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Form WC-590 Application for Certification of a Carrier's Professional Health Care Review Program - Michigan
What Is Form WC-590?
This is a legal form that was released by the Michigan Department of Labor and Economic Opportunity - 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 Form WC-590?
A: Form WC-590 is an application for certification of a carrier's professional health care review program in the state of Michigan.
Q: Who is required to fill out Form WC-590?
A: Carriers who want to have their professional health care review programs certified in Michigan are required to fill out Form WC-590.
Q: What is a carrier's professional health care review program?
A: A carrier's professional health care review program is a program that evaluates the medical necessity, appropriateness, and quality of health care services provided to injured workers.
Q: What is the purpose of Form WC-590?
A: The purpose of Form WC-590 is to provide information about the carrier's professional health care review program and to apply for certification in Michigan.
Q: Are there any fees associated with filing Form WC-590?
A: Yes, there is a $50 fee for filing Form WC-590 in Michigan.
Q: Are there any specific requirements for filling out Form WC-590?
A: Yes, there are specific requirements listed on the form itself that need to be met when filling out Form WC-590.
Q: Is there a deadline for submitting Form WC-590?
A: There is no specific deadline mentioned for submitting Form WC-590, but it is recommended to submit the form well in advance of the desired certification start date.
Q: Who should I contact if I have questions about Form WC-590?
A: If you have questions about Form WC-590, you can contact the Michigan Workers' Compensation Agency for assistance.
Form Details:
- Released on August 1, 2019;
- The latest edition provided by the Michigan Department of Labor and Economic Opportunity;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form WC-590 by clicking the link below or browse more documents and templates provided by the Michigan Department of Labor and Economic Opportunity.
