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What are Michigans licensure requirements for preferred provider organizations (PPOs)?

April 26, 2017licensure Michigan Organizations PPOs Provider requirements

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What are Michigans licensure requirements for preferred provider organizations (PPOs)?

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Michigan does not require licensure of PPOs that bear no insurance risk, that is PPOs that accept fee-for-service reimbursement with no risk pooling or transfer. Licensed risk bearers and licensed claim processors (insurers and third party administrators) that condition the delivery of benefits upon the use of a particular panel of healthcare providers are subject to Michigan’s Prudent Purchaser Act (PPA).