Mich. Admin. Code R. 500.61 - Definitions

Rule 61. As used in these rules:

(a) "Act" means the insurance code of 1956, 1956 PA 218, MCL 500.100 to 500.8302.

(b) "Association" means the catastrophic claims association created under section 3104 of the act, MCL 500.3104.

(c) "Department" means the department of insurance and financial services.

(d) "Director" means the director of the department.

(e) "Facility" means an entity licensed by the state pursuant to the public health code, 1978 PA 368, MCL 333.1101 to 333.25211. The office of an individual practitioner is not considered a facility.

(f) "Injured person" means a person who has suffered an accidental bodily injury covered by personal protection insurance provided under chapter 31 or 31A of the act, MCL 500.3101 to 500.3179 and 500.3181 to 500.3189.

(g) "Insurer" means that term as defined in section 106 of the act, MCL 500.106.

(h) "Managed care option" means that term as defined in section 3181 of the act, MCL 500.3181.

(i) "Medically accepted standards" means the most appropriate practice guidelines for the treatment, training, products, services and accommodations provided to an injured person. These practice guidelines may include generally accepted practice guidelines, evidence-based practice guidelines, or any other practice guidelines developed by the federal government or national or professional medical societies, boards, and associations.

(j) "Personal protection insurance" means benefits provided under section 3107(1)(a) of the act, MCL 500.3107(1)(a).

(k) "Practitioner" means an individual who is licensed, registered, or certified as used in the public health code, 1978 PA 368, MCL 333.1101 to 333.25211.

(l) "Provider" means a physician, hospital, clinic, or other person providing treatment, training, products, services, and accommodations to an injured person.

(m) "Utilization review" means that term as defined in section 3157a(6) of the act, MCL 500.3157a(6).

Notes

Mich. Admin. Code R. 500.61

2020 MR 24, Eff. 12/18/2020