LARA Regulation Updates

The Michigan Department of Licensing and Regulatory Affairs (LARA) and Michigan Department of Health and Human Services (MDHHS) have issued new and revised rules as part of the ongoing effort to fight Michigan's opioid crisis.

Bona Fide Prescriber-Patient Relationship
Bona Fide Relationship Requirement Law Public Act 247 of 2017, MCL § 333.7303a(2), requires that except as provided in exceptions detailed in administrative rules, a prescriber must be in a bona fide prescriber-patient relationship with a patient before prescribing a schedule 2-5 controlled substance ("CS"). The Michigan legislature delayed the effective date of the bona fide prescriber-patient relationship requirement to the earlier of (a) March 31, 2019, or (b) the date administrative rules describing the exceptions to the requirement are promulgated. Public Act 247 also requires the prescriber to provider certain follow-up care to the patient to monitor the efficacy of the CS in treating the patient's medical condition. Failure to comply with the bona fide relationship requirement is considered professional misconduct and may subject the prescriber to professional discipline.

Effective Date The Michigan Department of Licensing and Regulatory Affairs ("LARA") has now published a rule, effective January 4, 2019, describing exceptions to the bona fide prescriber-patient relationship requirement. Promulgation of this rule means that the bona fide prescriber-patient relationship requirement of MCL § 333.7303a is in effect as of January 4, 2019, for all practitioners who prescribe schedule 2-5 CS.
Link: LARA Updates: Bona Fide Prescriber-Patient Relationship

MDHHS emergency rules on opioid overdoses
The MDHHS emergency rules require hospitals to report opioid overdose statistics upon request. The rules are meant to inform the public health response to the substantial increase in cases of prescription and illicit drug overdoses. The MDHHS has released a set of Frequently Asked Questions relating to the emergency rules and the development of a permanent rule.

Gabapentin is a Schedule V controlled substance in Michigan
Effective January 4, 2019, the Board of Pharmacy Controlled Substances Rules were revised to include gabapentin under schedule V thereby limiting the prescribing and dispensing of gabapentin to those registered with the Drug Enforcement Administration (DEA).
Link: LARA Gabapentin announcement and links

Dean says College of Osteopathic Medicine is a place where the science and art of medicine meet
Dr. Andrea Amalfitano, the new dean of Michigan State University's College of Osteopathic Medicine, is featured on WKAR in an interview with Russ White.

"It's humbling and also thrilling at the same time to know that the faculty and staff of the college have enough confidence in me to proceed forward as the permanent dean," says Amalfitano. "The other faculty and staff at the university and other deans have been tremendously supportive. Our alumni, our external partners, the Michigan Osteopathic Association, and a number of groups outside of the college all came together. I feel like I have the support of thousands as we go forward to produce the best physicians in the country."

The Michigan Loan Reimbursement & Employment Solution (MiLES) offers $50,000 in tax-free loan repayment to physician residents during their residency in exchange for a 2-year post-residency service commitment in a medically underserved area of Michigan.  
MiLES will be accepting applications January 2 - February 28 of 2019.  
The program will match employers with providers who would like to stay in the community beyond their 2-year service commitment. 
Employers, there is no cost to post jobs or to participate in the program.

Physician-Focused Payment Model Technical Advisory Committee Value Considerations for Model Development and Testing
The Medicare Access and CHIP Reauthorization Act of 2015 established an innovative process
for stakeholders and individuals to submit proposed physician-focused payment models to an
advisory committee, the Physician-Focused Payment Model Technical Advisory Committee
(PTAC). PTAC's statutory mandate is to make comments and recommendations to the Secretary
of the Department of Health and Human Services (HHS) on the extent to which each submitted
proposed model meets criteria established by the Secretary for physician-focused payment
models. Submitters and PTAC thus have an important role to play in the advancement of value-based care.

BCBSM is making a change to prior authorization requirement for PPO members
In October, Blue Cross Blue Shield of Michigan (BCBSM) announced physicians would need to obtain prior authorization for high-tech radiology, in-lab sleep management and echocardiogram services for all Blue Cross Blue Shield of Michigan PPO members, regardless of where they lived. BCBSM subsequently changed its approach and will only require prior authorization for those services for patients who live in Michigan.

So how does Blue Cross Blue Shield of Michigan define value?
Building an agreed-upon definition of value
What is value?
The term is used a lot, but when it comes to health care, arriving at an agreed-upon definition of value can be difficult. Many different stakeholders - doctors, hospitals, patients, employers and health care plans - have differing visions of what constitutes value in health care. What's more, they often have conflicting goals, needs and expectations.
Link: Full BCBSM Article

Important dates for 2019
New year, new dates for your calendar: Stay on top of what's happening in osteopathic medicine with the AOA event guide.
Healthcare Leadership Program

Physicians, clinicians and others who wish to strengthen their leadership skills are encouraged to register for the Healthcare Leadership Academy: Business Strategy for a Changing Landscape.
This program is designed for department heads and emerging leaders with responsibility for managing people, processes and systems within healthcare organizations.
The February 22-23, 2019 module will be held at the Grand Traverse Resort in Traverse City. A group block of rooms is available for those participating in the Healthcare Leadership Academy. Call (231) 534-6000 or (800) 748-0303 to reserve your room. 
The March 18-20, 2019 module will be held at the James B. Henry Center for Executive Development in Lansing. A group block is
reserved at the Candlewood Suites for the program (adjoining the Henry Center). Please call (517) 351-8181 to make your reservation.

Coalition Protecting Auto No-Fault - Year in Review

In 2018 the Coalition Protecting Auto No-Fault (CPAN) faced many challenges in protecting Michigan residents. The coalition was able to fight several efforts by the insurance lobby that would have left Michigan residents with less protection, with no guarantees of common sense rate reductions.

2019 will present more challenges. The Michigan Osteopathic Association is proud to partner with CPAN in standing up for Michigan residents and working for common sense insurance reform, while still maintaining protection that ensures quality healthcare in a catastrophic accident. Thanks to all you do CPAN!

CPAN 2018 A Year in Review
CPAN 2018 A Year in Review

Coverys Community Healthcare Foundation, Inc. (CCHF) supports charitable organizations and endeavors that improve patient safety and care, promote healthy lifestyles, and support individuals and organizations that provide healthcare. Since its inception in 2013, CCHF has donated over $7 million in charitable contributions.
Grants and Contributions
In 2018, CCHF committed $3 million to fund development of new approaches for faster, more accurate patient diagnoses and focused on 11 innovative projects that utilize fresh perspectives, data-driven insights, and new ways of thinking about diagnosis.
Supporting Physicians' Health and Well-Being with Funding
CCHF has also donated to state physician health programs across the country to support the health of medical providers.

"In recent years, it has become more evident that support for physician health is needed across the country. CCHF is proud to contribute to organizations that are helping thousands of medical providers overcome problems involving physical and mental health, alcoholism, addiction, and more. The connection between supporting medical providers' well-being and improving quality of patient care is significant and something that CCHF feels very strongly about."
- Donna Norris, MD, board member and chair of the Coverys Charitable Giving Committee
Coverys Community Healthcare Foundation 

MOA Members, Please Note!
CCHF accepts and considers requests for grant funding from organizations pursuing innovative projects.

CCHF has a strong preference to fund innovative projects that support healthcare in the communities served by Coverys policyholders. This preference extends to projects that show evidence of meeting or delivering one or more of the following: a new health need, an improvement in the quality of healthcare, and/or reduced health costs with better patient outcomes.
Find out more about the Coverys Community Healthcare Foundation. Please contact us at or 614.255.4838 or visit
 Upcoming Events

Healthcare Leadership Academy: Business Strategy for a Changing Landscape
Developed by the Michigan Health & Hospital Association, the Michigan State University Eli Broad College of Business and College of Osteopathic Medicine, and the Michigan Osteopathic Association, the  Healthcare Leadership Academy: Business Strategy for a Changing Landscape  is a leadership program for existing and emerging healthcare leaders, including physicians and clinicians.
Module 1: February 22-23, 2019 (Traverse City, Grand Traverse Resort)
Module 2: March 18-20, 2019 (MSU Campus, Henry Center for Executive Development)

120th Annual Spring Scientific Convention: May 16-19, 2019 | Southfield, MI
Location: Westin Southfield Detroit
More information will be available January 2019
Coverys banner

November 29, 2019, saw the passing of Henry Olen, DO
Click here for a local obituary 
November 1, 2018, saw the passing of Stephen Mihalich, DO
August 23, 2018, saw the passing of Spencer L. Ballard, DO
June 29, 2018 saw the passing of H. John Barkay, DO 
June 9, 2018 saw the passing of Richard W. Adams, DO
Join us on social media:
The MOA Pulse connects our DO family with our partners, followers and the healthcare communities of Michigan. If you have any news or events you would like to us share, or if you have any questions or concerns, please feel free to contact:
Todd Ross
Manager of Communications
Michigan Osteopathic Association
Michigan Osteopathic Association | 800.657.1556 |