Michigan Department of Labor and Economic Opportunity  
Workers’ Disability Compensation Agency  
HEALTH CARE SERVICES ADVISORY COMMITTEE  
MINUTES  
Meeting Date: July 20, 2022  
Workers’ Disability Compensation Agency  
Time:  
1:30 p.m.  
Via Zoom teleconference  
2501 Woodlake Circle  
Okemos, Michigan  
Members Present:  
Members Absent:  
Gordon S. White, Chairperson; Wendy Kolbusz; Paul Kauffman; Katie  
Mason; Holly Secord; Jayson Chizick; Joseph Firestone; Barry  
Leshman, DO; George E. Metropoulos, MD, MPH; Ellyse Sites;  
Frankie Serra.  
Steven Pollok, Jason Jorkasky, Gina Otterbein, Kurt Titze, Ken  
Dombrow..  
WCA Representatives: Jack A. Nolish, Director  
David Campbell, Division Manager  
Kris Kloc, RN BSN, Medical Claims Analyst  
Deb Outwater, Executive Secretary  
1. CALL TO ORDER  
Chairperson White called the meeting to order at 1:35 p.m.  
1A. APPROVAL OF MINUTES  
Chairperson White asked the committee members for additions or corrections to the  
minutes of the April 20, 2022 meeting. Ms. Outwater indicated there was a clerical error  
resulting in a date change on the minutes. Motion to approve the minutes by Holly  
Secord; second by Jayson Chizick – motion carried unanimously. Minutes approved as  
amended.  
2A. DIRECTOR’S COMMENTS  
Director Nolish indicated things at the Agency are running smoothly. COVID numbers  
are remaining about the same and overall litigation numbers are down. He participated  
in a WCRI meeting earlier in the day. One of the topics of interest was a study  
conducted regarding physician dispensing of prescription drugs. Something to keep an  
eye on as it relates to potential changes to the HCS Rules.  
Health Care Services Advisory Committee  
July 20, 2022  
Page 2  
2B. PROPOSED CHANGES TO DME RULES  
Ms. Kloc advised the Committee that the subgroup (Adam Heugh, Katie Mason,  
Samantha Brochu, and Amy Chamberlain) has met several times and prepared  
proposed changes to the DME Rules. There are three rules affected: 418.10108  
defined language re: acquisition cost; 418.10913 – added language re: acquisition cost;  
418.101003b(3) clarified language for purchased DME; 418.101003b(4) related to DME  
rental not listed in the fee schedule to calculate fees  
There was some discussion regarding whether detail must be provided regarding any  
rebates received as it relates to acquisition cost(s).  
Members of the Committee thanked the subcommittee members for their work on the  
proposed changes. Ms. Kloc asked for questions and comments – there were none  
from those present.  
2C. 2022 HCS RULES  
Ms. Kloc gave members an overview of the proposed updates for 2022. The majority of  
the updates consist of updating source document information. Specific changes  
included:  
10106 – procedure codes to update years  
10107 – source document year updates and costs  
10904 – source document updates and modifiers for PT assistants (defining  
them)  
10912 – billing for prescription medications – dispensing fee – delete the  
carve-out in #3 and state specific billing code in item #7.  
101002 – updates website and year  
101003a – state specific dispensing fee codes deleted  
101004 -year change to source documents and website update; new items  
#15 & 16 are the updates for therapy assistant modifiers.  
101009 –topical medications: delete state specific dispensing code in #2:  
changed language to “acquisition” cost in #3.  
Ms. Kloc asked those present for questions or comments to the proposed changes, and  
there were none.  
2d.  
PREFERRED MEETING FORMAT  
Director Nolish reminded the Committee that we are not subject to the rules of the Open  
Meetings Act and as such, we are in a position to continue meeting via Zoom. The  
participation numbers are higher using this meeting format – we have participants from  
all over the state and some from as far away as Florida. Discussion ensued regarding  
the desires of some to keep the Zoom platform even if we were to return to in-person  
Health Care Services Advisory Committee  
July 20, 2022  
Page 3  
meetings. Director Nolish indicated that the Committee will continue to meet virtually  
throughout the remainder of 2022 and we will revisit the matter in 2023.  
3. GENERAL PUBLIC COMMENT  
Director Nolish opened the meeting for public comment. Sandy Shtab spoke about  
concerns regarding the physician dispensing issue. Pharmacies are incentivized to be  
cheaper and they pay closer attention to the patients. She believes the fee schedule  
adjustments need to be looked at more closely.  
4. ADJOURNMENT  
There being no further business, the meeting was adjourned at 2:18 p.m. The next  
meeting will be October 19, 2022 at 1:30 p.m. via Zoom teleconference.  
APPROVED:  
______________________  
Jack Nolish  
;