Evidence status: CURRENT WORKERS’ COMPENSATION RULE FRAMEWORK. The Michigan opioid treatment agreement sits inside a broader reimbursement system requiring recurring clinical documentation for chronic, non-cancer pain opioid treatment.

90-day reporting cycle

For reimbursement of opioid treatment beyond 90 days, the physician must submit a written report to the payer no later than 90 days after the initial opioid prescription fill for chronic pain and every 90 days thereafter.

Required report elements

The report includes relevant medical history, review of prescription-monitoring data, conservative care focused on function and return to work, reasons alternatives were ineffective or contraindicated, use of risk-screening tools, and a treatment plan.

Treatment-plan elements

The rule requires treatment goals and functional progress, periodic urine drug screens, a conscientious effort to reduce pain through non-opioid medication or non-pharmaceutical strategies, and consideration of weaning the injured worker from opioid use.

Agreement as one part of the record

The signed opioid treatment agreement is one required element of that larger reimbursement documentation system. It is not the only safeguard or review mechanism used by the program.

Primary source

Michigan Health Care Services Rules — R 418.101008a

Reviewed: October 5, 2026.