Regulations
| 9771....Applications for Certification | |
| HCOs must include all documentation necessary to demonstrate that they meet the requirements for certification. Disability insurers must provide written certification ...more | |
| 9771.6....Application of Regulations Concerning Workers\' Compensation Health Care Provider Organizations | |
| Sections 9771. 6 through 9771. 83 apply only to workers' compensation health care organizations as defined by Section 9771. 60(m). Â Note: Authority cited: Stats. ...more | |
| 9771.62....Application for Authorization as a Workers\' Compensation Health Care Provider Organization | |
| (a) An application for authorization as a workers' compensation health care provider organization shall be filed in the form specified in subsection (c) and contain the ...more | |
| 9771.80....Additional or Nonroutine Examinations and Surveys | |
| Â (3) The organization has committed, or the Administrative Director has reason to believe that the organization has committed, any of the acts or omissions enumerated ...more | |
| 9787....Appeal from Administrative Director's Order Granting or Denying Petition for Change of Primary Treating Physician | |
| Â Note: Authority cited: Sections 133, 139. 5, 4603. 2, 4603. 5 and 5307. 3, Labor Code. Reference: Sections 4600, 4603 and 4603. 2, Labor Code. Repealer and new ...more | |
| 9789.17.3....Additional Payment Reductions for Certain Diagnostic Imaging Services | |
| (a) For services rendered on or after March 1, 2017, payment of X-ray imaging services that are taken using film is made at: Â (1) 80 percent of a technical ...more | |
| 9789.18.10....Anesthesia - Monitored Anesthesia Care | |
| The physician or non-physician practitioner shall be reimbursed for reasonable and medically necessary monitored anesthesia care services on the same basis as other ...more | |
| 9789.18.11....Anesthesia Claims Modifiers | |
| Physicians shall report the appropriate anesthesia modifier to denote whether the service was personally performed, medically directed, or medically supervised in ...more | |
| 9789.18.12....Anesthesia and Medical/Surgical Service Provided by the Same Physician | |
| When these services are performed by the second physician in the nonfacility setting, CPT codes 99148 to 99150 are not to be reported. Â (c) If the anesthesiologist or ...more | |
| 9789.18.2....Anesthesia - Personally Performed Rate | |
| The anesthesia fee calculation will recognize the base unit for the anesthesia code and one time unit per 15 minutes of anesthesia time in any of the following ...more | |
