CWCI Web-Based Seminar: Focus on the Formulary

Today, the DWC issued modifications to its proposed Formulary regulations incorporating changes that address some of the comments it received during the first 15-day comment period that ended August 2.  The modified regulations are now out for a second 15-day public comment period, which ends September 22 at 5 p.m.  Although the regs are not yet finalized, the clock is ticking down to the January 1, 2018 effective date for the Formulary, so once the regulations are adopted, stakeholders will need to get up to speed on the new rules and details quickly. 

To help workers’ compensation claims, medical care, and legal professionals understand what to expect from the Formulary, CWCI President Alex Swedlow, General Counsel Ellen Sims Langille, and Claims & Medical Director Denise Niber will conduct a 90-minute webinar on October 4 from 10 – 11:30 a.m. PDT.  The program will include:    

– Details on which drugs will be subject to prospective UR and which will be subject to retrospective UR.

– A line-item review of each new Formulary regulation to show exactly how the Formulary is designed to function.

– The new time requirements that will be applicable to Formulary medical dispute resolution.

– Requirements for the phased transition of “legacy claims” into the Formulary.

– Scenarios that illustrate how the Formulary will interact with the 30-day pass-through provisions of SB 1160 and other elements of existing law.

– A review of CWCI’s research on the potential effect of the Formulary on UR costs.

– A Q&A session with the panelists to wrap up the program and address outstanding issues and concerns.

Continuing Education Credits: Upon request, claims professionals who attend the seminar will be issued certificates of attendance for 1.5 hours of credit toward the Department of Insurance workers’ compensation claims adjuster or medical bill reviewer certification requirements.  CWCI also is a State Bar of California approved MCLE provider (#2591), so legal professionals will be eligible to receive 1.5 hours MCLE/Legal Specialization credits toward State Bar requirements. 

Registration: The webinar is free to employees of CWCI member companies, $50 for all others. 

For CWCI members, use your registered email address and personal password to log on to our website at www.cwci.org, select “Store” on the top of the home page, click seminars from the drop-down menu, then click the Register button at the bottom of the page and complete the form.  (If you haven’t set up a member account, select “Your Account” at the top of the home page, click “Add me as a Member User” from the pull-down menu, complete the form, then use the information you enter on that form to log in and complete a seminar registration.) 

For nonmembers, pre-payment of the $50 seminar fee is required.  Go to www.cwci.org

Webinar Log-In Instructions: Instructions for participating in the web-based seminar will be emailed to all registrants.  For those who are unable to participate on October 4, CWCI may offer this program on our website as an on-demand seminar at a later date.