Newsline No. 64-10 printer image Printer friendly
November 30, 2010  

Workers' Compensation Information System regulations approved by Office of Administrative Law
New regulations, part of the Division of Workers' Compensation 12-point plan to control medical costs, become effective Nov. 15, 2011

The Division of Workers' Compensation (DWC) has adopted new regulations updating the Workers’ Compensation Information System (WCIS) reporting requirements as part of its 12-point plan to monitor medical costs more effectively. The final regulations, which require the electronic reporting of claims information to DWC, were approved by the Office of Administrative Law (OAL) and filed with the secretary of state on Nov. 15, 2010, and become effective on Nov. 15, 2011.

"The historic 2004 workers’ compensation reforms reduced and stabilized medical costs,” said acting Administrative Director Carrie Nevans. "Accurate electronic reporting to the WCIS by claims administrators, including medical billing data reports, will allow DWC to identify key cost indicators in the system and formulate policies to keep costs under control, helping ensure the uptick in medical costs we saw in 2007 and 2008 does not continue."

The new rules will increase the time for filing the first report of injury (from five business days to 10), relax several data edits to allow easier transmission of claim information with fewer submission rejections, and clarify the process for medical lien reporting. In addition, the regulations have updated the two WCIS implementation guides (the California EDI Implementation Guide for First and Subsequent Reports of Injury and the California EDI Implementation Guide for Medical Bill Payment Records).

The regulations, found in the California Code of Regulations, title 8, sections 9701 and 9702, are authorized by Labor Code section 138.6.

The approved regulations, as filed with the secretary of state, can be found on the DWC Web site at: http://www.dir.ca.gov/dwc/dwcRulemaking.html.

The final statement of reasons for the rulemaking, a summary of public comments made during the rulemaking, and DWC’s responses to those comments are also available on the Web site at: http://www.dir.ca.gov/dwc/DWCPropRegs/WCIS_Regs/WCIS_Regulations.htm.

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