Benefits and Notices Department of Industrial Relations and Division of Workers' Compensation regulations governing employee notification of benefits. Disability Evaluation UnitSupplemental Job Displacement Benefit (SJDB)Benefit Notices, Posting Notice, Claim Form & NOPEBenefit Notice ManualPermanent Disability Rating Schedule (PDRS)RTW Supplement
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 ProcedureProvider Suspension ProcedureCalifornia Consumer Privacy Act (CCPA)Special Investigative Unit (SIU)Contracted Provision of MedicinesElectronic Adjudication Management System (EAMS)WCAB Incorporates Court Administrator RulesLabor Code 5814.6 PenaltiesWCALJ Ethical StandardsWCAB Lien Claims Filings RulesDWC 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. Independent Bill Review (IBR) AND Medical Billing and e-BillingOutpatient Facility Fee ScheduleInterpreter Fee ScheduleCopy Service Fee SchedulePharmaceutical Fee ScheduleInpatient Hospital Fee ScheduleTransition to ICD-10RBRVS Physician Fee ScheduleAmbulance Fee SchedulePhysician E & M FeesMedical Billing and eBilling StandardsHome Health Care 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. Medical Treatment Utilization Schedule (MTUS)MTUS Guidelines on Chronic Pain Tx and Opioids TxPredesignation & Chiropractor Treating PhysicianInterpreterMPNUtilization Review (UR) & Independent Medical Review (IMR)MTUS Drug FormularyMTUS Drug Formulary & ACOEM Guidelines
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