Form FIS2357 Application for Initial Certification of No-Fault Utilization Review Program - Michigan

What Is Form FIS2357?

This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form FIS2357?
A: Form FIS2357 is used to apply for the initial certification of a no-fault utilization review program in Michigan.

Q: Who can use Form FIS2357?
A: This form can be used by entities seeking to establish and operate a no-fault utilization review program in Michigan.

Q: What is a no-fault utilization review program?
A: A no-fault utilization review program is a program that reviews medical services provided to patients to determine their appropriateness, necessity, and compliance with applicable standards.

Q: What information is required on Form FIS2357?
A: The form requires information about the applicant, program director, program staff, policies and procedures, and other relevant information.

Q: Are there any fees associated with submitting Form FIS2357?
A: Yes, there is a non-refundable application fee that must be paid when submitting the form.

Q: How long does it take to process Form FIS2357?
A: The processing time for Form FIS2357 may vary. It is recommended to check with the DIFS for the current processing timeframe.

Q: Are there any specific requirements for a no-fault utilization review program in Michigan?
A: Yes, there are specific statutory requirements and rules that must be followed. It is recommended to review the applicable laws and regulations.

Q: What happens after submitting Form FIS2357?
A: After submitting the form, the DIFS will review the application and may request additional information or documentation. Once approved, the applicant will receive a certification.