california division of workers' compensation

Filter and Search CA MTUS Drug Formulary With New Tool

California’s new drug formulary isn’t exactly user-friendly. For that reason, we developed a new tool to make authorization for pharmaceuticals much, much easier. The ...

Audit Complaints Show Workers’ Comp Providers Face Uphill Battle

In California, workers’ compensation providers face a labyrinth of billing and payment rules, and these providers struggle with an enforcement structure that favors employers...

DIR Director Baker Makes Surprise Retirement Announcement

Christine Baker, Director of California’s Department of Industrial Relations (DIR), unexpectedly announced her retirement on Friday, March 30. With no immediately apparent re...

Location-Based Reimbursement in CA? DWC Plans Hearing on OMFS Changes

California workers’ comp providers may soon face another layer of complexity in calculating reimbursements: Geographic Practice Cost Indices (GPCI), which would raise or lowe...

“Secret Settlements” - Double Standard for IMR Rules

Since the introduction of Independent Medical Review (IMR), claims administrators working on behalf of employers and insurers haven’t always played fair. In seeking to uphold...

DWC’s Proposed Denial of Claims Notice Lacks Clarity

When an employer denies an employee’s workers’ comp claim, California law mandates that the employer must inform the employee of their right to seek medical treatment outside...