SAFE Response Brochure, Claim Form, CPT Codes

Sexual Assault Forensic Exam (effective December 29, 2008)

If you are a victim of sexual assault, you can get a forensic exam without being billed for it. A hospital, doctor or nurse cannot require a sexual assault victim to talk to the police in order to get a medical forensic examination.

SAFE Response does not change the duty that hospitals, doctors and nurses have to report crimes to police as described in MCL 750.411. It is important that victims know about health care providers' duty to report some crimes to police, because sometimes the victim will need to take steps to protect themselves against retaliation that may result from the report.

If a victim believes submitting a claim to their insurance carrier would substantially interfere with his or her personal privacy or safety, the doctor or nurse can bill SAFE Response for the forensic examination.

Other physical injuries: 

If a sexual assault victim sustains a personal physical injury that needs to be treated other than the forensic exam, he or she may be eligible for assistance with medical bills through the Crime Victim Services Commission compensation program. The victim would have to submit a compensation claim application, report the incident to the police, cooperate with the investigation and utilize their medical insurance, including Medicaid, Medicare, or any other resource available for payment. Payment of the victim's sexual assault examination does not guarantee that they will be eligible for compensation benefits.

Crime Victims Services Commission
SAFE Response
Grand Tower, Suite 1113
PO Box 30037
Lansing, MI  48909
(517) 335-7233

FAX (517) 373-2439

Related Documents
SAFE Response Brochure PDF icon
SAFE Response Claim Form PDF icon
SAFE Response Claim Form (Fillable) PDF icon
Safe Response Claim Form Instructions PDF icon
SAFE CPT Code Listing PDF icon
Crisis Hotline By Region PDF icon