makes 1 or more requests for additional information, the carrier must respond within 14 days of
the date of the department’s request.
(4) The department shall issue a determination resolving the request for a calculation review no
later than 14 days after the carrier submits a timely and complete response under subrule (3) of
this rule or after the expiration of the time period within which the carrier was required to
respond, including any extensions provided following the department’s request for additional
information under subrule (3) of this rule.
History: 2021 MR 12, Eff. June 24, 2021.
R 500.244 Median amount; access to database.
Rule 4. (1) Subject to subrule (3) of this rule, a carrier may satisfy the requirement under R
500.243 by providing the department with access to a database that contains all of the carrier’s
median amounts. The database must meet all of the following requirements:
(a) Be updated no less frequently than quarterly.
(b) Be searchable by region, provider specialty, and health care service.
(c) Include negotiated rates for all health care services covered by the carrier.
(d) Be continuously accessible to the department.
(2) For the purposes of conducting a calculation review under section 24510 of the act, MCL
333.24510, the department may, at its discretion, consult any external database described under
section 24510(2) of the act, MCL 333.24510, without regard to whether a carrier made the
database accessible to the department or whether the database otherwise meets the requirements
under subrule (1) of this rule.
(3) A carrier’s provision of access to a database under this rule does not preclude the
department from requesting any documents, materials, or other information the department
believes is necessary to assist in reviewing the calculation described in section 24510(1) of the
act, MCL 333.24510.
History: 2021 MR 12, Eff. June 24, 2021.
R 500.245 Approval of arbitrators.
Rule 5. (1) The department shall create and maintain a list of arbitrators trained by the
American Arbitration Association or American Health Lawyers Association and approved by the
director. This list must be updated no less frequently than annually and must be posted on the
department’s website.
(2) Arbitrators seeking to be included in the list under subrule (1) of this rule must apply on a
form prescribed by the department.
(3) The department shall approve or disapprove an application no later than 60 days after the
date of receipt of the application. Applicants whose application has been disapproved may
reapply at any time.
(4) If approved for inclusion in the list under subrule (1) of this rule, arbitrators must annually
provide to the department, on a form prescribed by the department, an attestation acknowledging
that the information provided to the department in the arbitrator’s application under subrule (2)
of this rule remains complete and accurate.
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