§ 49.31 Assistant prosecuting attorneys, investigators and clerical employees; appointment
§ 49.32 Chief assistant prosecuting attorney; designation, duties
§ 49.33 Prosecuting attorney; statement of appointments, filing
§ 49.34 Assistant prosecuting attorneys, investigators and clerical employees; compensation
§ 49.35 Assistant prosecuting attorneys, investigators and clerical employees; tenure

Terms Used In Michigan Laws > Chapter 49 > Act 329 of 1925 - Assistants, Clerks, and Investigators

  • Adverse determination: means a determination by a health carrier or its designee utilization review organization that an admission, availability of care, continued stay, or other health care service that is a covered benefit has been reviewed and, based on the information provided, does not meet the health carrier's requirements for medical necessity, appropriateness, health care setting, level of care, or effectiveness, and the requested service or payment for the service is therefore denied, reduced, or terminated. See Michigan Laws 550.1903
  • Ambulatory review: means utilization review of health care services performed or provided in an outpatient setting. See Michigan Laws 550.1903
  • annual meeting: when applied to townships, mean the annual meeting required by law to be held on the Saturday immediately preceding the first Monday in April. See Michigan Laws 8.3d
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Authorized representative: means any of the following:
  (i) A person to whom a covered person has given express written consent to represent the covered person in an external review. See Michigan Laws 550.1903
  • benefits: means those health care services to which a covered person is entitled under the terms of a health benefit plan. See Michigan Laws 550.1903
  • Carrier: means any of the following:
  •   (i) An insurer or health maintenance organization regulated under the insurance code of 1956, 1956 PA 218, MCL 500. See Michigan Laws 550.1833
  • Case management: means a coordinated set of activities conducted for individual patient management of serious, complicated, protracted, or other health conditions. See Michigan Laws 550.1903
  • Certification: means a determination by a health carrier or its designee utilization review organization that an admission, availability of care, continued stay, or other health care service has been reviewed and, based on the information provided, satisfies the health carrier's requirements for medical necessity, appropriateness, health care setting, level of care, and effectiveness. See Michigan Laws 550.1903
  • Clinical review criteria: means the written screening procedures, decision abstracts, clinical protocols, and practice guidelines used by a health carrier to determine the necessity and appropriateness of health care services. See Michigan Laws 550.1903
  • Concurrent review: means utilization review conducted during a patient's hospital stay or course of treatment. See Michigan Laws 550.1903
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • Covered person: means a policyholder, subscriber, member, enrollee, or other individual participating in a health benefit plan. See Michigan Laws 550.1903
  • Damages: Money paid by defendants to successful plaintiffs in civil cases to compensate the plaintiffs for their injuries.
  • Department: means the department of insurance and financial services. See Michigan Laws 550.1903
  • Department: means the department of community health. See Michigan Laws 550.2002
  • Department: means the department of licensing and regulatory affairs. See Michigan Laws 550.1833
  • Director: means the director of the department. See Michigan Laws 550.1903
  • Discharge planning: means the formal process for determining, before discharge from a facility, the coordination and management of the care that a patient receives following discharge from the facility. See Michigan Laws 550.1903
  • Disclose: means to release, transfer, or otherwise divulge protected health information to any person other than the individual who is the subject of the protected health information. See Michigan Laws 550.1903
  • Eligible entity: means a faith-based, nonprofit entity that maintains tax-exempt status under section 501(c) of the internal revenue code, 26 USC 501. See Michigan Laws 550.1863
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • EPIC program: means the elder prescription insurance coverage program created in section 3 or any other state program, federal program, or combination of state programs and federal programs, providing services to the population specified in section 3. See Michigan Laws 550.2002
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Expedited internal grievance: means an expedited grievance under section 2213(1)(l) of the insurance code of 1956, 1956 PA 218, MCL 500. See Michigan Laws 550.1903
  • Federal act: means the federal patient protection and affordable care act, Public Law 111-148, as amended by the federal health care and education reconciliation act of 2010, Public Law 111-152, and any regulations promulgated under those acts. See Michigan Laws 550.1833
  • Federal employee health benefit program: means the program of health benefits plans, as defined in 5 USC 8901, available to federal employees under 5 USC 8901 to 8914. See Michigan Laws 550.1833
  • Federal poverty guidelines: means the poverty guidelines updated annually in the federal register by the United States department of health and human services under authority of 42 U. See Michigan Laws 550.2002
  • Final adverse determination: means an adverse determination involving a covered benefit that has been upheld by a health carrier, or its designee utilization review organization, at the completion of the health carrier's internal grievance process procedures as set forth in section 2213 of the insurance code of 1956, 1956 PA 218, MCL 500. See Michigan Laws 550.1903
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fund: means the autism coverage fund created in section 7. See Michigan Laws 550.1833
  • Group health plan: means an employee welfare benefit plan as defined in section 3(1) of subtitle A of title I of the employee retirement income security act of 1974, Public Law 93-406, 29 USC 1002, to the extent that the plan provides medical care, including items and services paid for as medical care to employees or their dependents as defined under the terms of the plan directly or through insurance, reimbursement, or otherwise. See Michigan Laws 550.1833
  • Health benefit plan: means a policy, contract, certificate, or agreement offered or issued by a health carrier to provide, deliver, arrange for, pay for, or reimburse any of the costs of covered health care services. See Michigan Laws 550.1903
  • Health care professional: means an individual licensed, certified, registered, or otherwise authorized to engage in a health profession under parts 161 to 183 of the public health code, 1978 PA 368, MCL 333. See Michigan Laws 550.1903
  • Health care services: means services for the diagnosis, prevention, treatment, cure, or relief of a health condition, illness, injury, or disease. See Michigan Laws 550.1903
  • Health carrier: means a person that is subject to the insurance laws and regulations of this state, or subject to the jurisdiction of the director, that contracts or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the costs of health care services, including a sickness and accident insurance company, a health maintenance organization, a nonprofit health care corporation, a nonprofit dental care corporation operating under 1963 PA 125, MCL 550. See Michigan Laws 550.1903
  • health facility: means :
  •   (i) A facility or agency or a part of a facility or agency that is licensed or authorized under parts 201 to 217 of the public health code, 1978 PA 368, MCL 333. See Michigan Laws 550.1903
  • Health information: means information or data, whether oral or recorded in any form or medium, and personal facts or information about events or relationships that relates to 1 or more of the following:
  •   (i) The past, present, or future physical, mental, or behavioral health or condition of an individual or a member of the individual's family. See Michigan Laws 550.1903
  • Household income: means all income received by all persons of a household in a tax year while members of a household. See Michigan Laws 550.2002
  • in writing: shall be construed to include printing, engraving, and lithographing; except that if the written signature of a person is required by law, the signature shall be the proper handwriting of the person or, if the person is unable to write, the person's proper mark, which may be, unless otherwise expressly prohibited by law, a clear and classifiable fingerprint of the person made with ink or another substance. See Michigan Laws 8.3q
  • Independent review organization: means a person that conducts independent external reviews of adverse determinations. See Michigan Laws 550.1903
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • local unit of government: means any political subdivision of this state, including, but not limited to, school districts, community and junior colleges, state universities, cities, villages, townships, charter townships, counties, charter counties, authorities created by the state, and authorities created by other local units of government. See Michigan Laws 550.1951
  • Medicaid: means the program for medical assistance established under title XIX of the social security act, chapter 531, 49 Stat. See Michigan Laws 550.2002
  • Medicaid: means the program of medical assistance established under title XIX of the social security act, 42 USC 1396 to 1396w-5. See Michigan Laws 550.1833
  • Medical or scientific evidence: means evidence found in any of the following sources:
  •   (i) Peer-reviewed scientific studies published in or accepted for publication by medical journals that meet nationally recognized requirements for scientific manuscripts and that submit most of their published articles for review by experts who are not part of the editorial staff. See Michigan Laws 550.1903
  • Medicare: means the federal medicare program established under title XVIII of the social security act, 42 USC 1395 to 1395kkk-1. See Michigan Laws 550.1833
  • Medicare advantage plan: means a plan of coverage for health benefits under part C of title XVIII of the social security act, 42 USC 1395w-21 to 1395w-28. See Michigan Laws 550.1833
  • MEPPS: means the Michigan emergency pharmaceutical program for seniors. See Michigan Laws 550.2002
  • Michigan resident: means an individual who establishes residence for a period of 3 months in a settled or permanent home or domicile within the state with the intention of remaining in this state. See Michigan Laws 550.2002
  • ministry: means a program established by an eligible entity for the sharing of finances and health care in compliance with this act. See Michigan Laws 550.1863
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Paid claims: means actual payments, net of recoveries, made for the diagnosis of autism spectrum disorders and treatment of autism spectrum disorders whether made to a provider or reimbursed to an individual by a carrier, third party administrator, or excess loss or stop loss carrier. See Michigan Laws 550.1833
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Person: means an individual or a corporation, partnership, association, joint venture, joint stock company, trust, unincorporated organization, or similar entity, or any combination of these. See Michigan Laws 550.1903
  • person: may extend and be applied to bodies politic and corporate, as well as to individuals. See Michigan Laws 8.3l
  • program: means the autism coverage reimbursement program created under section 5. See Michigan Laws 550.1833
  • Prospective review: means utilization review conducted before an admission or a course of treatment. See Michigan Laws 550.1903
  • Protected health information: means health information that identifies an individual who is the subject of the information or with respect to which there is a reasonable basis to believe that the information could be used to identify an individual. See Michigan Laws 550.1903
  • provider: means a health care professional or a health facility. See Michigan Laws 550.1903
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Retrospective review: means a review of medical necessity conducted after services have been provided to a patient, but does not include the review of a claim that is limited to an evaluation of reimbursement levels, veracity of documentation, accuracy of coding, or adjudication for payment. See Michigan Laws 550.1903
  • Second opinion: means an opportunity or requirement to obtain a clinical evaluation by a provider other than the one originally making a recommendation for a proposed health service to assess the clinical necessity and appropriateness of the initial proposed health service. See Michigan Laws 550.1903
  • Specialty prepaid health plan: means that term as described in section 109f of the social welfare act, 1939 PA 280, MCL 400. See Michigan Laws 550.1833
  • state: when applied to the different parts of the United States, shall be construed to extend to and include the District of Columbia and the several territories belonging to the United States; and the words "United States" shall be construed to include the district and territories. See Michigan Laws 8.3o
  • stop loss: means coverage that provides insurance protection against the accumulation of total claims exceeding a stated level for a group as a whole or protection against a high-dollar claim on any 1 individual. See Michigan Laws 550.1833
  • Third party administrator: means an entity that processes claims under a service contract and that may also provide 1 or more other administrative services under a service contract. See Michigan Laws 550.1833
  • United States: shall be construed to include the district and territories. See Michigan Laws 8.3o
  • Uphold: The decision of an appellate court not to reverse a lower court decision.
  • Utilization review: means a set of formal techniques designed to monitor the use of, or evaluate the clinical necessity, appropriateness, efficacy, or efficiency of, health care services, procedures, or settings. See Michigan Laws 550.1903
  • Utilization review organization: means a person that conducts utilization review, other than a health carrier performing a review for its own health plans. See Michigan Laws 550.1903