Michigan Administrative Code (Last Updated: November 16, 2016) |
Department LR. Licensing and Regulatory Affairs |
Workers Compensation Agency |
Chapter Workers' Compensation Health Care Services Rules |
Part 7. DENTAL |
Section 418.10701. Scope.
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(1) Dental services, related to, or resulting from, a covered work-related injury are covered under these rules. Incidental dental services are not covered.
(2) A dental provider shall bill services on a standard American dental claim form. The workers' compensation agency shall provide a copy of the claim form and instructions for
completion separate from these rules in the health care services manual on the agency’s website at www.michigan.gov/wca.
(3) Dental services shall be reimbursed at either the dentist's usual and customary fee or reasonable fee, whichever is less.
History: 2000 AACS; 2005 AACS; 2014 AACS.