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 Laws)
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 was incurred.
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.
(2) The county social welfare board shall comply with a decision made by the director of
the state department under R 400.7 concerning hospitalization within 5 working days
following receipt of the notice of the decision.
Page 1