Michigan Administrative Code

R 325.70016 Information and training. Rule 16. (1) An employer shall ensure that all category A employees participate in a training program provided at no cost to the employees and during working hours. (2) Training shall be provided at the time of initial assignment to category …

R 325.77001 Scope and application. Rule 1. (1) These rules establish requirements to ensure that the hazards of all chemicals produced or imported by chemical manufacturers or importers are evaluated and that information concerning the hazards is transmitted to affected employers…

R 325.77002 Hazard communication; adoption by reference. Rule 2. (1) The following federal Occupational Safety and Health Administration (OSHA) regulations from the Code of Federal Regulations are adopted by reference in these rules: (a) 29 CFR 1910.1200 “Hazard Communication,” J…

R 325.77004 Availability of adopted rules. Rule 4. (1) The standards adopted in these rules are available from the United States Department of Labor, OSHA website: www.osha.gov, at no charge, as of the time of adoption of these rules. (2) The standards adopted in these rules are …

R 325.99101 Scope; application; rescission. Rule 101. (1) These rules apply to all activities defined by sections 5451 to 5477 of 1978 PA 368, MCL 333.5451 to 333.5477 and referred to in these rules as the "act." (2) These rules provide specifications applicable to lead-based pai…

R 325.99102 Definitions. Rule 102. (1) As used in these rules: (a)"EBL environmental investigation" means both of the following: (i) A study for case management purposes of the living environment of 1 or more children 6 years of age or less with an elevated blood lead level perfo…

R 325.99103 Recordkeeping. Rule 103. (1) A person who is certified by the department, the act, and these rules shall maintain all records required by the act and these rules for not less than 3 years. (2) A person or individual who prepares a report or plan required by these rule…

R 325.99104 Enforcement actions. Rule 104. (1) Any person who violates the act or these rules or fails to satisfy agreed upon conditions for settlement of a violation shall be subject to 1 or more of the following enforcement actions, as determined by the department: (a) Notice o…

R 325.99203 Training records. Rule 203. (1) An accredited training program shall maintain, and make available to the department, upon request, all of the following records: (a) Each document that demonstrates the qualification of a training manager or a principal instructor. (b) …

R 325.99204 Quality control plan. Rule 204. The training manager shall develop and implement a quality control plan designed to maintain and improve the quality of the training program. The quality control plan shall contain at least both of the following elements: Page 7 Courtes…

R 325.99205 Core lead basics course requirements. Rule 205. A training program accredited under section 5462 of the act shall provide a training course that meets all of the following requirements to become accredited for corelead basics: (a) The training course shall last a mini…

R 325.99206 Lead abatement worker training course requirements. Rule 206. A training program accredited under section 5462 of the act shall provide a training course that meets the following requirements in order to become accredited for the discipline of lead worker: (a) The tra…

R 325.99207 Lead abatement supervisor training course requirements. Rule 207. A training program accredited under section 5462 of the act shall provide a training course that meets the following requirements to become accredited for the discipline of supervisor: (a) The training …

R 325.99208 Inspector training course requirements. Rule 208. A training program accredited under section 5462 of the act shall provide a training course that meets the following requirements to become accredited for the discipline of inspector: (a) The training course shall last…

R 325.99209 Risk assessor training course requirements. Rule 209. A training program accredited under section 5462 of the act shall provide a training course that meets all of the following requirements to become accredited for the discipline of risk assessor: (a) The training co…

R 325.99210 Clearance technician training course requirements. Rule 210. A training program accredited under section 5462 of the act shall provide a training course that meets all of the following requirements become accredited for the discipline of clearance technician: (a) The …

R 325.99211 Project designer training course requirements. Rule 211. A training program accredited under section 5462 of the act shall provide a training course that meets all of the following requirements to become accredited for the discipline of project designer: (a) The train…

R 325.99212 Requirements for accreditation of refresher training. Rule 212. (1) To become accredited to offer a refresher training course for the disciplines described in R 325.99201, a training program shall ensure that its course of study includes, at a minimum, all of the foll…

R 325.99213 Reaccreditation of training program. Rule 213. (1) A training program seeking to maintain accreditation to offer courses in lead-based paint activities shall annually submit to the department both of the following: (a) An application containing all of the following in…

R 325.99303 Lead abatement firm; certification. Rule 303. (1) A person seeking certification by the department under section 5469 of the act to engage in lead abatement activities as a lead hazard control firm shall pay the appropriate application fee and submit an application to…

R 325.99304 Recertification. Rule 304. (1) In accordance with the act, a person or firm seeking to maintain certification to engage in lead abatement activities shall annually submit to the department, on forms provided by the department, all required Page 16 Courtesy of www.mich…

R 325.99402 Hazard and clearance levels. Rule 402. (1)The department shall publish clearance levels established for the completion of lead hazard control activities as necessary to comply with corresponding levels established by federal regulations. Page 18 Courtesy of www.michig…

R 325.99403 Lead inspection. Rule 403. (1) Only a person certified by the department as an inspector or risk assessor shall conduct an inspection. The inspector or risk assessor shall conduct the inspection according to this rule. (2) When conducting an inspection, an inspector o…

R 325.99404 Risk assessment. Rule 404. (1) Only a person certified by the department as a risk assessor shall conduct a risk assessment. A risk assessor shall conduct the risk assessment according to this rule. (2) The risk assessor shall make a visual inspection for risk assessm…

R 325.99405 EBL environmental investigation. Rule 405. (1) Only an individual endorsed by the department as an EBL investigator shall conduct an EBL environmental investigation. The EBL investigator shall conduct the EBL environmental investigation in accordance with the procedur…

R 325.99406 Lead hazard control activities. Rule 406. (1) Only an individual who has successfully completed either of the following training courses shall conduct non-abatement lead hazard control activities: (a) A lead-safe work practices training course approved by HUD. (b) An …

R 325.99407 Clearance procedures. Rule 407. (1) A clearance examination shall be performed in target housing and child-occupied facilities following all lead hazard control activities. (2) Only a certified inspector or risk assessor shall perform clearance procedures following ab…

R 325.99408 Notifications. Rule 408. (1) Not less than 3 business days before commencing a lead hazard control activity, a person who conducts lead abatement activities shall notify the department, on forms provided by the department, regarding information the department consider…

R 418.101001 General rules for practitioner reimbursement. Rule 1001. (1) A provider that is authorized to practice in the state of Michigan shall receive the maximum allowable payment in accordance with these rules. A provider shall follow the process specified in these rules fo…

R 418.101002 Conversion factors for practitioner services. Rule 1002. (1) The agency shall determine the conversion factors for medicine, evaluation and management, physical medicine, surgery, pathology, and radiology procedures. The conversion factor is used by the agency for de…

R 418.101003 Reimbursement for "by report" and ancillary procedures. Rule 1003. (1) If a procedure code does not have a listed relative value, or is noted BR, then the carrier shall reimburse the provider's usual and customary charge or reasonable payment, whichever is less, unle…

R 418.101005 Reimbursement for home health services. Rule 1005. (1) Home health services are reimbursed "by report," requiring submission of a report with the charges on the UB-04 claim form. The carrier shall reimburse the home health agency according to each "by report" procedu…

R 418.101006 Reimbursement for mental health services. Rule 1006. (1) A carrier shall only reimburse procedure code 90792 and add on procedure codes 90833, 90836, and 90838 when billed by a psychiatrist who is either a medical doctor (M.D.) or a doctor of osteopathy (D.O.). (2) A…

R 418.101007 Reimbursement for anesthesia services. Rule 1007. (1) The carrier shall determine the maximum allowable payment for anesthesia services by adding the base units to the time units. The carrier shall reimburse anesthesia services at either the maximum allowable payment…

R 418.101008 Reimbursement for opioid treatment for chronic, non-cancer pain. Rule 1008. (1) For purposes of these rules, chronic pain is pain unrelated to cancer or is incident to surgery and that persists beyond the period of expected healing after an acute injury episode. It i…

R 418.101009 Reimbursement for custom compounded topical medication. Rule 1009. (1) Six months after the effective date of this rule, a custom compound topical medication, as defined in R418.10108, must be reimbursed only when the compound meets all of the following standards: (a…

R 418.101015 General rules for facility reimbursement. Rule 1015. (1) A facility licensed by this state shall receive the maximum allowable payment in accordance with these rules. The facility shall follow the process specified in these rules for resolving differences with a carr…

R 418.101016 Reimbursement; payment ratio methodology. Rule 1016. (1) A hospital licensed in Michigan billing facility services shall be reimbursed using the maximum payment ratio methodology for the following services: (a) Inpatient or observation care. (b) Emergency department …

R 418.101023 Reimbursement for ASC or FSOF. Rule 1023. (1) Reimbursement for surgical procedures performed in an ASC or FSOF shall be determined by using the ASC rate published by CMS. The formula for determining the maximum allowable paid (MAP) for a surgical procedure in an ASC…

R 418.101101 Calculation and revision of payment ratio for Michigan hospitals. Rule 1101. (1) The workers' compensation agency shall annually calculate and revise, under the provisions of 1969 PA 306, MCL 24.201 et seq . the payment ratios for all Michigan hospitals. The calculat…

R 418.101103 Adjustments to hospital's payment ratio. Rule 1103. (1) A hospital may apply to the agency for an adjustment of the hospital's maximum payment ratio. (2) The hospital shall apply for an adjustment on a form and in a manner prescribed by the workers' compensation agen…

R 418.101201 Carrier's health care review program. Rule 1201. (1) The carrier shall have both a technical health care review program and a professional health care review program. (2) Health care review shall be conducted in a reasonable manner on bills submitted by a provider fo…

R 418.101203 Carrier's technical health care review program. Rule 1203. Under the technical health care review program, the carrier shall do all of the following: (a) Determine the accuracy of the procedure coding. If the carrier determines, based upon review of the bill and any …

R 418.101204 Carrier's professional health care review program. Rule 1204. (1) A carrier may have another entity perform professional health care review activities on its behalf. (2) The agency shall certify a carrier's professional health care review program pursuant to R 418.10…

R 418.101205 Scope of professional health care review. Rule 1205. (1) The carrier, or it's review company, shall review case records and health- service bills, or both, under the professional health care review program as follows: (a) A case where health care service payments, ex…

R 418.101206 Certification of professional health care review program. Rule 1206. (1) The agency shall certify the carrier's professional health care review program. Page 54 Courtesy of Michigan Administrative Rules (2) A carrier, or the reviewing entity on behalf of the carrier,…

R 418.101207 Types of certification. Rule 1207. (1) Certification shall be either unconditional or conditional. (2) The workers' compensation agency shall issue unconditional certification for a period of 3 years. (3) The agency may issue conditional certification if it is determ…