R 418.101022 Facility reimbursement excluding hospital or freestanding surgical outpatient facility.

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. (c) Hospice. (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.