Human services: medical services; coverage for the prophylaxis, diagnosis, and treatment of certain pediatric autoimmune neuropsychiatric disorders; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109v.

This bill requires Michigan's medical assistance program to cover the diagnosis and treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute-onset neuropsychiatric syndrome (PANS). It ensures that coverage for these conditions will not have higher costs than other benefits and will be provided in a timely manner. The bill also specifies how these conditions should be coded for billing purposes and prevents denial of coverage based on previous treatments or diagnostic names.

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