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for the workers' comp community in California.    
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Resources

Welcome to the Resources Section. Here you will find a plethora of original materials as referenced in the print edition.

All Categories  >  Regulation (57)
Category:
Florida (1)  
Pennsylvania (1)  
New York (1)  

Resources:
California Insurance Commissioner's 2003 Rate Decision
This file is a copy of Insurance Commissioner Harry Low's order increasing the California's average pure premium rate by 10.5 percent for 2003 policies.
Department's Proposed Broker Fiduciary Duties
The Dept. of Insurance Proposed Fiduciary regulations have brokers frothing at the mouth.
The Bureau Pushes For Rate Hike At Hearing
The Insurance Department helds its workers' compensation pure premium rate hearing yesterday in San Francisco.
Poizner’s Pure Premium Rate Decision And Order
Insurance Commissioner Steve Poizner's order on the average pure premium rate for 2008. Find out his rationale for keeping rates steady.
Proposed Regulatory Changes To Self-Insured Groups
Proposed regulations out for comment that will strengthen SIGs
Speak Up On Self-Insured Regs
OSIP has scheduled a public hearing to take comments on the proposed self-insured regulations update package.
Fight Continues Over SIG Confidentiality Rules
The state's second attempt at re-writing the rules for self-insured groups included a number of key changes. But one significant amendment sought by carriers was missing.
Commissioner’s January 1, 2009 Rate Decision Part 1

Insurance Commissioner Steve Poizner went against the advice of his actuaries in decision on the January 1, 2009 pure premium advisory rate. Find out his reasoning inside.

Commissioner’s January 1, 2009 Rate Decision Part 2

Insurance Commissioner Steve Poizner went against the advice of his actuaries in decision on the January 1, 2009 pure premium advisory rate. Find out his reasoning inside.

DWC Releases E-Billing Regulations

These proposed regulations would set the ground rules for the submission of medical bills in both paper and electronic formats, including defining what constitutes a complete medical bill.

DWC Releases Draft Rx Network Regs

The Division of Workers’ Compensation is seeking public comment on its first draft of regulations that define the scope of operations for pharmacy benefit networks and other contracted services. Click here for the draft.

MPN Notice Regulations Updated

Responding to earlier public comments, the Division of Workers’ Compensation has issued an update to its update of the MPN notice requirements. Click here for the draft.

Updated SIG Regulations Released

The Office of Self-Insured Plans released proposed regulations to update disclosure rules and other oversight measures for self-insured groups. Click here for the proposal.

SIG Regulations Initial Statement of Reasons

Click here to read the Office of Self-Insured Plans’ justifications for the proposed SIG regulations.

DWC Proposes Surgery Center Fee Cuts

The Division of Workers’ Compensation wants a 20% fee reduction for surgery centers in the workers' comp system. Click here to see how they would bring this about.

DWC's Updated Medical Billing and Payment Guide For 2012

The Division of Workers’ Compensation's e-billing regulations take full effect in 2012. Click here to see the updated billing and payment guidelines covering these changes.

DWC's Updated Medical Billing and Payment Guide For 2011

The Division of Workers’ Compensation adopted new regulations governing paper and electronic billing in California's workers' comp system. Click here to see the billing and payment guidelines covering the changes taking effect in 2011.

WCAB Proposes New Rules For Liens

The Workers' Compensation Appeals Board released new proposed rules of practice and procedure to cut down on the number of liens clogging its systems. Click here read the proposed regulations. 

WCAB Final Lien Regulations

The Workers' Compensation Appeals Board published final regulations to govern medical liens in the workers' comp system. Click here for the full text of the final regulations.

First SB 863 Regulations Aired

The Division of Workers’ Compensation is taking public comment on the first set of regulations tied to SB 863 and is proposing to eliminate the pass through payments for spinal hardware. Click here for the full text.

Emergency IMR Regulations

The Division of Workers’ Compensation is implementing SB 863's new independent bill review (IBR) program through emergency regulations that are expected to be effective as of Jan. 1, 2013. Click here for the latest draft.

Emergency IMR Regulations(2)

The Division of Workers’ Compensation is implementing SB 863's new independent medical review (IMR) program through emergency regulations that are expected to be effective as of Jan. 1, 2013. Click here for the latest draft.

WCAB Drafts Changes For SB 863 Implementation

The Workers' Compensation Appeals Board is moving to implement the changes mandated by the passage of SB 863 and this is how it is proposing to do it.

 

 

Draft SB 863 MPN Regulations

The Division of Workers' Compensation circulated draft regulations to implement the portions of SB 863 impacting medical provider networks (MPNs). Click here to read the initial draft of the rules.

Rand Updates RBRVS Cost Evaluation

Researchers at Rand corrected mistakes in an initial evaluation of California's proposed switch to a resource based relative value scale system for paying physicians. Costs are still up but not as much.

Proposed Predesignation Rules Limit Chiropractors

The Division of Workers' Compensation is proposing rules to clarify when a chiropractor can be an employee's predesignated physician for industrial injuries and when that relationship has to end. What are the proposed rules? Click here to review the draft regulations. 

WCAB Rules Finalized

The Workers' Compensation Appeals Board completed its rule making to implement its share of the SB 863 reforms. The final regulations take effect Oct. 23, 2013. Get the full text by clicking here. 

DWC Explains Proposal To Correct RBRVS Rules

The Division of Workers' Compensation is proposing to correct the new rules for physician payments under the RBRVS system. Click here to read its explanation of what is being changed. 

DWC's Proposal To Correct RBRVS Rules

The Division of Workers Compensation is proposing to correct the new rules for physician payments under the RBRVS system. Click here to read the full text of the proposed regulations. 

Draft Guidelines For Opioid Use

The Division of Workers’ Compensation released these draft guidelines for opioid use in the workers’ comp system. Click here to read when they should be used and the precaution physicians should take to ensure patient safety.

Division of Workers' Compensation Proposes New QME Panel Process

The Division of Workers’ Compensation is seeking feedback on a proposed new process for issuing QME panels. Click here to read the draft regulations. 

DWC Updates Proposed Copy Service Fee Schedule

The Division of Workers’ Compensation updated its proposed fee schedule for the copy service industry to close a potential loophole. Click here to read the full text of the proposal.

Proposed RTW Benefit Mirrors SJDB Program

The Division of Workers' Compensation released draft regulations for distributing funds from a special $120 million program for injured workers. Click here to read the full text of th proposed regulations determining who will qualify for a payout.