Michigan has no licensure requirements for utilization review firms.

Michigan does not require licensure of PPOs that bear no insurance risk, that is PPOs that accept fee-for-service reimbursement with no risk pooling or transfer. Licensed risk bearers and licensed claim processors (insurers and third party administrators) that condition the delivery of benefits upon the use of a particular panel of healthcare providers are subject to Michigan's Prudent Purchaser Act (PPA).

Michigan requires licensure of MEWAs that do business with Michigan employers and are not fully insured. To obtain licensure, a MEWA must be controlled by its members, have adequate cash reserves, and purchase excess loss insurance. A complete description of MEWA licensure requirements can be found in Chapter 70 or the Michigan Insurance Code.