that effective Forms will need to be Note 01/01/15 the contract will developed for the have to be let by worker to request IMR. competitive bid. Because the IMR that the AD has provisions apply to Note authority to adopt by injuries occurring on and regulation other after 01/01/13, DWC requirements for IROs should consider emergency regulations effective 01/01/14 a to promulgate the forms Note reviewer cannot be a necessary to be able to QME. process IMR requests on the effective date. (IMR New Code § will apply regardless of Note 139.5(c)(1) requires an date of injury by IRO to have a California 07/01/13) licensed medical director who shall be Either the DWC or the “responsible for advising the contractor WCAB will need to on clinical issues”. Is this develop for intended to include a appealing IMR decisions situation where the Medical Director is The DWC will need to advising an IMR develop an audit/penalty physician on the structure for applicability of standards enforcement of Secs. to the specific UR 4610.5(i) and 4610.6(k) decision under review?
Note that effective 01/01/15 the contract will have to be let by competitive bid. Note that the AD has authority to adopt by regulation other requirements for IROs Note effective 01/01/14 a reviewer cannot be a QME. Note New Code § 139.5(c)(1) requires an IRO to have a California licensed medical director who shall be “responsible for advising the contractor on clinical issues”. Is this intended to include a situation where the Medical Director is advising an IMR physician on the applicability of standards to the specific UR decision under review? Forms will need to be developed for the worker to request IMR. Because the IMR provisions apply to injuries occurring on and after 01/01/13, DWC should consider emergency regulations to promulgate the forms necessary to be able to process IMR requests on the effective date. (IMR will apply regardless of date of injury by 07/01/13) Either the DWC or the WCAB will need to develop for appealing IMR decisions The DWC will need to develop an audit/penalty structure for enforcement of Secs. 4610.5(i) and 4610.6(k)