Michigan Compiled Laws
258-1974-8 - Chapter 8 Financial Liability for Mental Health Services (330.1800...330.1844)
Section 330.1800 - Definitions.

Sec. 800.
As used in this chapter, unless the context requires otherwise:
(a) "Ability to pay" means the ability of a responsible party to pay for the cost of services, as determined by the department under sections 818 and 819.
(b) "Cost of services" means the total operating and capital costs incurred by the department or a community mental health services program with respect to, or on behalf of, an individual. Cost of services does not include the cost of research programs or expenses of state or county government unrelated to the provision of mental health services.
(c) "Individual" means the individual, minor or adult, who receives services from the department or a community mental health services program or from a provider under contract with the department or a community mental health services program.
(d) "Inpatient services" means 24-hour care and treatment services provided by a state facility or a licensed hospital.
(e) "Insurance benefits" means payments made in accordance with insurance coverage for the cost of health care services provided to an individual.
(f) "Insurance coverage" means any policy, plan, program, or fund established or maintained for the purpose of providing for its participants or their dependents medical, surgical, or hospital benefits. Insurance coverage includes, but is not limited to, medicaid or medicare; policies, plans, programs, or funds maintained by nonprofit hospital service and medical care corporations, health maintenance organizations, and prudent purchaser organizations; and commercial, union, association, self-funded, and administrative service policies, plans, programs, and funds.
(g) "Nonresidential services" means care or treatment services that are not inpatient or residential services.
(h) "Parents" means the legal father and mother of an unmarried individual who is less than 18 years of age.
(i) "Residential services" means 24-hour dependent care and treatment services provided by adult foster care facilities under contract to the department or a community mental health services program or provided directly by a community mental health services program.
(j) "Responsible party" means a person who is financially liable for services furnished to the individual. Responsible party includes the individual and, as applicable, the individual's spouse and parent or parents of a minor.
History: 1974, Act 258, Eff. Nov. 6, 1974 ;-- Am. 1995, Act 290, Eff. Mar. 28, 1996

Structure Michigan Compiled Laws

Michigan Compiled Laws

Chapter 330 - Mental Health Code

Act 258 of 1974 - Mental Health Code (330.1001 - 330.2106)

258-1974-8 - Chapter 8 Financial Liability for Mental Health Services (330.1800...330.1844)

Section 330.1800 - Definitions.

Section 330.1802 - Establishment of Financial Liability.

Section 330.1804 - Financial Liability of Responsible Party.

Section 330.1806 - Single or Married Individual; Determining Insurance Coverage and Ability to Pay.

Section 330.1808 - Limitation on Financial Liability.

Section 330.1810 - Denial of Services Prohibited.

Section 330.1812 - Insurance Coverage as Part of Ability to Pay.

Section 330.1813 - Subrogation.

Section 330.1814 - Willful Refusal to Apply for Insurance Benefits or Provide Information.

Section 330.1816 - Repealed. 1995, Act 290, Eff. Mar. 28, 1996.

Section 330.1817 - Insurance Coverage and Ability to Pay; Determination to Be Made After Admittance or Start of Services.

Section 330.1818 - Adult Inpatient Psychiatric Services Less Than 61 Days, Nonresidential Services, and Services to Minors; Provisions Applicable to Ability to Pay; Rules.

Section 330.1819 - Residential Services and Inpatient Services Other Than Psychiatric Services Less Than 61 Days; Provisions Applicable to Ability to Pay; Minor's Ability to Pay.

Section 330.1820 - Spouse's Ability to Pay.

Section 330.1822 - Financial Information.

Section 330.1824 - Undue Financial Burden Prohibited.

Section 330.1826 - Repealed. 1995, Act 290, Eff. Mar. 28, 1996.

Section 330.1828 - Annual Determination of Insurance Coverage and Ability to Pay; New Determination.

Section 330.1830 - Change in Ability to Pay; Notice of Right to Request New Determination.

Section 330.1832 - Ability to Pay; Utilization of Inappropriate Income Figure; Notice of Right to Request New Determination; Basis of Determination.

Section 330.1834 - Administrative Hearing to Contest Ability to Pay Determination.

Section 330.1836 - Appeal of Redetermination of Ability to Pay.

Section 330.1838 - Redetermination of Ability to Pay; Charge for Higher Amount.

Section 330.1840 - Repealed. 1995, Act 290, Eff. Mar. 28, 1996.

Section 330.1842 - Rules; Procedures for Determining Ability to Pay.

Section 330.1844 - Repealed. 1995, Act 290, Eff. Mar. 28, 1996.