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Division of Workers' Compensation - Medical Unit

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

New Image Qualified medical evaluator exam packet - Oct. 25, 2008

New Image Adapting the RBRVS Methodology to the California Workers' Compensation Physician Fee Schedule

Managed care

Med-legal programs

Official Medical Fee Schedule

Medical Unit news

Jun. 27, 2008 Notice of rulemaking and public hearings for update of medical treatment utilization schedule acrobat image version
Jun. 25, 2008 Division of Workers' Compensation issues 15-day notice of revisions to proposed QME regulations acrobat image version
Jun. 17, 2008 The Division of Workers' Compensation Medical Unit is accepting applications for its upcoming qualified medical evaluator examination acrobat image version
May 12, 2008 Division of Workers' Compensation releases The Lewin Group study results regarding adapting the Resource-Based Relative Value Scale (RBRVS) to California's workers' compensation physican fee schedule in advance of public meetings acrobat image version
Apr. 9, 2008 Division of Workers’ Compensation posts list of facilities using "high cost outlier" payment methodology acrobat image version

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

June 2008