Human services: medical services; regulations regarding managed care plans; provide for. Amends secs. 105d, 109, 111i & 111j of 1939 PA 280 (MCL 400.105d et seq.) & adds secs. 111o, 111p & 111q.

This bill amends Michigan's social welfare act to change how Medicaid services are managed and paid for. It requires the state to enroll eligible individuals into contracted health plans, establish cost-sharing, and encourage the use of high-value medical services. The bill also sets new rules for how quickly Medicaid managed care organizations must process claims and prior authorization requests, especially for nursing facilities, and outlines requirements for contracts between these organizations and healthcare providers.

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