Benefits and Notices Department of Industrial Relations and Division of Workers' Compensation regulations governing employee notification of benefits. Permanent Disability Rating Schedule (PDRS)Disability Evaluation UnitBenefit Notices, Posting Notice, Claim Form & NOPERTW SupplementBenefit Notice ManualSupplemental Job Displacement Benefit (SJDB)
Legal/Compliance Division of Workers' Compensation and Workers' Compensation Appeals Board regulations governing lien filing procedures, WCAB rules of practice and procedure, administrative penalties, etc . Electronic Adjudication Management System (EAMS)WCAB Incorporates Court Administrator RulesProvider Suspension ProcedureCalifornia Consumer Privacy Act (CCPA)DWC Lien Filing Rules (EAMS)Contracted Provision of MedicinesLabor Code 5814.6 PenaltiesWCAB Rules of Practice and ProcedureWCALJ Ethical StandardsWCAB Lien Claims Filings RulesSpecial Investigative Unit (SIU)
Medical Billing and Payment Regulations governing various aspects of medical billing including required standards for paper and electronic bill submission. Payment requirements, including fee schedules and time frames. RBRVS Physician Fee ScheduleCopy Service Fee ScheduleOutpatient Facility Fee ScheduleInterpreter Fee ScheduleHome Health Care Fee ScheduleMedical Billing and eBilling StandardsPhysician E & M FeesPharmaceutical Fee ScheduleInpatient Hospital Fee ScheduleTransition to ICD-10Independent Bill Review (IBR) AND Medical Billing and e-BillingAmbulance Fee Schedule
Medical Legal Regulations governing requirements for Qualified Medical Examiners and the medical legal fee schedule. QMEMedical-Legal Fee Schedule
Medical Treatment Regulations governing various aspects of medical treatment including medical treatment guidelines (MTUS), utilization review and Medical Provider Networks. Predesignation & Chiropractor Treating PhysicianMTUS Guidelines on Chronic Pain Tx and Opioids TxInterpreterMTUS Drug Formulary & ACOEM GuidelinesMPNUtilization Review (UR) & Independent Medical Review (IMR)Medical Treatment Utilization Schedule (MTUS)MTUS Drug Formulary
State Reporting Regulations governing required reporting of medical bill payments and claim data to the Division of Workers' Compensation, including Implementation Guides. WCIS Standards and Medical & FROI/SROI Guides