Health Plans

Providing health care coverage for the uninsured is a primary concern of the federal government as well as state and local governments.  Miller Canfield Health Law attorneys represent a unique segment of the health care industry that is organized to serve the low income uninsured population.  Due to the broad experience and expertise of our attorneys, we are able to successfully handle complex and often times unusual legal and funding issues faced by this particular group of clients.

Specifically, we have established and represent nearly all of the 27 County Health Plans in Michigan which provide health care coverage for more than half of Michigan adults with incomes under 150% of the federal poverty level.  We also represent governmental entities, trade associations and other organizations with similar purposes of increasing access to health care for this underserved population.

Representative legal services  include  advice pertaining to  federal, State and local funding and reimbursement, federal and State tax exemption, corporate laws, negotiating and preparing contracts with the State of Michigan, counties, hospitals, physicians, other healthcare professionals and suppliers.  In particular, we counsel our clients on waivers of federal laws such as  the State Children’s Health Insurance Program and  Medicaid, intergovernmental agreements and special funding arrangements, ballot and millage proposals, charitable solicitation licensing, prescription discount drug programs and pharmacy management contracts, employer subsidized health coverage programs, third party administrator claims management, provider credentialing, volunteer provider programs, governmental grants, corporate documents and governance, tax exempt applications and compliance, federal and State health care fraud and abuse compliance and other regulations governing health care entities. 

Our health plan clients also include other types of managed care organizations, such as Health Maintenance Organizations (“HMOs”) and Community Mental Health Service Providers (“CMHSPs”) that are members of a Medicaid Preferred Inpatient Health Plans (“PIHP”).  Representation includes helping the managed care organization work with participating providers and PIHPs to work with member CMHSPs to identify errors, if any, and then to defend or correct information submitted.