Main Content
Search within this Statute for
PATIENT'S RIGHT TO INDEPENDENT REVIEW ACT Act 251 of 2000 AN ACT to provide review of certain health care coverage adverse determinations made by health carriers; to prescribe eligibility, powers, and duties of certain independent review organizations; to prescribe the powers and duties of certain health carriers; to prescribe the powers and duties of certain persons; to prescribe the powers and duties of certain state officials; to provide for the reporting of certain information; to provide fees; and to provide penalties for violations of this act.
History: 2000, Act 251, Eff. Oct. 1, 2000
The People of the State of Michigan enact:
Section 550.1901 Section Short title.
Section 550.1903 Section Definitions.
Section 550.1905 Section Scope.
Section 550.1907 Section Right to request external review for adverse determination; written notice.
Section 550.1909 Section Written request to director; manner; electronic communication.
Section 550.1911 Section Request for external review; commencement; preliminary review; notice of acceptance; duties of director; incomplete request; nonacceptance; assignment of independent review organization; duty of health carrier to provide documents; reconsideration by health carrier of its adverse determination; recommendation; considerations; review by director; notice of decision.
Section 550.1913 Section Expedited external review.
Section 550.1915 Section Decision as final administrative remedy; other remedies.
Section 550.1917 Section Approved independent review organizations; application; form; fee; expiration; termination; updated list.
Section 550.1919 Section Approved independent review organization; requirements.
Section 550.1921 Section Independent review organization; liability for damages.
Section 550.1923 Section Maintenance of records; report to director.
Section 550.1925 Section Description of internal grievance and external review procedures; inclusion with materials provided to covered persons.
Section 550.1927 Section Rules.
Section 550.1929 Section Cease and desist order; additional orders; fines; hearing; injunction; creation of cancer clinical trials; disposition of funds.