Government Affairs Update

From The Arc Michigan: For Complete Post, Click Here…

Senate Bill 855, Complex Needs Patient Act
SB 855 would create the “Complex Needs Patient Act.” Under the measure, the Department of Health and Human Services (MDHHS) is tasked with establishing policies and rules for complex rehabilitation technology products and services. These policies and rules must take into consideration the individually configured nature of complex rehabilitation technology and the broad range of services necessary to meet the unique medical and functional needs of an individual by doing all of the following:
 

  • Designate specific HCPCS billing codes for complex rehab technology and any new codes in the future as appropriate;
  • Establishing specific supplier standards for a company or entity that provides complex rehabilitation technology and restricting providing complex rehabilitation technology to only a qualified complex rehab technology supplier;
  • Requiring a complex needs patient receiving a complex rehab manual wheelchair, power wheelchair, or seating component to be evaluated by a qualified health care professional and a qualified complex rehab technology professional;
  • Maintaining payment policies and rates for complex rehab technology to ensure payment amounts are adequate to provide complex needs patients with access to those items;
  • Exempting the related complex rehab technology HCPCS billing codes from inclusion in bidding, selective contracting, or similar initiative;
  • Requiring that managed care Medicaid health plans adopt the regulations and policies outlined in this act and contract with a willing, qualified complex rehab technology supplier

The bill passed out of the Senate unanimously on September 16 and was subsequently reported out of the House Health Policy Committee. It is is now pending before the House Ways and Means Committee. The Arc supports.

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