Human services: medical services; regulations regarding managed care plans; provide for. Amends secs. 105d, 109, 111i & 111j of 1939 PA 280 (MCL 400.105d et seq.) & adds secs. 111o, 111p & 111q.

This bill directs the Michigan Department of Health and Human Services to expand managed care options for Medicaid recipients, giving them a choice among contracted health plans while ensuring access to primary care and preventive services. It requires new enrollees to schedule an initial appointment with a primary care provider within 60 days and mandates that the department track plan compliance with this requirement. The legislation also establishes financial incentives for providers and enrollees to encourage the use of high-value services, promote generic prescriptions, and detect fraud, while allowing telemedicine from out-of-state providers. Additionally, the bill outlines a performance bonus system for health plans based on specific health equity and outcome targets, and sets rules for automatically moving individuals out of skilled nursing facilities after 45 days of care.