024
    October 2024
    September 2024
    August 2024
    July 2024
    June 2024
    May 2024
    April 2024
    March 2024
    February 2024
    January 2024
    December 2023
    November 2023
    October 2023
    September 2023
    August 2023
    July 2023
    June 2023
    May 2023
    April 2023
    March 2023
    February 2023
    January 2023
    December 2022
    November 2022
    October 2022
    September 2022
    August 2022
    July 2022
    June 2022
    May 2022
    April 2022
    March 2022
    February 2022
    January 2022
    December 2021
    November 2021
    October 2021
    September 2021
    August 2021
    July 2021
    June 2021
    May 2021
    April 2021
    March 2021
    February 2021
    January 2021
    December 2020
    November 2020
    October 2020
    September 2020

    Categories

    All
    Accreditation
    Advocacy
    AI
    Alabama
    Arizona
    Award
    California
    Caregiver
    Chapters
    Colorado
    Conference
    Connecticut
    COVID 19
    COVID-19
    Data
    Delaware
    District Of Columbia
    Education
    Florida
    Georgia
    Hawaii
    Illinois
    Immigration
    Indiana
    Iowa
    Kansas
    Kentucky
    Legal
    Legislative
    Massachusetts
    Medi
    Medicaid
    Medicare
    Member Benefits
    Member News
    Michigan
    Minnesota
    Nevada
    New Jersey
    New Mexico
    New York
    North Carolina
    Ohio
    Oregon
    Pennsylvania
    Recruitment
    Reimbursement
    Research
    Rhode Island
    South Carolina
    South Dakota
    Sponsorships
    Technology
    Tennessee
    Texas
    Vendor
    Veterans Administration
    Virginia
    Washington
    West Virginia
    Wisconsin
    Workforce
    Wyoming

    RSS Feed

    Upcoming Events

Picture
HCAOA
About
Committees
Board
Staff

Chapters
State Chapters
Products/Services
Advertise with Us
Products & Services
Find a Job


Follow Us
Phone: 202-519-2960​ | 444 N. Capitol Street NW, Suite 428 |  Washington, DC 20001
[email protected]
 |
sitemap
​
© 2024 Home Care Association of America.  All Rights Reserved. | Privacy Policy | Refund Policy
  • Membership Resources
    • Member Login
    • Code of Conduct
    • Resources
    • Newsletters
    • Product & Services Guide
    • Join HCAOA
    • Member-Get-A-Member
    • Benefits: Agency Membership
    • Benefits: Associate Membership
  • State Chapters
    • State Chapters
  • Education/Events
    • Calendar
    • On-Demand Video Library
    • 2025 National Home Care Conference >
      • Exhibitor Opportunities
      • Sponsorship Opportunities
  • Advocacy/Policy
    • Advocacy Fund
    • Issues & Positions
    • Legislative Action Network
    • State & Federal Legislative and Regulatory Tracker
    • Industry Reports
    • Home Care by the Numbers
  • About HCAOA
    • Mission & Vision
    • Board of Directors
    • Committees
    • Staff
    • Caregiver of the Year Award >
      • 2025 Nomination Form
    • News Releases
    • Sponsorship Opportunities
    • Contact Us
  • Find a Job