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Annual Workers’ Compensation Meeting January 7, 2014 Presented by: Judge Ellen Flynn.

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Presentation on theme: "Annual Workers’ Compensation Meeting January 7, 2014 Presented by: Judge Ellen Flynn."— Presentation transcript:

1 Annual Workers’ Compensation Meeting January 7, 2014 Presented by: Judge Ellen Flynn

2 SB 863 Implementation Destie Overpeck Acting Administrative Director, Division of Workers’ Compensation

3 SB 863 Implementation StatusNext Steps Effective Date Per Labor Code Ambulatory Surgery Center (ASC) LC § 5307.1 Completed Regulations effective: Jan. 1, 2013 Jan. 1, 2013 Spinal Implant (Inpatient Fee Schedule) LC § 5307.1 Completed Regulations effective: Jan. 1, 2013 Jan. 1, 2013 Interpreter Certification Gov’t Code §§ 9795.1, 9795.1.5, 9795.1.6, 9795.3 and 9795.5 LC §§ 4600, 5811 CompletedRegulations effective: Aug. 13, 2013 Jan. 1, 2013 Extended to 3/1/14 per AB 1376

4 SB 863 Implementation StatusNext StepsEffective Date Per Labor Code QME LC §§ 139.5, 4610, 4610.5, 4610.6 CompletedRegulations effective: 9/16/13 For injuries on or after Jan. 1, 2013; For decisions communicated on or after July 1, 2013 SJDB LC §§ 4658.5, 4658.6, 4658.7 CompletedNew forms will be effective: 1/1/14 Jan. 1, 2013 Physician Fee Schedule (RBRVS) LC § 5307.1 CompletedRegulations effective: 1/1/14 Jan. 1, 2014

5 SB 863 Implementation StatusNext StepsEffective Date Per Labor Code E- document filing and lien filing fees LC §§ 4903.05, 4903.06 CompletedRegulations effective: 12/16/13 Jan. 1, 2013 (Preliminary injunction prohibits activation fee) IBR; Paper and Electronic Billing LC §§ 139.5, 4603.2, 4603.3, 4603.4, 4603.6, 4622 Public hearing: 4/9/13 2nd 15 day comment period: 12/26/13 Certificate of Compliance filed with OAL 12/30/13. Pending review and approval. For dates of service on or after Jan. 1, 2013 IMR, UR (including RFA form) LC §§ 139.5, 4610, 4610.5, 4610.6 Public hearing: 4/4/13 1st 15 day comment period: 10/11/13 3rd 15 day comment period: 12/26/13 Certificate of Compliance filed with OAL 12/30/13. Pending review and approval. For injuries on or after Jan. 1, 2013; For decisions communicated on or after July 1, 2013

6 SB 863 Implementation StatusNext StepsEffective Date Per Labor Code MPN LC §§ 9767.5.1 and 9767.16.5 - 9767.19 Public hearing: 9/30/13; 1st 15 day comment period: 12/26/13 Review comments; issue revised regulations for 2 nd 15-day comment period Jan. 1, 2014 Predesignation/ Chiropractor PTP LC § 4600 Public hearing: 10/7/13 Submit final regulations to OAL Jan. 1, 2013 Copy Services Fee Schedule LC § 5307.9 Study presented: 10/17/14 Post draft regulations on forum Dec. 31, 2013 Interpreter Fee Schedule LC § 5811 Conducting studyPost studyJan. 1, 2013

7 SB 863 Implementation StatusNext StepsEffective Date Per Labor Code Home Health Care Fee Schedule LC §§ 4600, 5307.8 Working group meeting: 10/2/12 Conducting study Post draft regulations on DWC forum July 1, 2013 Vocational Expert Fee Schedule LC § 5307.7 Working group meeting: 6/28/12 Post draft regulations on DWC forum Benefit Notice Regulations LC §138.4 Posted on DWC forum: 4/18/13 Begin formal rulemaking WCIS Penalties LC § 138.6 Posted on DWC forum: 4/16/13 Begin formal rulemaking

8 SB 863 Implementation StatusNext StepsEffective Date Per Labor Code Medical Treatment Utilization Schedule (MTUS) LC § 5307.27 Posted on DWC forum: 8/21/13 Begin formal rulemaking Audit Regulations LC § 129.5 Preparing draft regulations Working group meeting


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