DEPARTMENT OF COMMUNITY HEALTH
MEDICAL SERVICES ADMINISTRATION
STATE VENDOR PARTICIPATION IN MEDICAL COSTS
(By authority conferred on the department of social services by section 6 of Act No.
280 of the Public Acts of 1939, as amended, being S400.6 of the Michigan Compiled
R 400.24 Time limitation on claims by county social welfare board.
Rule 24. All claims incurred and paid by the county social welfare board involving
vendor medical service for which state reimbursement is sought must be submitted to
the county bureau of social aid on a monthly basis but not later than the end of the fifth
month following the month in which the latest continuous service in the same class is
rendered.Provided, that the state department may pay a bill submitted beyond the fifth
month if in its judgment there are extenuating circumstances and if federal
financial participation can be obtained.
History: 1979 AC.
R 400.25 Determination of percentage of state participation.
Rule 25. The commission will redetermine from time to time the percentage
of the costs of hospitalization to be paid by the state department under section
66a of the social welfare act, and such determination shall be applicable to invoices
approved by the supervisor of the bureau of social aid in the month or months
following such determination, regardless of the date the expense for hospitalization
History: 1979 AC.
R 400.26 Enforcement of patient's right to hospitalization.
Rule 26. (1) "Promptly" as used in section 66b of the social welfare act and this
rule shall, in nonemergency cases, be defined as "within 30 calendar days." Failure
of a county department to make a decision promptly on an application for hospitalization
by a person who is receiving old age assistance, aid to dependent children (except a
person so receiving as an eligible child), aid to the blind, or aid to the permanently
and totally disabled, as required by section 66b of the social welfare act, shall be
considered to be a determination that hospitalization is not necessary, and the supervisor
of the bureau of social aid shall then, with the consent of the applicant, petition for a
hearing as provided in sections 66d and 9 of the social welfare act.