Bulletin 94-3

May 9, 1994

Proposed New Regulations to Be Heard in June

The Administrative Director has scheduled hearings on six sets of proposed new workers' compensation regulations on June 21, 1994 in San Francisco and June 29, 1994 in Los Angeles.

The proposed rules provide additions and revisions to regulations contained in Title 8 of the California Code of Regulations. Most of the changes are designed to implement and clarify aspects of the 1993 legislative reforms.

Proposed regulations in the following areas will be considered:

*Managed care. Two new regulations have been proposed to clarify the obligations of employers that have contracted with health care organizations to provide medical treatment to injured workers. They spell out what information must be furnished employees regarding their options and provide an enrollment form for employees.

*Permanent disability rating determinations. These regulations streamline the disability evaluation process, including the documentation that must be provided the DWC Disability Evaluation Unit to obtain a summary rating determination. A new form has been proposed to request the rating of the primary treating physician.

*24 hour care pilot project. This rule change extends the termination date for projects that have been approved from December 31, 1996 to December 31, 1997.

*Vocational rehabilitation notices. These regulations consist of revisions and additions to the benefit notices that injured workers receive regarding the provision of vocational rehabilitation services.

Bulletin 94-3

May 9, 1994

Page 2

*Vocational rehabilitation services. This set of regulations clarifies the procedures and the fee schedule governing the provision of vocational rehabilitation services. It includes the full text and format of the "Help in Returning to Work-94" pamphlet, which explains vocational rehabilitation benefits to workers injured on or after January 1, 1994.

*Official Medical Fee Schedule. These revisions add technical changes to the Official Medical Fee Schedule regulations. Several revisions to the fee schedule itself have also been proposed.

Copies of the proposed regulations are available from the Division of Workers' Compensation, P.O. Box 420603, San Francisco, CA 94142-0603.