Benefits and Notices Department of Industrial Relations and Division of Workers' Compensation regulations governing employee notification of benefits. Benefit Notice ManualRTW SupplementPermanent Disability Rating Schedule (PDRS)Supplemental Job Displacement Benefit (SJDB)Benefit Notices, Posting Notice, Claim Form & NOPE
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 ProcedureElectronic Adjudication Management System (EAMS)WCAB Incorporates Court Administrator RulesContracted Provision of MedicinesLabor 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. Physician E & M FeesRBRVS Physician Fee ScheduleIndependent Bill Review (IBR) AND Medical Billing and e-BillingAmbulance Fee ScheduleTransition to ICD-10Pharmacy FeesInpatient Hospital Fee ScheduleCopy Service Fee ScheduleMedical Billing and eBilling StandardsHome Health Care Fee ScheduleInterpreter Fee ScheduleOutpatient Facility 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. MTUS Drug Formulary & ACOEM GuidelinesMTUS Guidelines on Chronic Pain Tx and Opioids TxPredesignation & Chiropractor Treating PhysicianInterpreterMPNUtilization Review (UR) & Independent Medical Review (IMR)Medical Treatment Utilization Schedule (MTUS)MTUS Drug Formulary
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