Michigan

- In 2015 Michigan became the seventh state to pass DPC legislation when Senate Bill No. 1033 was signed by the governor on Jan 10, 2015.  Michigan's DPC law can now be found in Michigan Compiled Laws § 500.129 Medical Retainer Agreement Not Subject to Act.  As always, a new DPC practice should continue to reference the Michigan Insurance Code when designing the DPC patient contracts.  

 - This act is generally helpful to DPC physicians, providing them with reassurance they will not face any business of insurance arguments, and is similar to the legislation enacted in Utah.  Unfortunately this also means that the language failed to distinguish DPC and concierge practices, instead lumping the groups together in the "retainer" category for the purposes of the bill.

- Michigan passed a Medicaid DPC Primary Care Pilot Program: Quarterly Report #1, Quarterly Report #3, Nov 1, 2018 Status Report.

Collaboration

NPs and PAs both must have collaborative practice agreements set up with a physician. Neither of them have independent practice rights in Michigan.  Both can prescribed Schedule 2-5 medications.

Physician Assistant requirements are described in MCL - Section 333.17047 and also discussed here.

NPs are required to have a collaborative practice agreement in place. Some related FAQs are answered here.

Corporate Practice of Medicine

Historically this has not been strictly enforced/interpreted in Michigan. This letter written by the medical society focusing on TeamHealth demonstrates how CPOM has not been strictly enforced.

Dispensing

Physicians, NPs and PAs are all permitted to dispense medications in Michigan as discussed in  MCL - Section 333.17745.

Medical Practice Act Citations

Here are the rules for practicing allopathic medicine and osteopathic medicine.