Form FIS2371 Post-acute Auto Injury Provider Relief Fund Application for Distribution - Michigan

What Is Form FIS2371?

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 FIS2371 Post-acute Auto Injury Provider Relief Fund Application for Distribution?
A: The FIS2371 is an application form for Michigan healthcare providers to apply for financial relief related to post-acute auto injury care.

Q: Who is eligible to apply for the Post-acute Auto Injury Provider Relief Fund?
A: Michigan healthcare providers who offer post-acute care for auto injury patients are eligible to apply.

Q: What is the purpose of the Post-acute Auto Injury Provider Relief Fund?
A: The Fund provides financial assistance to healthcare providers who have provided post-acute care to auto injury patients and have experienced financial difficulties.

Q: What kind of financial relief does the Fund provide?
A: The Fund provides grants to eligible providers to help cover the costs associated with providing post-acute care for auto injury patients.

Q: How can healthcare providers apply for the Fund?
A: Providers can apply by submitting the FIS2371 application form along with the required documentation.

Q: What documentation is required for the application?
A: The application requires various supporting documents, such as proof of auto injury care services provided, itemized billing statements, and financial statements.

Q: Is there a deadline for submitting the application?
A: Yes, providers must submit their applications by the specified deadline stated on the application form.

Q: Will all healthcare providers who apply receive financial relief?
A: Eligible providers who meet the criteria may receive financial relief, but approval is subject to the availability of funds.

Q: Who can I contact for more information?
A: For more information, you can contact the Michigan Department of Health and Human Services (MDHHS) or refer to the official application form instructions.