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Worker's Compensation AgencyMichigan.gov, Official Web Site for the State of Michigan
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What's New

• Next Advisory Committee Meeting
September 9, 2008

• 2008 HCS Rule Updates
Effective February 29, 2008

Health Care Services Rules

• HCS Rules, Manuals & Fees

• Current Health Care Services Rules Administrative Code
(R 418.10101 - 418.101504)

• Health Care Services Rules Prior to May 11, 2000

Meetings and Seminars

• 2008 Advisory Committee Meetings

Forms & Publications

• Medical Services: An Overview for Michigan Workers' Compensation PDF icon

• WC-104B (4/06) - Health Care Services Application for Mediation or Hearing (fill-in form)

• WC-117H (1/04) Provider's Report of Claim & Request for Medical Payment PDF icon

• WC-406 (4/08) Annual Medical Payment Report PDF icon

• WC-590 (1/04) Application for Certification of a Carrier's Professional Health Care Review Program PDF icon

• WC-739 (4/07) Carrier's Explanation of Benefits PDF icon

Other Information

• Publication of Injured Worker's Social Security Number on the EOB

• Professional Review Policy (4/07) PDF icon

• Provider's Report of Claim & Request for Medical Payment Form

• Copying Fee Charges by Health Care Providers under a Subpoena
The bureau continues to receive inquiries and correspondence from attorneys and heath care providers concerning the amount health care providers may charge for medical records under a workers' compensation subpoena.

• Health Care Services Rule Requirement to Reimburse Providers a 3% Late Fee for Payments That Exceed 30 Days
The Bureau has received numerous complaints from health care providers that payers are refusing to reimburse the additional 3% late fee.


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