Department of Insurance and Financial Services  
Insurance  
Administrative Rules for Utilization Review  
Rule Set 2019-136 IF  
NOTICE OF PUBLIC HEARING  
Friday, April 10, 2020  
09:00 AM  
First Floor Forum  
Michigan Library & Historical Center, 702 W. Kalamazoo St., Lansing, Michigan  
The Department of Insurance and Financial Services will hold a public hearing to receive public  
comments on proposed changes to the Utilization Review rule set.  
The proposed rules are mandatory under Section 3157a of the Insurance Code, MCL 500.3157a, which  
was added by Public Act 21 of 2019. Section 3157a(3) requires DIFS to promulgate rules to establish a  
utilization review program. The proposed rules are designed to impose standards for utilization review  
and establish an appeals process for health care providers to appeal to DIFS when they disagree with a  
benefit determination made by an automobile insurer.  
This notice of public hearing is given in accordance with Sections 41 and 42 of the Administrative  
Procedures Act, MCL 24.241 and 24.242. These rules are promulgated pursuant to the mandate of  
Section 3157a(3) of the Insurance Code, MCL 500.3157a(3), which requires DIFS to promulgate rules to  
establish a utilization review program. These rules will take effect Immediately after filing with the  
Secretary of State. The rules are published on the Michigan Government web site at  
http://www.michigan.gov/moahr and in the Michigan Register in the 4/1/2020 issue. Copies of the draft  
rules may also be obtained by mail or electronic transmission at the following address:  
Department of Insurance and Financial Services  
Insurance  
Department of Insurance and Financial Services, Office of Research, Rules, and Appeals  
P.O. Box 30220, Lansing, MI 48909-7720  
Email: EstradaM1@michigan.gov  
Comments on the rules may be made in person at the hearing or by mail or electronic mail until  
4/10/2020 at 05:00PM.  
The public hearing will be conducted in compliance with the 1990 Americans with Disabilities Act, in  
accessible buildings with handicap parking available. Anyone needing assistance to take part in the  
hearings due to disability may call 517-284-8735 to make arrangements.  
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