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.