Regulations
| 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 | |
| Â (b) âAuthorization through prospective reviewâ means authorization for proposed treatment obtained through the utilization review process set forth in ...more | |
| 9792.27.10....MTUS Drug List; Exempt Drugs, Non-Exempt Drugs, Unlisted Drugs, Prospective Review | |
| (a) The MTUS Drug List is set forth by active drug ingredient(s). Â (c) For a drug that is identified as âNon-Exempt,â authorization through prospective ...more | |
| 9792.27.11....Waiver of Prospective Review | |
| Nothing in the MTUS Drug Formulary shall prohibit waiver of the prospective review requirement for a Non-Exempt or unlisted drug if the drug falls within a utilization ...more | |
| 9792.27.12....MTUS Drug List - Special Fill | |
| (a) The MTUS Drug List identifies drugs that are subject to the Special Fill policy. Under this policy, a drug that usually requires prospective review because it is ...more | |
| 9792.27.13....MTUS Drug List - Perioperative Fill | |
| (a) The MTUS Drug List identifies drugs that are subject to the Perioperative Fill policy. Under this policy, the Non-Exempt drug identified as a Perioperative Fill drug ...more | |
| 9792.27.14....Treatment Provided Under Applicable Health and Safety Regulations | |
| The MTUS Drug Formulary and associated regulations do not relieve an employer of any responsibilities pursuant to applicable health and safety regulations such as the ...more | |
| 9792.27.15....MTUS Drug List | |
| %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B %u200B Note: Authority cited: ...more | |
| 9792.27.16....National Drug Codes, Unique Pharmaceutical Identifier - MTUS Drug List | |
| (a) The Administrative Director may maintain and post on the DWC website a listing by National Drug Code, RxCUI (clinical drug concept unique identifier maintained by the ...more | |
