Assembly Bill 651 could impact benefits levels, PTSD presumptions, penalties, and more
Assembly Bill 651 could impact benefits levels, PTSD presumptions, penalties, and more
Effective January 1st, CARC and RARC codes will be permitted for use in EOBs, leveraging nationally recognized standards.
Among many things, the FAQ discusses processes for formulary changes, administrative fines, and provider lists.
Proposed updates also allow for electronic filing and service of all WCAB case related documents in EAMS rather than requiring service by mail.
The bill impacts required medical services, provider choice, preauthorization requests, and more.
Since October 1st, first responders have been able to select their own physician for heart and lung claims under certain conditions.
Proposed accommodations include deferring premium payments, extending grace periods, and waiving late fees and penalties.
Effective January 1, 2026, this new law applies to injured peace officers and firefighters.
The DWC is accepting public comments on rules that expedite medical benefits and the dispute resolution process until November 24th.
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.
Considering recent and upcoming changes to the procurement of these services, both states have published bulletins to clarify procedures.
Stakeholders discussed inefficiencies in claim procedures, and regulators will continue to review feedback prior to finalizing recommendations.
There is no timeline for when the system will be back online, requiring various go-arounds for certain claims procedures.
