OAL Approves Utilization Review Rules

The California Division of Workers' Compensation announced that the Office of Administrative Law approved its rules to exempt certain treatments and prescriptions from utilization review. The division said the regulations primarily implement UR exemptions under SB 1160 for certain treatment provided within the first 30 days after an injury, as well as an exemption for formulary drugs under AB 1124.  Approved rules also enforce statutory accreditation requirements and strengthen the division's oversight of UR plans.  "The UR regulations aim to align the review process ...