Fee schedule rates haven’t changed since 2009, and the low rates have discouraged provider participation.
Fee schedule rates haven’t changed since 2009, and the low rates have discouraged provider participation.
While injured workers can choose any Level I or II provider from the DWC’s panel, employers and insurers may still share preferred or in-house lists.
Interested stakeholders must submit written comments by October 28th.
A recap of conference highlights and key presentations.
Stakeholders discussed inefficiencies in claim procedures, and regulators will continue to review feedback prior to finalizing recommendations.
BWC resubmits outpatient medication rules with unchanged compound provisions, sets February 2026 start date, and reopens public comments.
A small group of prescribers and out-of-network pharmacies are driving utilization of costly drugs with affordable alternatives.
Advocacy efforts by Healthesystems helped create a prior authorization for 300mg ibuprofen, as other cost-effective doses are readily available.
Three listening sessions will give stakeholders the chance to comment on how to implement major workers’ comp reforms.
The EOHHS hopes to understand how current rates affect workers’ comp coverage, access to care, quality of care, and injured worker experience.
Public comments regarding fee and payment rules, medical services, and managed care organizations must be submitted by September 30th.
The meeting will take place October 2nd and presents an opportunity to influence how topicals are regulated in the state workers’ comp system.
The BWC withdrew its proposed outpatient medication reimbursement rules for self-insured employer claims due to a technical error.
Public comments can be made on the proposed changes until September 26th, at which point a hearing will be held.
Discussions centered around the proposed medical fee schedule, particularly the Medicare negotiated pricing for pharmaceuticals.
