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Release Number: 2021-26
March 4, 2021

DWC Posts Amendment to Official Medical Fee Schedule (Inpatient Hospital) to Adopt Medicare Corrections

The Division of Workers’ Compensation (DWC) has posted an amendment to the Inpatient Hospital portion of the Official Medical Fee Schedule. The amendment, reflected in the February 24, 2021 Administrative Director order, applies to discharges on or after March 15, 2021.

The Centers for Medicare and Medicaid Services published a Correction Notice on December 7, 2020, in the Federal Register, and corrected the Medicare Inpatient Fiscal Year 2021 Payment Impact File and related tables. The Administrative Director order amends title 8, California Code of Regulations, sections 9789.23, 9789.24, and 9789.25 to adopt changes that conform to the corrections made by Medicare.

The effective date of the Order is for discharges on or after March 15, 2021.

The order and regulations and can be found at the DWC website’s OMFS page.