Benefits and Notices Department of Industrial Relations and Division of Workers' Compensation regulations governing employee notification of benefits. Disability Evaluation UnitBenefit Notices, Posting Notice, Claim Form & NOPERTW SupplementSupplemental Job Displacement Benefit (SJDB)Benefit Notice ManualPermanent Disability Rating Schedule (PDRS)DWC Proposed Changes to SJDB/RTW Rules
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 . Provider Suspension ProcedureCalifornia Consumer Privacy Act (CCPA)WCAB Incorporates Court Administrator RulesWCALJ Ethical StandardsLabor Code 5814.6 PenaltiesWCAB Lien Claims Filings RulesSpecial Investigative Unit (SIU)Electronic Adjudication Management System (EAMS)Contracted Provision of MedicinesWCAB Rules of Practice and ProcedureDWC Lien Filing Rules (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. RBRVS Physician 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-BillingCopy Service Fee SchedulePharmaceutical Fee Schedule
Medical Legal Regulations governing requirements for Qualified Medical Examiners and the medical legal fee schedule. Medical-Legal Fee ScheduleQME Eligibility and ComplianceQME 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 FormularyMPNMTUS Drug Formulary & ACOEM GuidelinesInterpreterPredesignation & 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