Benefits and Notices Department of Industrial Relations and Division of Workers' Compensation regulations governing employee notification of benefits. Benefit Notices, Posting Notice, Claim Form & NOPEPermanent Disability Rating Schedule (PDRS)Supplemental Job Displacement Benefit (SJDB)RTW SupplementBenefit 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 . Provider Suspension ProcedureElectronic Adjudication Management System (EAMS)Special Investigative Unit (SIU)Contracted Provision of MedicinesWCAB Incorporates Court Administrator RulesWCAB Rules of Practice and ProcedureLabor Code 5814.6 PenaltiesWCALJ Ethical StandardsWCAB Lien Claims Filings RulesCalifornia Consumer Privacy Act (CCPA)DWC 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. Home Health Care Fee ScheduleRBRVS Physician Fee ScheduleIndependent Bill Review (IBR) AND Medical Billing and e-BillingAmbulance Fee ScheduleTransition to ICD-10Inpatient Hospital Fee SchedulePharmaceutical Fee SchedulePhysician E & M FeesMedical Billing and eBilling StandardsInterpreter Fee ScheduleOutpatient Facility Fee ScheduleCopy Service 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 PhysicianInterpreterMPNMedical Treatment Utilization Schedule (MTUS)Utilization Review (UR) & Independent Medical Review (IMR)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