Sheeks v Farmers Insurance; (COA-PUB, 10/8/1985; RB #875)

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Michigan Court of Appeals; Docket No. 82162; Published  
Judges Allen, Wahls, and O'Brien; Unanimous; Per Curiam  
Official Michigan Reporter Citation: 146 Mich App 361; Link to Opinion alt   


STATUTORY INDEXING:    
Standards for Deductibility of State and Federal Governmental Benefits [§3109(1)]  
Medicaid Benefits [§3109(1)]

TOPICAL INDEXING:
Medicaid Benefits   


CASE SUMMARY:  
In this unanimous per curiam Opinion, the Court of Appeals reversed the trial court and held that where Medicaid paid medical expenses on behalf of auto accident victims, the no-fault insurer that should have paid the medical expenses in the first instance is only obligated to reimburse Medicaid for the amount of the medical expenses it paid and is not obligated to pay plaintiff the full cost of the medical expenses which the health care providers would have billed and collected had plaintiff not been a Medicaid recipient. The court based its decision on the previous holding in Dean v Auto Club (Item No. 791) wherein another panel of the Court of Appeals ruled that health care providers who receive payment from Blue Cross/Blue Shield could not seek payment of the excess unreimbursed charge from the no-fault insurer.