Newsline No. 16-07
printer image Printer friendly
February 9, 2007  

Division of Workers' Compensation reminds outpatient facilities of high cost outlier deadline

The Division of Workers' Compensation (DWC) reminds outpatient facilities that wish to elect the high cost outlier per Title 8, Cal. Code of Regulations, section 9789.33 (c) (1), that they must do so by Mar. 1, 2007 to qualify for alternative payment from Apr. 1, 2007 through Mar. 31, 2008. Facilities must submit DWC form 15. The form may be downloaded from the Web site in Word format at http://www.dir.ca.gov/t8/DWC_form15.doc and in PDF format at http://www.dir.ca.gov/t8/DWC_form15.pdf.

Completed forms should be mailed to:

Division of Workers' Compensation
Medical Unit (Attention: OMFS-Outpatient)
P.O. Box 420603
San Francisco, CA 94142

The form must be postmarked no later than Mar. 1, 2007. Please direct questions to the Division of Workers' Compensation Medical Unit at (510) 286-3700.

###