On April 24, 2026, the Department of Insurance and Financial Services (DIFS) issued Bulletin 2026-15-INS in response to a Michigan Court of Appeals decision that clarifies how insurers reimburse home health aide and skilled nursing care under the state’s no-fault system. The ruling, handed down on October 20, 2025, in West Michigan Home Care Services, Inc v. Meemic Insurance Company, found that the Medicare reimbursement cap under MCL 500.3157(2) applies to those services.