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Michigan Public Act 593 Case Study

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1. Please describe your knowledge of the Michigan Public Act 593 (PA593).
My previous experience with the Michigan Public Act 593 includes direct working experience with the legislation as a claims examiner at Meridian Health. In addition, I was to complete the course “Legal Aspects for Health Services Organization” for the completion of my Masters in Health Service Administration. In order to fulfil the requirements of this course, I was required to complete a synopsis and full review of multiple Michigan Acts including the Michigan Public Act 593. My full review of this act for this course is included below.
The Michigan Public Act 593 of 2006 (MCL 550.283) was effective on January 3rd 2007 allowed the State of Michigan the ability to identify and recuperate disperses payments from third parties that should always pay medical expenses primary to Medicaid. In order to identify beneficiaries that are enrolled in both the State’s Medical Assistance Program and other medical assistance policies or programs, the Michigan Department of Health and Human Services works directly with other payers to apply the National Roster File Process and …show more content…
This information provided to MDHHS is often referred as the National Roster file and should be formatted as indicated in the State’s File Technical Record document. An electronic data interchange (EDI) health care transaction with the State of Michigan’s Community Health Automated Medicaid Processing System (CHAMPS) must contain the data elements as identified in the Payer File Technical Record. MDHHS will analyze and review this file while communicating any discrepancies or problems to the payer during the establishment of the National Roster cumulative file along with the monthly direct file

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