Regulations
| 9767.18....Random Reviews | |
| (a) The Administrative Director may conduct random reviews of any approved Medical Provider Network to determine if the requirements of this article and Labor Code ...more | |
| 9767.2....Review of Medical Provider Network Application or Plan for Reapproval | |
| Â (b) Within 180 days of the Administrative Director's receipt of a complete plan for reapproval, the Administrative Director shall approve for a four-year period or ...more | |
| 9767.3....Requirements for a Medical Provider Network Plan | |
| (a) As long as the application for a medical provider network plan meets the requirements of Labor Code section 4616 et seq. and this article, nothing in this section ...more | |
| 9768.14....Retention of Records by Independent Medical Reviewer | |
| Each Independent Medical Reviewer shall retain all comprehensive medical reports completed by the Independent Medical Reviewer for a period of five years from the date of ...more | |
| 9768.8....Removal of Physicians from Independent Medical Reviewer List | |
| Â (b) The Administrative Director shall cancel the IMR contract and remove a physician from the Independent Medical Reviewer list if the Administrative Director ...more | |
| 9771.75....Reimbursements on a Fee-for-Services Basis: Determination of Status of Claims | |
| Â These procedures shall involve the use of either a claims log, claims numbering system, electronic data processing records, and/or any other method held ...more | |
| 9771.78....Removal of Books and Records from State | |
| The books and records of an organization, management company, solicitor firm, and any provider or subcontractor providing workers' compensation health care or other ...more | |
| 9771.83....Retention of Books and Records | |
| After such books and records have been preserved for two years, they may be warehoused or stored, or microfilmed, subject to their availability to the Administrative ...more | |
| 9773.1....Referrals to Chiropractors | |
| HCOs shall maintain guidelines for chiropractor care in accordance with paragraph (2) of subdivision (1) of Section 4600. 5 of the Labor Code. The HCO must include a ...more | |
| 9776.1....Return to Work Coordination | |
| An HCO shall maintain a return to work program in conjunction with the employer and claims administrator to facilitate and coordinate returning injured workers to the ...more | |
