MI| Michigan DIFS Bulletin 2026-21-INS, issued August 25, 2026, replaces Bulletin 2025-24-INS and clarifies the current providers eligible for enhanced Michigan auto-insurance reimbursement under MCL 500.3157. Hospitals meeting specified indigent-volume thresholds—20% to 29.99% or 30% and above, based on MDHHS methodology and data effective July 1, 2026—may qualify under Sections 3157(4)(a) and (5), while American College of Surgeons–verified Level I or II trauma centers may qualify under Section 3157(6) for emergency treatment provided before a patient is stabilized and transferred; DIFS maintains the applicable hospital lists on its auto-insurance industry-resources webpage. The bulletin also confirms that the annual designations for freestanding rehabilitation facilities under Section 3157(4)(b) remain unchanged.
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