Regulations
| 9779.5....Reimbursement of Costs to the Administrative Director; Obligation to Pay Share of Administrative Expense | |
| The amount shall be assessed annually on or before April 15 and may be paid to the Workers' Compensation Managed Care Fund in two equal installments. The first ...more | |
| 9785....Reporting Duties of the Primary Treating Physician | |
|  (2) An employee may designate a new primary treating physician of his or her choice pursuant to Labor Code §§ 4600 or 4600. 3 provided the primary treating ...more | |
| 9785.5....Request for Authorization Form, DWC Form RFA | |
| DWC Form RFA Note: Authority cited: Sections 133, 4603. 5 and 5307. 3, Labor Code. Reference: Sections 4061, 4061. 5, 4062, 4600, 4604. 5, 4610, 4610. 5 and 4610. 6, ...more | |
| 9789.14....Reimbursement for Reports, Duplicate Reports, Chart Notes | |
| Â (4) Physician's Return-to-Work & Voucher Report (DWC-AD 10133. 36) issued in accordance with section 9785 subdivision (i) (reimbursement is bundled into payment for ...more | |
| 9789.17.1....Radiology Diagnostic Imaging Multiple Procedures | |
| (a) Specified diagnostic imaging procedures are designated in the âDiagnostic Imaging Service Subject to the Multiple Procedure Payment Reduction (MPPR)â file ...more | |
| 9789.17.2....Radiology Consultations | |
| This interpretation of an x-ray procedure must directly contribute to the diagnosis and treatment of the patient. The physician must prepare a signed written report of ...more | |
| 9792.5.7....Requesting Independent Bill Review | |
| (a) If the provider further contests the amount of payment made by the claims administrator on a bill for medical treatment services or goods rendered on or after January ...more | |
| 9792.5.8....Request for Independent Bill Review Form | |
| Request for Independent Bill Review. New section filed 12-31-2012 as an emergency; operative 1-1-2013 pursuant to Government Code section 11346. 1(d) (Register 2013, No. ...more | |
| 9794....Reimbursement of Medical-Legal Expenses | |
| Â (b) All medical-legal expenses shall be paid within 60 days after receipt by the employer of the reports and documents required by the administrative director unless ...more | |
| 9795....Reasonable Level of Fees for Medical-Legal Expenses, Follow-up, Supplemental and Comprehensive Medical-Legal Evaluations and Medical-Legal Testimony | |
| Â (c) Medical-legal evaluation reports and medical-legal testimony shall be reimbursed as follows: Â CODE B. R. PROCEDURE DESCRIPTION ML100 Â Missed Appointment ...more | |
