OSP News

McLaren Health Plan Sexually Transmitted Infection Payment Policy

Posted: 04/14/2025

This policy takes effective as of June 1, 2025 and applies to Sexually Transmitted Infection (STI) testing services. If there is a conflict between this policy and applicable federal or state laws, regulations or regulatory requirements, the applicable laws or regulations will control. Further, if there is a conflict between this policy and a provider contract, the provider contract will govern. Note – coverage may be mandated by Michigan Department of Health and Human Services (MDHHS) or the Center for Medicare and Medicaid Services (CMS). 

Providers are required to submit accurate claims and documentation for all services performed. 

Providers must submit claims using valid code combinations required by applicable law. Claims should be coded appropriately according to industry standard coding guidelines. All claims are subject to claim edits and may be subject to further reviews by McLaren or contracted third parties. Providers are expected to promptly work with McLaren and any third parties to provide any requested information related to a claim submission.

Click here to read the full announcement sent out by McLaren. 

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