Proposed/Adopted Rules/Notices of Rule Hearings

Notices of Rule Hearings

Rule 16: Utilization Standards and Rule 18: Medical Fee Schedule

Proposed and Adopted Rules

Rule 16: Utilization Standards

Rule 18: Medical Fee Schedule

 
Rule Proposed Version Adopted
Version
5-10: Lump Sum Payment of an Award (Adopted June 9, 2014; Effective July 1, 2014)   PDF   PDF
2-5: Surcharge Rate (Adopted May 30, 2014;  Effective July 1, 2014) MS Word PDF  MS Word PDF 
5-5 (F): Admissions of Liability and 7: Closure of Claims, Approval of Settlement Agreements and Petitions to Reopen
Both Rules Adopted January 21, 2014; Effective March 17, 2014)
MS Word PDF Rule 5-5 (F) (MS Word)

Rule 7
(MS Word)
Rule 5-5 (F) (PDF)
Rule 7 (PDF)
18 : Medical Fee Schedule (Revisions to correct typographical errors in the rule.)  MS Word PDF MS Word PDF
17:  Exhibit 8 - Cervical Spine Medical Treatment Guidelines (Adopted February 3, 2014; Effective March 30, 2014)
  • Summary of Proposed Changes
MS Word PDF MS Word PDF
PDF  
17:  Exhibit 1 - Low Back Medical Treatment Guidelines (Adopted February 3, 2014; Effective March 30, 2014)
  • Summary of Proposed Changes
MS Word PDF MS Word PDF
PDF  

16:  Utilization Standards (Adopted August 27, 2013; Effective January 1, 2014)

  • Summary of Proposed Changes
MS Word PDF MS Word PDF
  PDF   PDF
18:  Medical Fee Schedule (Adopted August 27, 2013; Effective January 1, 2014)
  • Summary of Proposed Changes
MS Word PDF MS Word PDF
  PDF   PDF
2-5: Workers' Compensation Premium Surcharges (Adopted May 10; Effective July 1, 2013) MS Word PDF MS Word  PDF 
Rules 5 - 11 Computation of Benefits and Rule 10 Medical Utilization Review (Adopted January 31; Effective April 1, 2013) MS Word PDF MS Word PDF
17:  Exhibit 10 - Traumatic Brain Injury Medical Treatment Guidelines (Adopted November 26; Effective January 14, 2013) MS Word PDF MS Word  PDF

16:  Utilization Standards (Adopted September 7; Effective January 1, 2013)

  • Summary of Proposed Changes for Effective Date January 1, 2013
MS Word PDF  MS Word  PDF
  PDF    
18:  Medical Fee Schedule (Adopted September 7; Effective January 1, 2013)
  • Summary of Proposed Changes for Effective Date January 1, 2013
MS Word PDF  MS Word  PDF
  PDF    
2-5: Workers' Compensation Premium Surcharges (Adopted May 15, 2012; Effective July 1, 2012) MS Word PDF  MS Word  PDF
7-4:  Single Life Expectancy Table (Adopted May 15, 2012; Effective July 1, 2012) MS Word PDF  MS Word  PDF
17: Exhibit 7 Complex Regional Pain Syndrome/Reflex Sympathetic Dystrophy (CRPS/RSD) (Adopted December 27, 2011; Effective February 14, 2012) MS Word PDF  MS Word PDF
17:  Exhibit 9 Chronic Pain Disorder (Adopted December 27, 2011; Effective February 14, 2012) MS Word PDF  MS Word PDF

16: Utilization Standards (Adopted September 30, 2011; Effective January 1, 2012)

  • Summary of Proposed Changes for Effective Date January 1, 2012
MS Word PDF  MS Word PDF
MS Word PDF

18: Medical Fee Schedule (Adopted September 30, 2011; Effective January 1, 2012)

  • Summary of Proposed Changes for Effective Date January 1, 2012
MS Word PDF  MS Word PDF
MS Word PDF

5-10:  Lump Sum Payment of an Award
(Adopted June 30, 2010;  Effective September 1, 2010)

 MS Word   PDF  MS Word   PDF 

16:  Utilization Standards (Adopted September 16, 2010;  Effective January 1, 2011)

  • Summary of Proposed Changes for Effective Date January 1, 2011

 MS Word 

 

 PDF

 

 MS Word

MS Word

 PDF

PDF

17:  Exhibit 5 - Cumulative Trauma Conditions
(Adopted September 16, 2010; Effective October 30, 2010)

  • Summary of Major Substantive Changes between current Rule 17, Exhibits #2 and #5 and Proposed Exhibit #5 Cumulative Trauma Conditions

 MS Word 

 

 PDF

 

 MS Word

MS Word

 PDF

PDF

18:  Medical Fee Schedule (Adopted September 16, 2010; Effective January 1, 2011)

  • Summary of Proposed Changes for Effective Date January 1, 2011

 MS Word

 

 PDF

 

 MS Word

MS Word

 PDF

PDF

5-14:  Claimant Surveys
(Adopted June 18, 2010;  Effective September 1, 2010)

 MS Word   PDF   MS Word   PDF 

8-8:  Independent Medical Examinations
(Adopted June 17, 2010;  Effective August 1, 2010)

 MS Word   PDF  MS Word  PDF 

11-3:  Requests for an IME
(Adopted June 23, 2010; Effective September 1, 2010)

 MS Word   PDF   MS Word   PDF