I want to . . .
- Search for a workers’ comp case
- Know my rights
- Know what to do when I get hurt on the job
- Find a fact sheet or I&A guide
- Find a form
- Find a publication
- Find a report
- Find a DWC office
- Contact DWC
- File a complaint
- Participate in DWC rulemaking
- Participate in a DWC forum
- Participate in a WCAB forum
- Pay my bill online
- Learn about the DWC 19th annual educational conference
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.
- Health care organizations (HCO)
- Medical provider network (MPN)
- Qualified medical evaluators (QME)
- Medical-legal fee schedule regulations - CA Code Regulations, title 8, §9793-9795
- Medical-legal fee schedule tutorial
- Additional panel request - OPTIONAL for use when requesting an additional QME panel - under QME regulation 31.7
- Replacement panel request - OPTIONAL for use when requesting a replacement QME panel - under QME regulation 31.5
- How to serve your report on DEU and be EAMS compliant
more QME forms
- 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 Oct. 8, 2002
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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 |
Telephone Number: 510-286-3700 or 800-794-6900
PLEASE NOTE: ALL PACKAGES, CERTIFIED MAIL AND PRIORITY MAIL MUST BE SENT TO THE STREET ADDRESS ONLY
| May 11, 2012 | Division of Workers’ Compensation announces the appointment of Dr. Rupali Das as executive medical director |
Newslines archive
January 2012