Current through Vol. 22-05, April 1, 2022
to subrule (3) of this rule, a carrier may satisfy the requirement under R
500.243 by providing the department with access to a database that contains all
of the carrier's median amounts. The database must meet all of the following
(a) Be updated no less
frequently than quarterly.
searchable by region, provider specialty, and health care service.
(c) Include negotiated rates for all health
care services covered by the carrier.
(d) Be continuously accessible to the
(2) For the
purposes of conducting a calculation review under section 24510 of the act, MCL
333.24510, the department may, at its discretion, consult any external database
described under section 24510(2) of the act, MCL 333.24510, without regard to
whether a carrier made the database accessible to the department or whether the
database otherwise meets the requirements under subrule (1) of this
(3) A carrier's provision of
access to a database under this rule does not preclude the department from
requesting any documents, materials, or other information the department
believes is necessary to assist in reviewing the calculation described in
section 24510(1) of the act, MCL 333.24510.