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

• Email From WCA-HCS Sent in Error

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

• 2012 Advisory Committee Meetings

Forms & Publications

• Form CMS-1500 PDF icon

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

• WC-104B (1/12) - Health Care Services Application for Mediation or Hearing (fill-in form)

• WC-117H (1/12) Provider's Report of Claim & Request for Medical Payment PDF icon

• WC-406 (1/12) Annual Medical Payment Report

• WC-590 (1/12) Application for Certification of a Carrier's Professional Health Care Review Program

• WC-739 (2/12) Carrier's Explanation of Benefits PDF icon

Other Information

• Professional Review Policy PDF icon

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

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

• Copying Fee Charges by Health Care Providers under a Subpoena

• Health Care Services Rule Requirement to Reimburse Providers a 3% Late Fee for Payments That Exceed 30 Days


Michigan Business One Stop
Link to Department and Agencies Web Site Index
Link to Statewide Online Services Index
Link to Statewide Web-based Surveys
Link to RSS feeds available on this site
WCA Quicklinks
 •  2012 Calculation Program
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 •  Appellate Commission
Calculation program


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