3
(c) If a provider does not meet the criteria under subdivision (a) or (b) of this subrule, the
department shall consult the FAIR Health benchmarking database to determine the average
amount charged in the applicable geozip for the service or services at issue based on FAIR
Health’s most recently published data that includes dates of service on January 1, 2019, as
adjusted in accordance with subrule (6) of this rule.
(2) A provider that submits information under subrules (1)(a) or (b) must also submit an
attestation that the information provided is accurate.
(3) A provider must retain its charge description master in effect on January 1, 2019 and
documentation containing the average amount charged for services on January 1, 2019, as
applicable, until the provider permanently ceases to render services to injured persons for
accidental bodily injuries covered by personal protection insurance under chapter 31 of the act,
MCL 500.3101 to 500.3179.
(4) Upon request by the department, a provider submitting its charge description master in
effect on January 1, 2019 or average amount charged for services on January 1, 2019 shall also
submit to the department any documents, materials, and information the department considers
necessary to assess the submission’s accuracy and to resolve the provider’s appeal under R
500.65.
(5) Any proprietary information or sensitive personally identifiable information regarding a
patient that is submitted to the department under this rule must be afforded the same level of
protection by the department as the information described under section 3157b of the act, MCL
500.3157b.
(6) An average amount charged for each service on January 1, 2019, or amount listed on a
charge description master in effect on January 1, 2019, must be adjusted annually by the
percentage change in the medical care component of the consumer price index for the year
preceding the adjustment. Beginning in 2021, and annually thereafter, the department shall issue
a bulletin no later than March 1 of each year setting forth the applicable percentage change in the
medical care component of the consumer price index for the year preceding the adjustment. This
percentage change applies to services rendered between July 2 of that year and July 1 of the
following year.
R 500.206 Neurological rehabilitation clinic accreditation; information submission.
Rule 6. (1) The department shall issue a bulletin recognizing the organizations it deems similar
to the Commission on Accreditation of Rehabilitation Facilities (CARF) for the accreditation of
neurological rehabilitation clinics pursuant to section 3157(12) of the act, MCL 500.3157. The
department’s recognition remains in effect until revoked.
(2) A neurological rehabilitation clinic that seeks payment or reimbursement for services
rendered to an injured person for an accidental bodily injury covered by personal protection
insurance under chapter 31 of the act, MCL 500.3101 to 500.3179, shall, upon the department’s
request, submit on a form prescribed by the department the following information, as applicable:
(a) Proof of accreditation by CARF or a similar organization recognized by the director as
referenced in subrule (1) of this rule.
(b) If a neurological rehabilitation clinic is in the process of becoming accredited on July 1,
2021, information concerning its status in the accreditation process with updates provided to the
department every 6 months thereafter until the neurological rehabilitation clinic is accredited.
(3) A neurological rehabilitation clinic that is in the process of becoming accredited on July 1,
2021, is entitled to payment or reimbursement for services for 3 years after the date on which the