House Bill 5858
Introduced June 16, 2020
House Bill 5858 seeks to revise and amend Section 3157 of the insurance code by introducing a new Michigan Auto No-Fault Rehabilitation Clinic Fee Schedule.
The objective is to establish a new fee schedule based on a survey of rates of rehabilitation clinics including members of Michigan' Brain Injury Provider Council and a majority of this state's rehabilitation clinics accredited in interdisciplinary outpatient medical rehabilitation by the Commission on Accreditation of Rehabilitation Facilities (CARF) and, from that survey, determine a reasonable approximation by comparing, as of January 1, 2019, the amount payable under Medicare to the average amount rehabilitation clinics charge for the same treatments payable under Medicare, resulting in an equivalency factor, and applying that equivalency factor to average rates for treatments for which Medicare does not provide an amount payable.
The new fee schedule would be effective for treatment or training rendered after July 1, 2021 and would establish a lesser of methodology where fee payment would not exceed the lessor of the amount payable under the Michigan auto no-fault rehabilitation clinic fee schedule or the average amount charged by the rehabilitation clinic for the treatment or training on January 1, 2019.
The Michigan auto no-fault rehabilitation clinic fee schedule as written in HB 5858 means the Michigan auto no-fault rehabilitation clinic fee schedule copyrighted in 2020 by William R. Buccalo and Margaret J. Kroese.