WCIS eNews No. 93
April 19, 2013
WCIS regulations update
The Division of Workers' Compensation (DWC) has revised proposed regulations providing for the assessment of administrative penalties for Workers’ Compensation Information System (WCIS) reporting violations and posted them to the online forum where members of the public may review and comment on the proposal.
The proposed administrative penalty regulations implement Senate Bill 826, which amended Labor Code section 138.6 by authorizing DWC to assess administrative penalties, up to $5,000 per year for each claims administrator, for a failure to report claim information or the failure to report such information accurately to WCIS. The proposed penalty regulations are sections 9705.1 through 9705.2 of the administrative director’s rules in Title 8 of the California Code of Regulations.
In addition, DWC has posted on the forum for comment a revised version of the California EDI Implementation Guide for First and Subsequent Reports of Injury (Version 3.1), a necessary tool in the electronic reporting of claim data to WCIS. The revised WCIS implementation guide contains minor updates and corrections to the current version, (3.0), which became effective in November 2010. Changes address the manner of transmitting data to WCIS, the filing of annual and final reports, requirements for specific data elements, data edits, and secondary matching criteria.
The forum can be found at: http://www.dir.ca.gov/Wcjudicial.htm. Click on "current forums" at the top of the page.
Comments will be accepted on the forum until 5:00 p.m. on April 29, 2013. Please feel free to participate in this important process.
WCIS trading partner contacts:
Trading partner letters A, I-L, S-V, Z
Trading partner letters B, D-F, N, O, W-Y
Trading partner letters C, G, H, M, P-R
Medical reports technical contact
Contents of this bulletin do not change existing regulatory requirements; they provide additional or revised detail about the technical implementation of those requirements. All technical changes will subsequently be reflected in other WCIS documentation. Any bulletin can be forwarded as needed, but should be forwarded in its entirety and without modification. If you have received a forwarded copy of this bulletin and are concerned about its authenticity, you can view this and previous bulletins on our WCIS web site: http://www.dir.ca.gov/dwc/wcis.htm.
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