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Regulations



 
9771.76....Medical Survey Procedure
(a) Unless the Administrative Director in his discretion determines that advance notice will render the survey less useful, an organization will be notified approximately ...more
 
 
9771.77....Medical Survey: Report of Correction of Deficiencies
The report shall be signed by a principal officer of the organization. 1997, Ch. New section filed 4-15-98; operative 4-15-98. 1997, Ch. 346, Section 5 (Register 98, No. ...more
 
 
9779.45....Minimum Periods of Enrollment
  Note: Authority cited: Sections 133, 4600. 3, 4600. 5, 4603. 5 and 5307. 3, Labor Code. Reference: Sections 4600, 4600. 3 and 4600. 5, Labor Code.   HISTORY   ...more
 
 
9791.1....Medical Fee Schedule
The Official Medical Fee Schedule shall include the procedures, procedure numbers, descriptions, instructions, and unit values adopted by the Administrative Director, ...more
 
 
9792.20....Medical Treatment Utilization Schedule - Definitions
As used in this Article:   (a) “ACOEM” means means the American College of Occupational and Environmental Medicine's Occupational Medicine Practice ...more
 
 
9792.21....Medical Treatment Utilization Schedule
(a) The Administrative Director adopts the Medical Treatment Utilization Schedule (MTUS) consisting of section 9792. 20 through section 9792. 26.   (b) The MTUS is ...more
 
 
9792.21.1....Medical Evidence Search Sequence
(a) Treating physicians and medical reviewers shall conduct the following medical evidence search sequence for the evaluation and treatment of injured workers. Choose the ...more
 
 
9792.25.1....MTUS Methodology for Evaluating Medical Evidence
(a) When competing recommendations are cited to guide medical care, Utilization Review and Independent Medical Review physicians shall apply the MTUS Methodology for ...more
 
 
9792.26....Medical Evidence Evaluation Advisory Committee
(a) The Medical Director shall create a Medical Evidence Evaluation Advisory Committee (MEEAC) to provide recommendations to the Medical Director on matters concerning ...more
 
 
9792.27.1....Medical Treatment Utilization Schedule (MTUS) Drug Formulary - Definitions
  (b) “Authorization through prospective review” means authorization for proposed treatment obtained through the utilization review process set forth in ...more
 
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