California Regulations 36 39
From Wcc
§ Summary Form for Comprehensive Medical-Legal Evaluation Performed Pursuant to Labor Code Section 4061 by QMEs or AMEs; Service of Form and Evaluation
(a)Upon completion of either a comprehensive medical-legal evaluation or a follow-up medical-legal evaluation as defined under Section 9793(f) of this Title, of an unrepresented employee, the evaluator shall complete the QME/AME FindingsSummary Form in Section 111. The Form shall not be required for a supplemental medical legal evaluation under 9793(k) of this Title. The evaluator shall serve the comprehensive medical-legalEvaluation, the summary form, and DEU forms 100 and 101 on the employee, and the claimsAdministrator, or if none, the employer, as well as the appropriate local DEU office within the time framesspecified in Section 38. (b) If an evaluation is completed under subsection (a) for an unrepresented employee, in which the QME determines that the employees condition has not become permanent and stationary as of the date of the evaluation, the parties shall request any further evaluation from the same QME if the QME is currently an active AME and available at the time of the request for the additional evaluation. If the QME is unavailable, a new panel may be issued to resolve any disputed issue(s). If the evaluator is no longer a QME, he/she may issue a supplemental report as long as a face-to-face evaluation (as defined in section 49(b) of the regulation) with the injured worker is not required. In no event shall a physician who is not a QME or no longer a QME perform a follow up evaluation on an injured worker. History: Amendment effective 5/14/00. |
