Benefits and Notices Department of Industrial Relations and Division of Workers' Compensation regulations governing employee notification of benefits. Benefit Notices, Posting Notice, Claim Form & NOPESupplemental Job Displacement Benefit (SJDB)Permanent Disability Rating Schedule (PDRS)Benefit Notice ManualRTW SupplementDisability Evaluation Unit
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)Electronic Adjudication Management System (EAMS)Special Investigative Unit (SIU)Contracted Provision of MedicinesWCAB Incorporates Court Administrator RulesLabor Code 5814.6 PenaltiesWCALJ Ethical StandardsWCAB Lien Claims Filings RulesDWC Lien Filing Rules (EAMS)WCAB Rules of Practice and Procedure
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. Outpatient Facility Fee ScheduleInterpreter Fee ScheduleCopy Service Fee SchedulePharmaceutical Fee ScheduleInpatient Hospital Fee ScheduleTransition to ICD-10Physician E & M FeesHome Health Care Fee ScheduleRBRVS Physician Fee ScheduleAmbulance Fee ScheduleIndependent Bill Review (IBR) AND Medical Billing and e-BillingMedical Billing and eBilling Standards
Medical Legal Regulations governing requirements for Qualified Medical Examiners and the medical legal fee schedule. QME Eligibility and ComplianceQME Scheduling ProceduresMedical-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 PhysicianInterpreterMPNMTUS Drug FormularyUtilization Review (UR) & Independent Medical Review (IMR)MTUS 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