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 Notice ManualBenefit Notices, Posting Notice, Claim Form & NOPERTW SupplementSupplemental 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 . WCAB Rules of Practice and ProcedureContracted Provision of MedicinesWCAB Incorporates Court Administrator RulesDWC Lien Filing Rules (EAMS)Provider Suspension ProcedureCalifornia Consumer Privacy Act (CCPA)Labor Code 5814.6 PenaltiesWCALJ Ethical StandardsWCAB Lien Claims Filings RulesSpecial Investigative Unit (SIU)Electronic Adjudication Management System (EAMS)
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. Copy Service Fee ScheduleOutpatient Facility Fee ScheduleInterpreter Fee ScheduleHome Health Care Fee ScheduleMedical Billing and eBilling StandardsPhysician E & M FeesInpatient Hospital Fee ScheduleTransition to ICD-10Ambulance Fee ScheduleIndependent Bill Review (IBR) AND Medical Billing and e-BillingPharmaceutical Fee ScheduleRBRVS Physician Fee Schedule
Medical Legal Regulations governing requirements for Qualified Medical Examiners and the medical legal fee schedule. QME Eligibility and ComplianceMedical-Legal Fee ScheduleQME Scheduling Procedures
Medical Treatment Regulations governing various aspects of medical treatment including medical treatment guidelines (MTUS), utilization review and Medical Provider Networks. MTUS Guidelines on Chronic Pain Tx and Opioids TxMedical Treatment Utilization Schedule (MTUS)Utilization Review (UR) & Independent Medical Review (IMR)MTUS Drug FormularyMPNInterpreterMTUS Drug Formulary & ACOEM GuidelinesPredesignation & Chiropractor Treating Physician
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