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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
Qualified medical evaluator exam packet - Oct. 25, 2008
Adapting the RBRVS Methodology to the California Workers' Compensation Physician Fee Schedule
Managed care
- Medical provider network (MPN)
- Utilization review (UR)
- Health care organizations (HCO)
Med-legal programs
Official Medical Fee Schedule
Medical Unit news
| Oct. 15, 2008 |
Division of Workers’ Compensation issues 2nd 15-day notice of revisions to proposed qualified medical evaluator regulations
version |
| Jun. 27, 2008 | Notice of rulemaking and public hearings for update of medical treatment utilization schedule version |
| Jun. 25, 2008 | Division of Workers' Compensation issues 15-day notice of revisions to proposed QME regulations version |
| Jun. 17, 2008 | The Division of Workers' Compensation Medical Unit is accepting applications for its upcoming qualified medical evaluator examination 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 version |
| Apr. 9, 2008 | Division of Workers’ Compensation posts list of facilities using "high cost outlier" payment methodology version |
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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
October 2008