Bill
HB 6153
Overview: HB 6153 - Human services: medical services; coverage for prescribed pediatric extended care; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109u.Purpos
Overview: HB 6153 - Human services: medical services; coverage for prescribed pediatric extended care; require. Amends 1939 PA 280 (MCL 400.1 - 400.119b) by adding sec. 109u.
Purpose and Intent: The bill aims to require Medicaid coverage for prescribed pediatric extended care (PPEC) services, which provide comprehensive, medically necessary care for children with complex medical conditions.
Key Provisions:
- Adds a new section to the state's Social Welfare Act to mandate Medicaid coverage for PPEC services
- Defines the scope of PPEC services, including nursing care, therapies, and other specialized medical support
- Establishes provider qualifications and reimbursement rates for PPEC services
- Requires the state Medicaid program to develop and implement a PPEC services benefit within 12 months of the bill's enactment
Affected Parties and Impacts:
- Children with complex medical needs who require PPEC services will have improved access to comprehensive, coordinated care through Medicaid
- PPEC providers will benefit from the new Medicaid reimbursement stream and increased demand for their services
- The state Medicaid program will incur additional costs to cover the PPEC services benefit, but may see long-term savings from improved health outcomes for enrolled children
Procedural and Timeline Considerations:
The bill has been referred to the second reading in the legislature, and if passed, the state Medicaid program will have 12 months to develop and implement the new PPEC services benefit.
Compiled from official sources — confirm details with the bill’s official record.
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