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.  
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(3) If the county social welfare board does not comply with the decision of the director of  
the state department as required by subrule (2), the bureau of social aid of the county  
department of social welfare shall arrange for or approve the necessary hospitalization and  
shall authorize payment by the state department for it.  
(4) The county portion of the costs of hospitalization, when incurred under subrules (2)  
or (3), shall be recovered by the state department by withholding the amount from any  
funds due the county social welfare board by the state department.  
History: 1979 AC.  
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