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Regulations



 
9758....Consultative Evaluations. (Repealed)
Amendment filed 12-14-72; designated effective 1-1-73 (Register 72, No. 51). Amendment filed 11-7-78; effective thirtieth day thereafter (Register 78, No. 45). ...more
 
 
9767.10....Continuity of Care Policy
  (b) An “acute condition,” as referred to in Labor Code section 4616. 2(d)(3)(A), shall have a duration of less than ninety days. The notification shall be ...more
 
 
9767.15....Compliance with Current MPN Regulations; Reapproval
(a) MPNs approved prior to January 1, 2014 that are not in compliance with the current MPN regulations must file a modification and update to comply with the current ...more
 
 
9767.4....Cover Page for Medical Provider Network Application or Plan for Reapproval
Cover Page for Medical Provider Network Application or Plan for Reapproval Note: Authority cited: Sections 133 and 4616(h), Labor Code. New section filed 11-1-2004 as an ...more
 
 
9768.12....Contents of Independent Medical Review Reports
(a) Reports of Independent Medical Reviewers shall include:   (1) The date of the in-person examination or record review;   (2) The patient's complaint(s);   (3) ...more
 
 
9768.15....Charges for Independent Medical Reviewers
(a) Payment for the services of the Independent Medical Reviewers shall be made by the employer or insurer.   (c) An IMR shall not accept any additional compensation ...more
 
 
9768.2....Conflicts of Interest
  (b) The IMR shall not have a contractual agreement to provide physician services for the injured employee's MPN if the IMR is within a 35 mile radius of the treating ...more
 
 
9771.70....Contracts with Providers
Written contracts must be executed between the organization and each provider of workers' compensation health care which regularly furnishes health care under the ...more
 
 
9771.72....Contracts with Solicitor Firms
  (b) The solicitor firm shall promptly notify the organization of the institution of any disciplinary proceedings against it or against any of its principal persons ...more
 
 
9779....Certification
(a) Once an applicant has completed an application and submitted a fee in accordance with Section 9771 and has demonstrated to the administrative director that its ...more
 
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