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Department of Labor: Division of Industrial Affairs >> Office of Workers' Compensation

HEALTH CARE PAYMENT SYSTEM
Introduction & Fee Schedule Guidelines
     Last Revision 10/30/2009
Provider Certification
     Last Update 10/30/2009
     Provider List Update Weekly
Forms
     Last Revision 10/30/2009
Fee Schedule Data & Guidelines
     Effective 1/29/10
     CPT Updates Effective 01/01/09
     Update Effective 11/14/2008
     Effective 5/23/08
Pharmacy Preferred Drug List
     Last Update N/A
Practice Guidelines
     Last Update 6/1/2009
Utilization Review Guidelines
     Last Update 10/30/2009
FAQs
     Updated Frequently

Check left menu for Updates and Revisions!!

DOWNLOAD FORMS

1. Health Care Provider Application for Certification

2. Employer's Modified Duty Availability Report
   - Blank Form and Instructions
   - Example

3. Physician's Report of Worker's Compensation Injury
   - Blank Form and Instructions
   - Example

4. Request for Utilization Review

Last Updated: Tuesday, 2-June-2009 13:34:22 EDT

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