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Chapter 4.5. Division of Workers' Compensation
SUBCHAPTER 1. ADMINISTRATIVE DIRECTOR -ADMINISTRATIVE RULES
Article 5.3. Official Medical Fee Schedule -- Services Rendered after January
§9789.70. Ambulance Services.
(a) The maximum reasonable fee for ambulance services rendered after January 1,
2004 shall not exceed 120% of the applicable fee for the Calendar Year 2004 set
forth in CMS's Ambulance Fee Schedule, which is established pursuant to Section
1834 of the Social Security Act (42 U.S.C. § 1395m) and applicable to California.
The Ambulance Fee Schedule, which can be found at the CMS Internet Website http://www.cms.hhs.gov/suppliers/ambulance
is incorporated by reference and will be made available on the Division of Workers'
Compensation's Internet Website (http://www.dir.ca.gov/DWC/dwc_home_page.htm)
or upon request to the Administrative Director at:
DIVISION OF WORKERS' COMPENSATION
P.O. BOX 420603
SAN FRANCISCO, CA 94142.
(b) For any ambulance service not covered by a Medicare payment system, the
maximum reasonable fee paid shall not exceed the fee specified in the OMFS 2003.
Authority cited: Sections 133, 4603.5, 5307.1 and 5307.3, Labor Code. Reference:
Sections 4600, 4603.2 and 5307.1, Labor Code.
1. New section filed 1-2-2004 as an emergency; operative 1-2-2004 (Register
2004, No. 2). A Certificate of Compliance must be transmitted to OAL by 5-3-2004
or emergency language will be repealed by operation of law on the following
2. Certificate of Compliance as to 1-2-2004 order, including designation and
amendment of first paragraph as subsection (a) and new subsection (b), transmitted
to OAL 4-30-2004 and filed 6-15-2004 (Register 2004, No. 25).
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