Sec. 419b.
(1) A health care corporation shall not consider whether an individual is eligible for or has available medical assistance under title XIX of the social security act, chapter 531, 49 Stat. 620, 42 U.S.C. 1396 to 1396g and 1396i to 1396v, in this or another state when considering eligibility for coverage or making payments under its plan for eligible subscribers.
(2) If a health care corporation has a legal liability to make payments, and payment for covered expenses for medical goods or services furnished to an individual has been made under the medical assistance program established under section 105 of the social welfare act, Act No. 280 of the Public Acts of 1939, being section 400.105 of the Michigan Compiled Laws, the department of social services has the rights of the individual to payment by the health care corporation to the extent payment was made by the department of social services's medical assistance program for those medical goods or services.
(3) If the department of social services has been assigned the rights of a subscriber who is eligible for medical assistance under section 105 of Act No. 280 of the Public Acts of 1939 and is covered by a health care corporation, the health care corporation shall not impose requirements on the department of social services that are different from requirements that apply to an agent or assignee of any other covered subscriber.
History: Add. 1995, Act 238, Eff. Mar. 28, 1996 Popular Name: Blue Cross-Blue ShieldPopular Name: Act 350
Structure Michigan Compiled Laws
Chapter 550 - General Insurance Laws
Act 350 of 1980 - The Nonprofit Health Care Corporation Reform Act (550.1101 - 550.1704)
350-1980-4 - Part 4 (550.1400...550.1439)
Section 550.1400 - Use of Most Favored Nation Clause in Provider Contract.
Section 550.1401b - Certificate Providing Benefits for Mental Health Services; Requirements.
Section 550.1401f - Health Care Corporation; Access to Obstetrician-Gynecologist.
Section 550.1401g - Health Care Corporation; Access to Pediatric Care Services.
Section 550.1401j - Prescription Drug Coverage; Rate Differentials; Filing.
Section 550.1401k - Telemedicine Services; Provisions; Definition; Applicability.
Section 550.1401m - Offer of Health Care Benefits to All Residents Regardless of Health Status.
Section 550.1402d - Applicability of MCL 500.2212c to Health Care Corporation.
Section 550.1403 - Payment of Benefits; Interest; Claim Form; Exception.
Section 550.1403a - Benefits Paid by Check or Written Instrument; Escheat.
Section 550.1403b - Advertising Material Prohibited.
Section 550.1405 - Single Billing Form; Development; Explanation of Total Bill for Services.
Section 550.1409 - Civil Action for Negligence.
Section 550.1411-550.1413a - Repealed. 1994, Act 40, Imd. Eff. Mar. 14, 1994.
Section 550.1414 - Expired. 1980, Act 430, Eff. Jan. 1, 1982.
Section 550.1414b - Offer of Wellness Coverage by Health Care Corporation.
Section 550.1415 - Benefits for Prosthetic Devices.
Section 550.1417 - Hospice Care; Contracts With Health Care Corporation; Description of Benefit.
Section 550.1418 - Emergency Health Services; Medical Coverage Required; “Stabilization” Defined.
Section 550.1420-550.1430 - Repealed. 2006, Act 441, Imd. Eff. Oct. 19, 2006.
Section 550.1435 - “Program” Defined.
Section 550.1437 - Eligibility of Child for Enrollment in Program.
Section 550.1438 - Limitation of Benefits; Provision of Other Health Care Benefits.
Section 550.1439 - Fees Prohibited; Exception; Funding; Enrollment of Children.