Michigan · Regulations
R 418.10101 to R 418.101504 — Workers' Compensation Health Care Services Rules
119 sections
119 sections
- R 418.10101R 418.10101 Scope.
- R 418.10102R 418.10102 Claim filing limitations.
- R 418.10103R 418.10103 Rescinded.Repealed
- R 418.10104R 418.10104 Reimbursement to injured worker or to health insurer for compensable medical services.
- R 418.10105R 418.10105 Balance billing amounts in excess of fees.
- R 418.10106R 418.10106 Procedure codes; relative value units; other billing information.
- R 418.10107R 418.10107 Source documents; adoption by reference.
- R 418.10108R 418.10108 Definitions; A to I.
- R 418.10109R 418.10109 Definitions; M to U.
- R 418.10110R 418.10110 Rescinded.Repealed
- R 418.10111R 418.10111 Advisory committee.
- R 418.10112R 418.10112 Missed appointment.
- R 418.10113R 418.10113 Initial evaluation and management service; medical report other than inpatient hospital care.
- R 418.10114R 418.10114 Requests for existing medical records and reports.
- R 418.10115R 418.10115 Responsibilities of insured employer or self-insurer.
- R 418.10116R 418.10116 Provider responsibilities.
- R 418.10117R 418.10117 Carrier responsibilities.
- R 418.10118R 418.10118 Practitioner, facility, and health care organization copying charge for medical records.
- R 418.10120R 418.10120 Recovery of payment.
- R 418.10121R 418.10121 Rehabilitation nurse or nurse case manager visits; additional services.
- R 418.10201R 418.10201 Rescinded.Repealed
- R 418.10202R 418.10202 Evaluation and management services.
- R 418.10203R 418.10203 Office visit or other outpatient visit for evaluation and management of patient in conjunction with ongoing osteopathic manipulative treatment or chiropractic manipulative treatment.
- R 418.10204R 418.10204 Office visit or other outpatient visit; evaluation and management of patient's progress in physical treatment.
- R 418.10205R 418.10205 Consultation services.
- R 418.10206R 418.10206 Rescinded.Repealed
- R 418.10207R 418.10207 Mental health services.
- R 418.10208R 418.10208 Vision services.
- R 418.10209R 418.10209 Hearing services.
- R 418.10212R 418.10212 Physical and occupational therapy; physical medicine services; physical treatment.
- R 418.10213R 418.10213 Rescinded.Repealed
- R 418.10214R 418.10214 Orthotic and prosthetic equipment.
- R 418.10401R 418.10401 Global surgical procedure; services included.
- R 418.10403R 418.10403 Complication, exacerbation, recurrence, or presence of other disease or injury.
- R 418.10404R 418.10404 Follow-up care occurring during global service.
- R 418.10405R 418.10405 Rescinded.Repealed
- R 418.10406R 418.10406 Rescinded.Repealed
- R 418.10407R 418.10407 Rescinded.Repealed
- R 418.10410R 418.10410 Incidental surgeries.
- R 418.10411R 418.10411 Rescinded.Repealed
- R 418.10415R 418.10415 Rescinded.Repealed
- R 418.10416R 418.10416 Assistant surgeon.
- R 418.10417R 418.10417 Ophthalmological surgical procedures.
- R 418.10501R 418.10501 Rescinded.Repealed
- R 418.10502R 418.10502 Rescinded.Repealed
- R 418.10503R 418.10503 Rescinded.Repealed
- R 418.10504R 418.10504 Multiple procedure policy for radiology procedures.
- R 418.10505R 418.10505 Multiple procedure policy for specific nuclear medicine procedures.
- R 418.10701R 418.10701 Scope.
- R 418.10901R 418.10901 General information.
- R 418.10902R 418.10902 Billing for injectable medications, other than vaccines and toxoids, in office setting.
- R 418.10902aR 418.10902a Billing for vaccines and toxoids in office setting.
- R 418.10904R 418.10904 Procedure codes and modifiers.
- R 418.10905R 418.10905 Billing for physical and occupational therapy.
- R 418.10907R 418.10907 Rescinded.Repealed
- R 418.10909R 418.10909 Billing for home health services.
- R 418.10911R 418.10911 Billing requirements for ancillary services.
- R 418.10912R 418.10912 Billing for prescription medications.
- R 418.10913R 418.10913 Billing for durable medical equipment and supplies.
- R 418.10915R 418.10915 Billing for anesthesia services.
- R 418.10916R 418.10916 Rescinded.Repealed
- R 418.10918R 418.10918 Rescinded.Repealed
- R 418.10920R 418.10920 Billing for supplementary radiology supplies.
- R 418.10921R 418.10921 Facility billing.
- R 418.10922R 418.10922 Hospital billing instructions.
- R 418.10923R 418.10923 Hospital billing for practitioner services.
- R 418.10923bR 418.10923b Billing for ambulatory surgery center (ASC) or freestanding surgical outpatient facility (FSOF).
- R 418.10924R 418.10924 rescinded.Repealed
- R 418.10925R 418.10925 Billing requirements for other licensed facilities.
- R 418.10926R 418.10926 Billing for air and ground ambulance services.
- R 418.101001R 418.101001 General rules for practitioner reimbursement.
- R 418.101002R 418.101002 Conversion factors for practitioner services.
- R 418.101002aR 418.101002a Rescinded.Repealed
- R 418.101002bR 418.101002b Rescinded.Repealed
- R 418.101003R 418.101003 Reimbursement for "by report" and ancillary procedures.
- R 418.101003aR 418.101003a Reimbursement for dispensed medications.
- R 418.101003bR 418.101003b Reimbursement for biologicals, durable medical equipment, and supplies.
- R 418.101004R 418.101004 Modifier code reimbursement.
- R 418.101005R 418.101005 Reimbursement for home health services.
- R 418.101006R 418.101006 Reimbursement for mental health services.
- R 418.101007R 418.101007 Reimbursement for anesthesia services.
- R 418.101008R 418.101008 Reimbursement for opioid treatment for chronic, non-cancer pain.
- R 418.101008aR 418.101008a Required documentation for reimbursement of treatment for chronic, non-cancer pain with opioids.
- R 418.101008bR 418.101008b Denial of reimbursement for prescribing and dispensing opioid medications used to treat chronic, non-cancer pain.
- R 418.101009R 418.101009 Reimbursement for custom compounded topical medication.
- R 418.101010R 418.101010 Reimbursement for air and ground ambulance services.
- R 418.101015R 418.101015 General rules for facility reimbursement.
- R 418.101016R 418.101016 Reimbursement; payment ratio methodology.
- R 418.101017R 418.101017 Rescinded.Repealed
- R 418.101018R 418.101018 Rescinded.Repealed
- R 418.101019R 418.101019 Rescinded.Repealed
- R 418.101022R 418.101022 Facility reimbursement excluding hospital or freestanding surgical outpatient facility.
- R 418.101023R 418.101023 Reimbursement for ASC or FSOF.
- R 418.101101R 418.101101 Calculation and revision of payment ratio for Michigan hospitals.
- R 418.101102R 418.101102 Calculation and revision of payment ratio for hospitals outside Michigan.
- R 418.101103R 418.101103 Adjustments to hospital's payment ratio.
- R 418.101104R 418.101104 Request for adjustment to hospital's maximum payment ratio; agency's response.
- R 418.101105R 418.101105 Agency's action on request for adjustment of maximum payment ratio; hospital's appeal.
- R 418.101201R 418.101201 Carrier's health care review program.
- R 418.101203R 418.101203 Carrier's technical health care review program.