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Under the direction of an executive medical director, the Medical Unit performs a variety of services related to delivery of medical benefits in the workers' compensation system. It establishes policy and guidelines for the treatment and evaluation of injured workers. The unit examines and appoints physicians to be qualified medical evaluators (QMEs), who in turn examine injured workers to help determine the level of benefits they receive. It also certifies and oversees groups -- medical provider networks (MPNs) and health care organizations (HCOs) -- that provide care to injured workers. The unit reviews utilization review (UR) plans and handles UR complaints and investigations jointly with the Audit Unit. It also assists the DWC administrative director with other issues affecting providers in the workers' compensation system, such as setting medical fee schedules, and undertakes medical care studies
Notice of rulemaking and public hearing for amendments to Health Care Organization (HCO)
Qualified medical evaluator (QME) regulations and forms effective Feb. 17, 2009
How to serve your report on DEU and be EAMS compliant 
Managed care
- Medical provider network (MPN)
- Utilization review (UR)
- Health care organizations (HCO)
Med-legal programs
Official Medical Fee Schedule
Reports
Adapting the RBRVS Methodology to the California Workers’ Compensation Physician Fee Schedule - Dec. 2008 
- Adapting the RBRVS Methodology to the California Workers' Compensation Physician Fee Schedule - May 2008
- California Worker's Compensation RBRVS Study. The Lewin Group; October 8, 2002
Medical Unit news
| June 2009 | |
| June 12, 2009 | Notice of rulemaking and public hearing for amendments to Health Care Organization (HCO)
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| May 2009 | |
| May 14, 2009 | New workers’ compensation Medical Unit forms required effective May 19, 2009
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| February 2009 | |
| Feb. 25, 2009 | Division of Workers' Compensation seeks nominations for medical guideline advisory committee
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| Feb. 18, 2009 | Division of Workers’ Compensation provides new Qualified Medical Evaluator forms
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| Feb. 18, 2009 | Division of Workers’ Compensation Medical Unit cancels next
Qualified Medical Evaluator examination
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Mailing Address:
DWC - Medical Unit P.O. Box 71010 Oakland, CA 94612 |
Street Address:
DWC - Medical Unit 1515 Clay Street, 18th floor Oakland CA 94612 |
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Telephone Number: 510-286-3700 or 800-794-6900
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PLEASE NOTE: ALL PACKAGES, CERTIFIED MAIL AND PRIORITY MAIL MUST BE SENT TO THE STREET ADDRESS ONLY
June 2009
