Section 550.52 - Definitions.
PRUDENT PURCHASER ACT (EXCERPT)
Act 233 of 1984
550.52 Definitions.
Sec. 2.
As used in this act:
(a) “Commissioner” means the commissioner of insurance.
(b) “Dental care corporation” means a dental care corporation incorporated under Act No. 125 of the Public Acts of 1963, being sections 550.351 to 550.373 of the Michigan Compiled Laws.
(c) “Health care corporation” means a health care corporation incorporated under the nonprofit health care corporation reform act, Act No. 350 of the Public Acts of 1980, being sections 550.1101 to 550.1704 of the Michigan Compiled Laws.
(d) “Health care provider” means a health facility or a person licensed, certified, or registered under parts 61 to 65 or 161 to 182 of the public health code, Act No. 368 of the Public Acts of 1978, being sections 333.6101 to 333.6523 and 333.16101 to 333.18237 of the Michigan Compiled Laws. However, health care provider does not include a pharmacist or pharmacy engaged in the retail sale of drugs, until January 1, 1987.
(e) “Health facility” means:
(i) A facility or agency licensed or authorized under parts 201 to 217 of the public health code, or a licensed part thereof, except a facility or agency licensed under part 203 of the public health code.
(ii) A mental hospital, psychiatric hospital, psychiatric unit, or mental retardation facility operated by the department of mental health or certified or licensed under Act No. 258 of the Public Acts of 1974, being sections 330.1001 to 330.2106 of the Michigan Compiled Laws.
(iii) A facility providing outpatient physical therapy services, including speech pathology services.
(iv) A kidney disease treatment center, including a freestanding hemodialysis unit.
(v) An organized ambulatory health care facility.
(vi) A tertiary health care service facility.
(vii) A substance abuse treatment program licensed under parts 61 to 65 of the public health code, Act No. 368 of the Public Acts of 1978, being sections 333.6101 to 333.6523 of the Michigan Compiled Laws.
(viii) An outpatient psychiatric clinic.
(ix) A home health agency.
(f) “Health maintenance organization” means a health maintenance organization licensed under article 17 of the public health code, Act No. 368 of the Public Acts of 1978, being sections 333.20101 to 333.22181 of the Michigan Compiled Laws.
(g) “Hospital service corporation” means a hospital service corporation incorporated under Act No. 109 of the Public Acts of 1939, being sections 550.501 to 550.517 of the Michigan Compiled Laws.
(h) “Insurer” means an insurer as defined in section 106 of the insurance code of 1956, Act No. 218 of the Public Acts of 1956, being section 500.106 of the Michigan Compiled Laws.
(i) “Medical care corporation” means a medical care corporation incorporated under Act No. 108 of the Public Acts of 1939, being sections 550.301 to 550.316 of the Michigan Compiled Laws.
(j) “Organization” means an insurer, a dental care corporation, hospital service corporation, medical care corporation, health care corporation, or third party administrator.
(k) “Provider panel” means a panel of health care providers providing health care services pursuant to a prudent purchaser agreement.
(l) “Prudent purchaser agreement” means an agreement between an organization and a health care provider pursuant to section 3.
(m) “Third party administrator” means an administrator operating under a certificate of authority issued by the commissioner pursuant to the third party administrator act.
History: 1984, Act 233, Eff. Dec. 20, 1984
Compiler's Notes: For transfer of authority, powers, duties, functions, and responsibilities of the insurance bureau and the commissioner of insurance to the commissioner of the office of financial and insurance services and the office of financial and insurance services, see E.R.O. No. 2000-2, compiled at MCL 445.2003 of the Michigan compiled laws.