Benefits and Notices Department of Industrial Relations and Division of Workers' Compensation regulations governing employee notification of benefits. Supplemental Job Displacement Benefit (SJDB)Benefit Notices, Posting Notice, Claim Form & NOPERTW SupplementDisability Evaluation UnitDWC Proposed Changes to SJDB/RTW RulesPermanent Disability Rating Schedule (PDRS)Benefit Notice Manual
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)Provider Suspension ProcedureWCAB Incorporates Court Administrator RulesWCALJ Ethical StandardsLabor Code 5814.6 PenaltiesWCAB Lien Claims Filings RulesSpecial Investigative Unit (SIU)Contracted Provision of MedicinesDWC Lien Filing Rules (EAMS)WCAB Rules of Practice and ProcedureCalifornia Consumer Privacy Act (CCPA)
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. 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 Drug FormularyMTUS Drug Formulary & ACOEM GuidelinesMTUS Guidelines on Chronic Pain Tx and Opioids TxUtilization Review (UR) & Independent Medical Review (IMR)MPNInterpreterPredesignation & Chiropractor Treating PhysicianMedical Treatment Utilization Schedule (MTUS)
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