Michigan Administrative Code
Department - Labor and Economic Opportunity
Workers Compensation Agency
Workers' Compensation Health Care Services Rules
Part 10 - REIMBURSEMENT
Subpart A - Eligibility for premium tax credit
Section R. 418.101022 - Facility reimbursement excluding hospital or freestanding surgical outpatient facility

Universal Citation: MI Admin Code R. 418.101022

Current through Vol. 24-16, September 15, 2024

Rule 1022.

(1) When the following licensed facilities provide services to an injured worker and bill the carrier, the billed services shall be considered by report:

(a) Nursing home.

(b) County medical care facility.

(d) Hospital long-term care unit.

(e) Intermediate care facility or skilled nursing facility.

(2) A licensed facility in subrule (1) of this rule shall be reimbursed by its usual and customary charge or reasonable amount for the service provided, whichever is less. If a carrier does not reimburse the facility within 30 days of receipt of a properly submitted bill, the carrier shall reimburse the facility an additional 3% late fee.

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