02/10/2022

New Federal “No Surprise Billing” Provisions Your Office NEEDS to Know!

No Surprises Act Requirements Augment Michigan Surprise Billing Law

Good Faith Estimate (GFE) In A Nutshell [NEW-March 30, 2022]

• The federal No Surprises Act has some provisions that are more stringent than the Michigan law, which was passed in 2020.

• Both laws will need to be followed by ALL health care providers in our state.

• The MAC has created resources members can download to ensure compliance with both laws.

To see Dr. Scott Munsterman's presentation on the No Surprises Act from the February 2022 MAC All-District Meeting, click here.

Click the Infographic for a pdf copy.

In 2020, Governor Whitmer signed into law legislation that would add surprise billing protections to Michigan’s Public Health Code, stopping the potential for surprisingly high out-of-network charges for health care procedures. Under the Michigan law, providers must inform patients in advance of a scheduled procedure that their health insurer may not cover all their medical services and that they can request care from an in-network provider.

However, new federal surprise billing protections have also come into effect. How do these provisions interact with, and in some cases supplant, the Michigan law?

MAC Members: Access the MAC Matters article "New Federal 'No Surprise Billing' Provisions Your Office NEEDS to Know!" This article includes a federal/state compliant form and additional resources.